Appointment Claim Form

Please use this page to log a claim for any matters relating to appointments in your home. Pinnacle administers this scheme on behalf of DIO.

Your Details

Title *

First name *

Surname *

Address

House number (Or House Name) *

Post code *

Find

Address 1 *

Address 2

Mobile *

Email *

Enter your email address again for verification *

The appointment you are claiming for

You can add multiple appointments on different slots by clicking on the green button below, this will allow you to make multiple claims on one form. Each claim will be assessed separately.

Select claim type

Job number

Appointment date

Appointment slot

How did you know about this appointment

Did the operative need to enter your home?

Notes

Add Another Appointment

I confirm by submitting this form that the above details are true and accurate to the best of my information, knowledge and belief. I am aware that the details will be validated by DIO, Pinnacle Service Families and/or the relevant maintenance provider including any third parties involved, where appropriate and where required.

I accept that I can only make one claim per job, per date and time slot missed and that where multiple jobs were missed within the same date and slot, I am only entitled to one voucher. I am aware that any duplicate claims or attempt to claim where not entitled will be reported to DIO. I understand that any compensation payment made is not an acceptance of liability in relation to any other issue which may be related.*

I consent to Pinnacle Service Families processing the data provided above for the purpose of assessing the compensation claim and processing the compensation payment, where validated. Pinnacle Service Families reserve the right to share these details with high street voucher and payment fulfilment providers and/or DIO as necessary. Personal details will be processed and stored in accordance with Pinnacle's Privacy Policy which can be found at www.pinnacleservicefamilies.co.uk/privacy-and-cookies/ *

Please tick this box to consent to:
(i) your personal data being stored by Paytia in order to process your claim;
(ii) communication by email and mobile text for One Time Password (OTP) verification; and
(iii) your personal data being passed by Paytia to Pinnacle for the purposes of updating Pinnacle's records in relation to your claim. *

Appointment Claim Form

Please use this page to log a claim for any matters relating to appointments in your home. Pinnacle administers this scheme on behalf of DIO.

Your Details

Address

The appointment you are claiming for

Aircall