Please help us to continue your policy

To consider restarting the cover previously provided by your policy we need to ask you if there have been any changes to your health or smoking status.

We can then check if the risk has changed.

You must tell us everything we ask for in the declaration, as we assess all the answers to our questions when we are considering restarting your policy.

Please answer the declaration questions fully and accurately.

If you do not, we may reject any claim and may amend or cancel your policy.

‘For help in answering our questions on this form, you may like to view some examples of questions we ask on application forms. If so, click here.
Note you do not need answer all these questions individually, these are just examples of the kind of things you might need to declare in the medical question we ask you on this form.

For details of our Privacy Policy click here.