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Brilliant, even though I work for an Insurance Company I would do business again

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Impaired Life Insurance Application Forms

Please complete one application form for each case.

For The Consultancy Service you will also need to complete a conditions questionnaire for EACH illness relevant to your client and/or an occupation or hobby questionnaire.

There is no requirement to complete individual questionnaires if you are applying for The Full Service.

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Full Service Application Form | PDF 135.69KB | Download file

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Consultancy Application Form | PDF 139.55KB | Download file

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www.the-insurance-surgery.co.uk is a trading name of The Money Surgery Limited which is an Appointed Representative (FSA registration number 511725) of The Insurance Surgery Ltd who are authorised and regulated by the Financial Services Authority (FSA registration number 401425). The Money Surgery Ltd allows The Insurance Surgery Ltd to use this site as a marketing and communication vehicle. All enquiries generated by the site will be handled by either The Insurance Surgery Ltd or The Money Surgery's other commercial partners who will also be regulated by the Financial Services Authority where required. (see terms for full details)