Please take reasonable care to answer all questions honestly and to the best of your ability. If you do not, claims might not be paid in full or at all, and your policy could be cancelled, voided, and the premium may not be returned.
1. Have you permanently resided in the UK for the last 6 months?
Yes No2. Have you been working in the UK for the last 6 months?
Yes No3. Are you currently in Employment, Self-Employment or Contract Employment for 16 or more hours per week?
Yes No4. Are you aware of any unemployment which will affect you directly?
Yes No5. Have you received treatment or medication for a medical condition in the last 12 months or are you awaiting referral or consultation for any condition or are you off work at the time of completing this application?
Yes No