MOBILITY INSURANCE. Protection for mobility products

Size: px
Start display at page:

Download "MOBILITY INSURANCE. Protection for mobility products"

Transcription

1 MOBILITY INSURANCE Protection for mobility products

2 The Premier Care range of insurance and warranty products has been specifically designed for those who rely upon mobility aids to enhance their quality of life. With many years in the field we offer a range of unique benefits and features to ensure that you can use your product, whether to get out and about more or to move about more freely in the home, with complete peace of mind. This can only come from knowing that the right cover will give you the confidence that should one of life s frequent mishaps crop up, your product would be fully protected against expensive repairs and you would be covered against personal liability for up to 2,000,000. We, at Premier Care, know that you will, very quickly, find your new mobility product to be an essential part of your day to day life and the last thing that should happen is for you to be without it. So, act today, and protect your investment with Premier Care protection please read the leaflet but if you have any questions please don t hesitate to call one of our specially trained Customer Service advisers on where they are waiting to help you. Please note, for training purposes telephone calls may be recorded.

3 Premier Care Complete Peace of Mind Please find shown below a brief description of the main benefits of the cover offered by Premier Care policies. A broader summary of cover can be found in the keyfacts sheets, or if full details of the terms and conditions that apply is required, a copy of the policy is available on request. Premier Care Insurance Includes cover against: Accidental Damage even by fire or storm Theft even if it s vandalised Public Liability protection from no win, no fee specialists 24/7 Recovery eliminate worry if you breakdown Personal Effects protecting your possessions Injury Cover protecting your health Lost Starter Keys get back up and running Worldwide Cover to ensure you have a good holiday Premier Care Plus Insurance All of the above and: 24/7 Recovery even if you have a puncture Personal Effects higher cash benefits Any Driver any adult can use your product Manual Wheelchair protect your manual wheelchair too Premier Care Warranty Includes cover against: Mechanical or Electrical Breakdown no need to worry about costly repair bills which arise Parts, Labour and Callout fully comprehensive cover Premier Care In-Home Warranty Includes all the above warranty benefits and in addition, cover against: Accidental Damage to Your Equipment Mark Bates Limited, Premier House, Harlaxton Road, Grantham NG31 7JX Tel: Fax: enquiries@mark-bates-ltd.co.uk

4 Premier Care Application Form Dealer Branch Your Details Title Surname Address First name County Postcode Date of Birth Tel Product Details Make Model Serial Number Year of Manufacture Purchase Price Classification Manual 4mph 8mph New Used Date of Purchase / Delivery Cover Commencement Date Free Manual Cover (Plus Insurance only) Make Model Serial Number Declaration I wish to insure my mobility equipment as detailed above and agree to accept the Insurers normal form of policy for the type of insurance I have chosen. I confirm that I will look after my mobility equipment with utmost care at all times. Customer signature Data Protection The information you provide will be held on computer by Mark Bates Limited Registration Department for the provision of insurance, warranty or product related purposes. This information will not be disclosed to third parties but should you prefer not to receive such details please tick the box Date 6

5 Scooter & Powerchair Standard / Plus Insurance Term Standard Insurance Plus Insurance 1 Year 2 Year Year Scooter & Powerchair Warranty Used 1 Year New 2 Year New 3 Year New 4 Year New 5 Year Excludes first 90 days In-Home Warranty Product Used 1 Year Excludes first 90 days New 2 Year Straight Stairlift Curved Stairlift Bed/ Chair/ Hoist New 3 Year New 4 Year New 5 Year Please tick your appropriate cover requirements Please note, all of the above premiums are inclusive of insurance premium tax Method of Payment I have paid my dealer Please debit my Card number I enclose a cheque payable to Mark Bates Ltd Visa Mastercard Maestro Valid from Expiry date Issue no Security code (last three digits on signature strip)

