Voucher indemnity statement

First name

Last name

Postcode

Enter your postcode and activate the find address button

Select your address

Sorry, no address could be found

If your address is not listed enter it manually

Address line 1

Address line 2

Address line 3

City

Postcode

Postcode edit address Remove

Declaration

I, the above, declare that I have not received any of the goods posted to me by Parking Services. The details of the items that are missing are:

Purchased goods

Please declare the name of the person the goods were purchased by and who made a payment to the London Borough of Islington.

State your original order reference number, if known

This reference number would have been provided with your original voucher purchase.

I promise to refund and/or return the goods in good condition, should they later come into my possession. I will indemnify the London Borough of Islington any loss, financial or otherwise, including any costs the authority may suffer or incur in the event of fraud, theft or irregularity if I am proven to be party to such an act. The authority may also take legal action as appropriate.

Name and contact details

Sorry, no address could be found