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How to complete the questionnaire:

  • This questionnaire contains 44 questions. Please try to answer questions 1-33; questions 34 to 44 are optional.

  • It will be useful to have all your relevant LCF documents to hand.

  • Most questions require you to select the most applicable answer.

  • To save a copy for your own records, once completed, right click and print this page before clicking submit.

All fields marked with * are required.

Personal Details

Home Address

Is your Postal Address the same as your Home Address?

Postal Address

Can the SFO/FCA leave messages on your home phone answering machine/service?
9. Can the SFO/FCA leave messages for you with someone else on your home number?
Can the SFO/FCA leave messages on your mobile phone voicemail?
12. Are you making this report on behalf of the investor?

Home Address

Is your Postal Address the same as your Home Address?

Postal Address

Can the SFO/FCA leave messages on your home phone answering machine/service?
Can the SFO/FCA leave messages for you with someone else on your home number?
Can the SFO/FCA leave messages on your mobile phone voicemail?

Investment Experience

16. At the time you invested in LCF products, did you have, or previously hold investments, in any ‘high risk / high return’ products?

For example a 'high risk' product might include mini bonds, high interest returning bonds, structured products, contract for difference or bitcoin. Please see the following for further examples: https://www.fca.org.uk/consumers/high-return-investments

When completing your application form you were required to select an ‘investor classification’ identifying which category of investor you were.

Investment Details

20. Please give the full name and bond reference number as it appears on each bond certificate
Name on Certificate Number on Certificate Date on Certificate
22. Did you have any contact with anyone from LCF or associated companies? If so, please provide their name(s) and the position they held (if known). Please indicate how they contacted you by checking all that apply.
Name Position Online chat Telephone conversation Home visit Appointment at other venue
23. When you invested, did you believe that the Financial Conduct Authority (FCA) regulated LCF bonds?
24. When you invested, did you believe that the Financial Services Compensation Scheme (FSCS) would cover your investment?
25. When you invested, did you believe that the accounts of LCF had been independently audited?
26. Did the audited accounts of LCF influence your decision to invest?

Completion and Returns

27. Have you received any interest or repayment on your investment?

Documents and Investment Literature

29. Do you have any documents or notes relating to your investment, Including evidence of interest received / repayment?

Please do not send your evidence to us at this stage but retain all investment related literature you have in your possession. This may be requested at a later stage of the investigation

30. Briefly list what documents you have? For example - leaflet, bond certificate, emails
Type of documents

Case Progression

31. Are you willing to be interviewed by the SFO and/or FCA and provide a witness statement?
32. If required, would you be willing to attend court as a witness and give evidence?
33. Have you contacted any agency in relation to your investment? Please check all that are relevant?

Needs Assessment

We may need to contact you in the future to discuss your answers in more detail or take a witness statement. To ensure we can provide you with the support you need it would help us if you could complete the following needs assessment.

34. Do you require an interpreter or other help with communication? This can include hearing difficulties?
35. Do you have any special needs or requirements concerning restricted mobility or physical disabilities?
36. Do you have any special needs or requirements concerning a mental health disorder, disability or illness?
37. Do you have any other health conditions or issues that you feel we need to know about?

Next of Kin or Trusted Friend (optional)

If we are unable to contact you for any reason please provide the contact details for someone we could contact on your behalf

Home Address

This completes the questionnaire.

If you would like a copy for your records please do this now before you click submit. To do this, right click and print this page.

Once you have submitted your answers it will not be possible for you to save a copy for your record.

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