6 Customer Rights Section No Claims Bonus We are pleased to advise you that if you do not make a claim during the initial period of cover we will offer you a No Claims Bonus on the renewal of your policy. You will receive a reduction on the annual premium at the time of renewal. We will write to you approximately one month before your policy expires to advise you of your annual renewal premium. Claims Procedure If you need to make a claim on your Premier Care policy please call our Helpline on or claims@mark-bates-ltd.co.uk where one of our claims specialists will talk you through the simple procedure to ensure that your product is repaired/replaced with no unnecessary delays. Mark Bates Limited has built a reputation for fast and efficient handling of claims and will ensure that once we have received a signed, completed claim form and estimate for the repair/ replacement of your product, authorisation for the work to go ahead will be given immediately the loss has been validated. Mark Bates Limited reserves the right to inspect any damage to your product or seek an alternative estimate for the repair/replacement. Complaints Procedure We sincerely hope that you will never need to make a complaint. However, in accordance with FSA regulations, a full complaints procedure will be detailed on the Policy document we will send you once your application has been processed. Cancellation Procedure Whilst we are very confident that the Premier Care Insurance and Warranty policies will fully meet your cover requirements, we recognise that circumstances do change from time time and you may no longer require your policy. Should this be the case then you may cancel your policy in writing at any time and you will receive a proportional refund from the insurers in accordance with their short period rates in force at the time of cancellation. Main exclusions applicable to Premier Care / Premier Care Plus Mechanical or electrical breakdown (see Premier Care Warranty) Loss or damage whilst the mobility product is in possession of airport authorities, airline baggage handlers or whilst on the aircraft Public liability cover in North America or Canada Main exclusions Premier Care Warranty / In-Home Warranty Routine maintenance and servicing costs Costs where no fault is found Fair wear and tear Accidental damage (except to in-home products) Also please note that where a warranty is taken out on a used/second hand product, the first 90 days will be excluded and cover will therefore be for 9 months

Disability Equipment Extended Warranty & Insurance Application Form

Disability Equipment Extended Warranty & Insurance Application Form Disability Equipment Extended Warranty & Insurance Application Form Disability Equipment Extended Warranty & Insurance Application Form Fish Insurance is one of the UK's leading providers of insurance

More information

Scooter & Powerchair Insurance

Scooter & Powerchair Insurance Scooter & Powerchair Insurance Keyfacts Document Ver 004_003 09/15 COMPARISON CHART Standard Plus Personal liability 2 million 5 million 24/7 National breakdown recovery Standard Full Accidental damage,

More information

Includes Fish Mobility Rescue

Includes Fish Mobility Rescue Includes Fish Mobility Rescue Mobility Scooter & Powered Wheelchair Insurance Application Form Call us now to get insured on 0333 331 3900^ Mobility Scooter & Powered Wheelchair Insurance Application Form

More information

Manual Wheelchair & Golf Buggy Insurance

Manual Wheelchair & Golf Buggy Insurance Manual Wheelchair & Golf Buggy Insurance Application Form Call us now to get insured on 0333 331 3900^ Manual Wheelchair & Golf Buggy Insurance Application Form Fish Insurance is one of the UK s leading

More information

MOBILITY SCOOTER INSURANCE EXTRA. Your Policy Summary

MOBILITY SCOOTER INSURANCE EXTRA. Your Policy Summary MOBILITY SCOOTER INSURANCE EXTRA Page2 Some important facts about your insurance are summarised below. This summary does not describe all the terms and conditions of your policy, so please take time to

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS

CLAIM FORM FREQUENTLY ASKED QUESTIONS CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to provide a quality service, our claims team will review the documentation

More information

ambulance cover from under 63 p a week

ambulance cover from under 63 p a week 2018 ambulance cover from under 6 p a week What does it cost? SINGLE membership of.00 provides cover for a single person only. CHILD membership of 12.00 provides cover for one child up until the end of

More information

PERSONAL BAGGAGE / MONEY CLAIM FORM IMPORTANT - PLEASE READ THE FOLLOWING CAREFULLY AND ENCLOSE THE DOCUMENTS REQUESTED

PERSONAL BAGGAGE / MONEY CLAIM FORM IMPORTANT - PLEASE READ THE FOLLOWING CAREFULLY AND ENCLOSE THE DOCUMENTS REQUESTED Fogg Travel Insurance Services Limited Crow Hill Drive, Mansfield, Nottinghamshire, NG19 7AE telephone 01623 631331 fax 01623 420450 email claims@foggtravelinsurance.com PERSONAL BAGGAGE / MONEY CLAIM

More information

Home Employment. Insurance. Keyfacts Document. Ver003_005 03/15 SPECIALIST INSURER

Home Employment. Insurance. Keyfacts Document. Ver003_005 03/15 SPECIALIST INSURER Home Employment Insurance Keyfacts Document SPECIALIST INSURER Ver003_005 03/15 Standard Plus Deluxe Section 1 Employers Liability Employers liabilty Section 2 Public Liability Public liability Carer s

