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Principal – Niall Coburn
Head of Investigations – Glen Unicomb
Head of European operations – Ginette Muller
What We Do
Regulatory & Compliance Solutions
OMI / FPI Class Action
RL360 Class Action
RL360 Class Action
RL360 - Full registration
About your investment
Consent to act
(incl country code)
Your best contact email.
Date of birth
DD slash MM slash YYYY
Your current residential address - PO Box addresses are NOT ACCEPTED.
Address Line 2
State / Province / Region
ZIP / Postal Code
Antigua and Barbuda
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Congo, Democratic Republic of the
French Southern Territories
Heard Island and McDonald Islands
Isle of Man
Korea, Democratic People's Republic of
Korea, Republic of
Lao People's Democratic Republic
Northern Mariana Islands
Palestine, State of
Papua New Guinea
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
South Georgia and the South Sandwich Islands
Svalbard and Jan Mayen
Syria Arab Republic
Tanzania, the United Republic of
Trinidad and Tobago
Turks and Caicos Islands
US Minor Outlying Islands
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Proof of ID
Please upload a photo or scanned PDF of your passport or driver's license as proof of ID.
Accepted file types: pdf, jpg, png, Max. file size: 512 MB.
Bond Ownership Name(s) (Individual Name(s) or Trustees
Is this a joint investment account?
Are there are two or more names on your policy?
Joint policyholder name
Is this a trust account?
Date of investment (if known)
MM slash DD slash YYYY
Which of the following fund(s) did you place in the bond?
select all that are relevant
Axiom Legal Financing Fund
LM Managed Performance Fund
All other LM Group funds including the Trilogy Wholesale FMIF
Premier Eco Resources
Premier New Earth (All Premier New Earth managed investment schemes)
EEA Fund Management (Guernsey) Ltd.
EEA Life Settlement Fund
EFG International Tracker Certificate on the A.C.A.C.I.A Index
Acacia 1 Natixis Autocall on Occidental Petroleum et al USD
Acacia 6 Natixis Autocall Note Linked to Standard Life Plc et al GBP
Acacia 4 Natixis Autocall on Deutsche Bank et al GBP
Acacia 7 Natixis Autocall Note on Royal Dutch Shell Plc et al GBP
Acacia 3 Natixis Autocall on Cisco Systems Inc et al USD
Acacia 9 Natixis Autocall on HSCEI Index et al USD
Standard Bank Fusion 1, 3 & 4
CitiFirst Autocall Nt Lkd 3 stks silver
Standard Bank Silver & Stocks USD
Any other failed fund(s) in your bond?
Total amount invested (in GBP or converted to GBP at £1 = USD$1.28 / £1 = A$1.85; £1 = €1.14 / £1 = US$1.28 / £1 = ¥140**
This is the total investment amount under this bond ownership name, including all failed funds.
Country of residence when you invested in bond
Name and contact details of advisory firm (IFA) through whom you invested
Please set out your understanding of the nature bond product at the time you invested in it.
For example, what was your understanding of the risks attached to the bond and the security of the product?
When did you ﬁrst become aware that any or most of the value in your bond or the underlying funds had been lost? What triggered that awareness?
Have you previously been in correspondence with the bond provider about your loss?
Please provide details about any correspondence you have had with the bond provider
Have you previously investigated, or sought legal advice about, a legal claim against the bond provider?
Please provide details about the legal advice you sought
The redemption value of the bond was directly dependent on the performance of the underlying fund(s) selected. In other words, if the underlying fund(s) failed, this had a direct and immediate impact on the redemption value of the bond. Were you aware of this?
If yes, when did you become aware, and how? If no, what did you understand about the bond product and how it operated?
When the underlying fund(s) in which you were invested through the bond failed, did you think the value of your bond could recover by the time it would be redeemed?
If you had known the true nature and risks associated with the bond, would you have still invested in it?
Please explain what kind of product you would have invested in instead or how you would have used the money instead
Have you previously received any compensation in respect of your loss (e.g. from the English Financial Services Compensation scheme or any other similar compensation scheme)?
If yes, please provide details of the compensation received including the amount and entity from which you received it. Please upload any relevant documents that you have signed (such as an assignment of your rights to recover losses).
Please upload any documents such as valuations, dealing forms etc to support your claim.
TRUST ACCOUNTS: please also upload any deeds of trust or documents establishing or verifying your ownership of the bond Accepted file types: (PDF) only. Max file size: 32MB. Please contact us via firstname.lastname@example.org if you have trouble uploading your documents.
Accepted file types: pdf, Max. file size: 32 MB.
Any additional supporting documents
Accepted file types: (PDF) only. Max file size: 32MB.
Drop files here or
Accepted file types: pdf, Max. file size: 512 MB.
I agree to the following
I understand that my personal information is stored by CCI for the purpose of this group class action litigation.
I consent to CCI supplying my personal information to third parties in London or Isle of Man, such as the Legal Team, the litigation funder, the insurers representatives, administrators to return funds or any legitimate reason required for the purpose of the group class action.
I will provide any additional information or documents that CCI may reasonably require of you in order to pursue the Claim on my behalf.
Confirm that I will keep this communication and any information received regarding the conduct or progress of the Claim confidential.
I understand the authority and consents given in this form can be withdrawn at any time on written notice to Niall Coburn and CCI email email@example.com. Please note, a withdrawal after the Claim has been issued is likely to trigger obligations to pay costs incurred as more particularly explained in the Litigation Management Agreement.
Anything else we should know?
Please select the name of the person who introduced you to this claim.
Click the checkbox below before submitting your claim.