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* Pre-contractual duty of disclosure

  You must answer all questions contained in this application form honestly and with reasonable care. Failure to do so may result in your policy being cancelled or we may refuse to deal with any claims or reduce the amount of a claim payment, as detailed under the Impact of Misrepresentation section, which you should read carefully.
The answers you provide are the basis upon which an insurance cover quotation will be offered or refused.
Warning
If you are not in a position to answer all of the questions asked of you in this cover application process, honestly and with reasonable care, then you should not proceed with your insurance quotation request.
Completed Application Form
If you decide to purchase cover and once your contract of insurance has been concluded with , you will be provided with a copy of your completed insurance cover application form, either on paper or another durable medium.

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   You may Add up to 8 Children here (if required).



 If you'd like to talk to us about this quote please call us now on 0818 244 244.





Your Quote Documents


You can view our Insurance Product Information Document, Product Suitability and Terms of Business Here.