More information

Device Protect insurance

Device Protect insurance Device Protect insurance 1 Peace of mind for your new mobile or tablet Policy summary (Please see policy terms for full details) Your premium and what it covers Life is good with a new mobile phone or

More information

2017/18. Guidebook. Little People UK. PO Box 1292, Peterborough PE2 2NT

2017/18. Guidebook. Little People UK. PO Box 1292, Peterborough PE2 2NT Equipment Loan Scheme 2017/18 Guidebook Little People UK. PO Box 1292, Peterborough PE2 2NT www.littlepeopleuk.org. admin@littlepeopleuk.org Registered Charity Number: 1161274 1 of 8 Contents: Item number

More information

Device Protect insurance

Device Protect insurance Device Protect insurance 1 Peace of mind for your new mobile or tablet Life is good with a new mobile phone or tablet. Device Protect gives you peace of mind by getting you back on track with a replacement

More information

Peru Hiking Challenge 4 13 May 2013 Registration form

Peru Hiking Challenge 4 13 May 2013 Registration form Peru Hiking Challenge 4 13 May 2013 Registration form Please read and complete all sections of this form and return to: Challenge Team, Macmillan Cancer Support, 89 Albert Embankment, London SE1 7UQ Fax:

More information

for when your excuses run out

for when your excuses run out Group Cover Protect your business... ChauffeurPlan, for when your excuses run out The cost to your business... With 3 million drivers expected to be caught by speed cameras this year and over 6,000 speed

More information

Avant Travel Insurance Claim Form

Avant Travel Insurance Claim Form Avant Travel Insurance Claim Form Avant Mutual Group Limited ABN 58 123 154 898 Important: please read before you complete this form 1. Please answer all questions and provide all relevant documentation

More information

Your summary of cover. Caravan Insurance

Your summary of cover. Caravan Insurance Your summary of cover Caravan Insurance Contents Your introduction to Saga Caravan Insurance 3 Cut the cost of your premium 4 A quick guide to the cover we include 5-6 A few key things we don t cover 7

More information

Stair Lift Warranty & Accidental Damage

Stair Lift Warranty & Accidental Damage Stair Lift Warranty & Accidental Damage Policy Wording Ver 007_001 04/18 Policy definitions Wherever the following words and phrases appear in this policy they will always have these meanings. Breakdown

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS

CLAIM FORM FREQUENTLY ASKED QUESTIONS CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to provide a quality service, our claims team will review the documentation

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS

CLAIM FORM FREQUENTLY ASKED QUESTIONS CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to provide a quality service, our claims team will review the documentation

More information

ABN AMRO Gold Card. Guide for an exclusive and complete creditcard. Information: ABN AMRO Creditcard Services (local rate)

ABN AMRO Gold Card. Guide for an exclusive and complete creditcard. Information: ABN AMRO Creditcard Services (local rate) Information: 0900-80 16 (local rate) www.abnamro.nl/creditcards ABN AMRO Gold Card Guide for an exclusive and complete creditcard Contents An exclusive and comprehensive payment tool, anywhere in the world

More information

claim form home insurance Section 1 Details of policyholder Prior to submitting a claim

claim form home insurance Section 1 Details of policyholder Prior to submitting a claim home insurance claim form Name Address Your insurance contract is underwritten by International Insurance Company of Hannover SE UK Branch, as referred to in the declaration at the end of this claim form

More information

High Value Scooter & Powerchair

High Value Scooter & Powerchair High Value Scooter & Powerchair Insurance Policy Wording Ver 004_001 06/15 Notes Policy definitions Wherever the following words and phrases appear in this policy they will always have these meanings.

More information

Key Facts Gadget Cover

Key Facts Gadget Cover Key Facts Gadget Cover CONTENTS Policy Summary - Gadget Insurance... 2 Your responsibility to review... 2 Who provides this policy?... 2 What is Gadget Insurance?...2 Am I eligible for cover?... 3 What

More information

What happens if you get too many points on your licence...?

What happens if you get too many points on your licence...? What happens if you get too many points on your licence...? B A N N E D!...or you are disqualified? The Answer? You could receive up to 30,000 * to spend on alternative travel arrangements. 2 Up to a maximum

More information

ALL THAT S LEFT TO DO NOW IS TAKE THE LEAP!

ALL THAT S LEFT TO DO NOW IS TAKE THE LEAP! A tandem skydive is the most popular and frequently chosen type of jump by novice and first time thrill-seekers you don t need any previous experience at all to do this jump! For this particular skydive

More information

You may need to review and update your cover from time to time to ensure it remains adequate.

