Milberg London

Welcome!

Thank you for completing this SOCI form, we cannot progress your claim to the final stage without it.

The details you enter here are very important and so we've prepared some things to bear in mind.

Please click next to get started

Things to Note

You may be asked for details we already hold, this ensures we have the most accurate information to move forward.

You will need to have some information at the ready, like your car finance if you had any, or the car's sale price if you no longer own it.

This should take you only 5 minutes to complete and is the final time we will ask for this information.

If you get stuck, jump back into SMS where our team member Jennifer can walk you through the process.

About You

First name *

Last name *

Are you claiming as a business? *

Yes

Your Business

Business name *

Where You Bought From

Did you buy the vehicle in England or Wales? *

Yes

Your Address

Address *

City *

Postcode *

Please confirm this is your correct and most up to date address? *

Yes

About Your Car

Vehicle registration number *

Vehicle model *

If known, is this a private plate? *

Yes

Registration Number

What's the original registration number (if known)?

About Your Claim

Capacity in which you are claiming? *

Owner

Former owner

Lessee

Former lessee

Outright Purchase

When did you buy the vehicle? (if known, exact or approximate date) *

Is that an exact or approximate date? *

Exact

Approximate

How did you buy the car? *

Private seller

Dealer

Auction

Gift / Inheritance

Employer scheme

Motability scheme

Other

Was that new or secondhand? *

New

Secondhand

What's the name of the dealer/garage, company or person you bought it from? *

How much did you pay? *

Purchased Via Lease/Finance

What was the date of the finance agreement? *

Is that date accurate or appropriximate? *

Accurate

Approximate

Did you finance or lease your vehicle through Mercedes Benz Financial Services? *

Yes

If not, what's the name of the finance provider?

If known, how long was your agreement? (months please)

What was your monthly repayment or lease payment? *

If you know it, what's the total amount payable under the finance agreement? *

Ownership

Do you still own the vehicle? *

Yes

To the best of your knowledge, was a software update applied to the emissions control system? (You would likely have been asked by the manufacturer to take it to a dealership to have the emissions control software updated, usually you’d have received a letter) *

Yes

Not Known

No Longer In Possession

If you no longer have it, how was the vehicle disposed of? *

Sold

Part exchanged

Returned to finance provider

Written off

Stolen

Scrapped

Gifted

Other

What's the date of sale or disposal? *

Is the sale or disposal date approximate or accurate? *

Accurate

Approximate

Value

How much money did you receive when it was sold, part exchanged, stolen or written off? (If stolen or written off, please provide the value of any insurance payment received) *

Your Declaration

I believe that the facts stated in this Schedule of Information are true. I understand that proceedings for contempt of court may be brought against anyone who makes, or causes to be made, a false statement in a document verified by a statement of truth without an honest belief in its truth. *

Yes signed by Claimant

Confirming Your Contact Details

Your Phone Number: *

Email *

Captcha

Welcome!

Thank you for completing this SOCI form, we cannot progress your claim to the final stage without it.

The details you enter here are very important and so we've prepared some things to bear in mind.

Please click next to get started.

Things to Note

You may be asked for details we already hold, this ensures we have the most accurate information to move forward.

You will need to have some information at the ready, like your car finance if you had any, or the car's sale price if you no longer own it.

This should take you only 5 minutes to complete and is the final time we will ask for this information.

If you get stuck, jump back into SMS where our team member Jennifer can walk you through the process.

About You

First name *

Last name *

Are you claiming as a business? *

Yes

Your Business

Business name *

Where You Bought From

Did you buy the vehicle in England or Wales? *

Yes

Your Address

Address *

City *

Postcode *

Please confirm this is your correct and most up to date address? *

Yes

About Your Car

Vehicle registration number *

Vehicle model *

If known, is this a private plate? *

Yes

Registration Number

What's the original registration number (if known)?

About Your Claim

Capacity in which you are claiming? *

Owner

Former owner

Lessee

Former lessee

Outright Purchase

When did you buy the vehicle? (if known, exact or approximate date) *

Is that an exact or approximate date? *

Exact

Approximate

How did you buy the car? *

Private seller

Dealer

Auction

Gift / Inheritance

Employer scheme

Motability scheme

Other

Was that new or secondhand? *

New

Secondhand

What's the name of the dealer/garage, company or person you bought it from? *

How much did you pay? *

Purchased Via Lease/Finance

What was the date of the finance agreement? *

Is that date accurate or appropriximate? *

Accurate

Approximate

Did you finance or lease your vehicle through Mercedes Benz Financial Services? *

Yes

If not, what's the name of the finance provider?

If known, how long was your agreement? (months please)

What was your monthly repayment or lease payment? *

If you know it, what's the total amount payable under the finance agreement? *

Ownership

Do you still own the vehicle? *

Yes

Not Known

No Longer In Possession

If you no longer have it, how was the vehicle disposed of? *

Sold

Part exchanged

Returned to finance provider

Written off

Stolen

Scrapped

Gifted

Other

What's the date of sale or disposal? *

Is the sale or disposal date approximate or accurate? *

Accurate

Approximate

Value

How much money did you receive when it was sold, part exchanged, stolen or written off? (If stolen or written off, please provide the value of any insurance payment received) *

Your Declaration

Yes signed by Claimant

Confirming Your Contact Details

Your Email: *

Your Phone Number: *

Captcha

Milberg London LLP is a Limited Liability Partnership incorporated in England and Wales under registered number OC430853, VAT 371768662, registered office Third Floor, Sutton Yard, 65 Goswell Road, London, EC1V 7EN. We are authorised and regulated by the Solicitors Regulation Authority with registration number 670230.

Some of the results expressed on this site were accomplished by Milberg Phillips Grossman LLP (“Milberg”) and its attorneys. Milberg London LLP is an independently operated affiliate firm of Milberg.

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