Your Details

At Markerstudy, we are committed to help prevent fraudulent activities.

If you have received nuisance calls you want to make us aware of please complete the form below and we will investigate your concern.

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* 1. Enter your email address

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* 2. Claim number
(If you know the claim number the nuisance calls are related to, please add it here.  You may leave it blank if you do not have the claim number)

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* 3. Policy Number
(If you know the policy number, please add it here.  You may leave it blank if you do not know the policy number)

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* 4. If you do not know the claim or policy number, please add information here in order to allow us to locate the correct details.  This could be a combination of name, date of birth, address and/or registration number.

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* 5. Please describe who you are: 

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* 6. What was the date when you received the nuisance call? 
(If more than one call has been received please add the date of the first call.)

Date

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* 7. What time was the call received?
(If more than one call has been received please add the time of the first call received. Leave this blank if the time is unknown.)

Time

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* 8. What was the name of the person who called you?
(Multiple names can be added if applicable. Leave blank if unknown.)

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* 9. What was the company name of the caller?
(Multiple names can be added if applicable. Leave blank if unknown.)

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* 10. What telephone number did they call from?
(Multiple telephone numbers can be added. Leave blank if unknown.)

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* 11. Was the claim reported to anyone other than ourselves? i.e. The Broker or an Accident Management Company.

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* 12. If Yes, Who?

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* 13. Was the number receiving the nuisance calls given to anyone else at the scene?

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* 14. If Yes, Who?

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* 15. Please add any additional information you have as this will assist with the investigation.

Thank you for taking the time to complete this survey.  You have provided us with the information we need to investigate the matter and therefore we will not contact you unless there is a reason to do so.

Should you receive any further nuisance calls, you may complete this survey again. 

Always stay vigilant and if you are in any doubt, never share any of your personal details.

Thank you

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