You may need to review and update your cover from time to time to ensure it remains adequate. Summary of the terms of Your Fonesafe Insurance Policy This page tells you SOME of the important stuff you need to know about your fonesafe insurance policy, but not every single little detail. These are

More information

payment protection insurance: consumer questionnaire

payment protection insurance: consumer questionnaire our ref: By completing the PPI Questionnaire we will have all the information we need to assess your complaint. Don t worry if you can t remember all of the information, or you do not have any paperwork,

More information

Title. Warranty Handbook. Reassurance guaranteed

Title. Warranty Handbook. Reassurance guaranteed Title 1 Warranty Handbook Reassurance guaranteed 2 Vehicle Protection: Reassurance guaranteed Reassurance guaranteed Contents 3 Introduction 4 Warranty Conditions 5-7 How to ask for a repair under this

More information

Should you decide to apply for membership I would be grateful if you could return the following along with your application:

Should you decide to apply for membership I would be grateful if you could return the following along with your application: Membership Dear Sir / Madam On behalf of the Society, I would like to thank you for your interest in becoming a Member of the Royal Ulster Agricultural Society. Please find enclosed an application form

More information

Why arrange your insurance with Hiscox Private Client?

Why arrange your insurance with Hiscox Private Client? Why arrange your insurance with Hiscox Private Client? Insurance from experts who understand your lifestyle and can tailor a product and service to meet your exact needs no matter how complex. We specialise

More information

Personal Cover Protect your lifestyle... ChauffeurPlan, for when your excuses run out

Personal Cover Protect your lifestyle... ChauffeurPlan, for when your excuses run out Personal Cover Protect your lifestyle... ChauffeurPlan, for when your excuses run out Don't take your licence for granted, it could be gone in a FLASH! With 3 million drivers expected to be caught by speed

More information

Title: First Name(s): Surname: Date of Birth: Address: State: Postcode: Mobile: Home Phone: Work Phone:

Title: First Name(s): Surname: Date of Birth: Address: State: Postcode: Mobile: Home Phone: Work Phone: Claim Form Email Address claims fch@fastcover.com.au Phone Number 1300 409 322 Fax Number 02 8883 7002 Postal Address Fast Cover Claims Locked Bag 2010 St Leonards NSW 1590 Claim Number Office use only

More information

My Home Contents Insurance A special service for tenants and residents Application Pack T E N A N T R I S K S www.thistlemyhome.co.uk Berneslai Homes does not insure your furniture, belongings or decorations

More information

Customise your cover Insurance options for you and your bike

Customise your cover Insurance options for you and your bike Customise your cover Insurance options for you and your bike Protection for you and your Honda Honda Motorcycle Insurances and Extended Warranty offer you a range of insurance options which you can mix

More information

Royal Ulster Agricultural Society

Royal Ulster Agricultural Society Royal Ulster Agricultural Society Dear Sir/Madam Membership On behalf of the Society let me thank you for your interest in becoming a member of the Royal Ulster Agricultural Society. Please find enclosed

More information

THE NEW INDIA ASSURANCE CO. LTD.

THE NEW INDIA ASSURANCE CO. LTD. THE NEW INDIA ASSURANCE CO. LTD. Regd. & Head Office: New India Assurance Bldg., 87, Mahatma Gandhi Road, Fort, Mumbai - 400 001. CLAIM FORM FOR OVERSEAS MEDICLAIM POLICY (To be submitted at the nearest

More information

Claim Form TRAVEL INSURANCE

Claim Form TRAVEL INSURANCE ACCIDENT & HEALTH INTERNATIONAL Claim Form TRAVEL INSURANCE Sydney Level 4, 33 York Street Sydney NSW 2000 GPO Box 4213, Sydney, NSW, 2001 T: +61 2 9251 8700 F: +61 2 9252 4385 ABN: 26 053 335 952 AFS

More information

Surname Other Names Mr,Mrs,Miss,Ms Address

Surname Other Names Mr,Mrs,Miss,Ms Address MOTOR VEHICLE CLAIM FORM The Issue of this Form is not an Admission of Liability by Insurers Policy # : Claim # : We understand the difficulties arising from your accident. Please complete and return this

More information

Tiger Airways Pte Ltd Claim Form

Tiger Airways Pte Ltd Claim Form Tiger Airways Pte Ltd Claim Form IMPORTANT NOTE: Please answer all questions contained in this claim form as leaving items blank, using ticks, dashes and N/A may make it necessary for us to return your

More information

Health care cash plan

Health care cash plan Health care cash plan Exclusively for Morrisons colleagues Get 20 in Morrisons vouchers when you join Provided by A simple way to get cash back on your everyday health costs Planning for the cost of your

More information

TRAVELLING OVERSEAS?

TRAVELLING OVERSEAS? TRAVELLING OVERSEAS? TRAVEL TIPS, MONEY AND INSURANCE FOR OVERSEAS TRAVEL Travel and Foreign Exchange We provide a one-stop-shop for all your foreign exchange needs, making it easy for you to manage your

More information

Stakeholder Pension Plan

Stakeholder Pension Plan Application form Who this form is for 0817 When we refer to Standard Life we mean Standard Life Assurance Limited. This form is for people who want to become members of the Standard Life Stakeholder Pension

More information

Debit Card User Guide

Debit Card User Guide Debit Card User Guide HSBC Premier Debit Cards Access your funds and pay for your purchases wherever you are. Dear Customer, Welcome to the new era of HSBC Premier Debit Chip Cards. Your key to more convenient

More information

Everyday Account Transfer Form

Everyday Account Transfer Form Everyday Account Transfer Form Welcome to CityLink. Please complete your details below to transfer your CityLink account to another party. It is important you complete all relevant sections on this form,

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS. Q: How long will it take for me to receive a response to my claim?

CLAIM FORM FREQUENTLY ASKED QUESTIONS. Q: How long will it take for me to receive a response to my claim? CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to providing a quality service - you should expect to receive a response from

More information

Any questions, call

Any questions, call Any questions, call 020 7424 5522 Ok, I m interested in being a Santa skydiver but what exactly is a tandem skydive? A tandem skydive is the most popular and frequently chosen type of jump by novice and

More information

Travel Insurance Claim Form

Travel Insurance Claim Form IMPORTANT NOTE: Please answer all questions contained in this claim form as leaving items blank, using ticks, dashes and N/A may make it necessary for us to return your claim forms or lead us to ask more

More information

Travel. easy. Insurance that travels with you

Travel. easy. Insurance that travels with you Travel easy Insurance that travels with you Expand your horizons and travel safe Whether a business trip, a family vacation or a leisurely holiday, Travel Easy has a suitable plan for every kind of traveller.

More information

Work Phone. Mobile / / Policy Number Date Issued Number of Travellers. Date of Booking Departure Date Return Date Total Days

Work Phone. Mobile / / Policy Number Date Issued Number of Travellers. Date of Booking Departure Date Return Date Total Days Travel Insurance Claim Form Cancellation You must register any claim within 30 days of completion of your travel. Please supply original documents of the evidence you intend to rely on for your claim,

More information

How to apply for a super payout

How to apply for a super payout How to apply for a super payout STEP 1 CHECK THAT YOU RE ELIGIBLE You wish to receive part or all of your super payout in cash A portion of your super benefit may be preserved. If the preserved amount

More information

CLAIM FORM FREQUENTLY ASKED QUESTIONS

CLAIM FORM FREQUENTLY ASKED QUESTIONS CLAIM FORM FREQUENTLY ASKED QUESTIONS Q: How long will it take for me to receive a response to my claim? A: We are committed to provide a quality service, our claims team will review the documentation

More information

MOTOR ASSISTANCE GOLD BREAKDOWN AND ACCIDENT ASSISTANCE KEY FACTS BROCHURE

MOTOR ASSISTANCE GOLD BREAKDOWN AND ACCIDENT ASSISTANCE KEY FACTS BROCHURE MOTOR ASSISTANCE GOLD BREAKDOWN AND ACCIDENT ASSISTANCE KEY FACTS BROCHURE WHY YOU NEED MOTOR ASSISTANCE GOLD COVER 24-HOUR HELPLINE SERVICES ROADSIDE ASSISTANCE ROADSIDE REPAIRS RECOVERY SERVICE GET-YOU-TO-YOUR-DESTINATION

More information

We provide purchase and rental options for our Personal Alarm equipment. The total upfront costs and ongoing monthly fees are as follows.

We provide purchase and rental options for our Personal Alarm equipment. The total upfront costs and ongoing monthly fees are as follows. PERSONAL ALARMS GOODS AND SERVICES INDIVIDUAL PRICE LIST Prices valid from 1 November 2016 We provide purchase and rental options for our Personal Alarm equipment. The total upfront costs and ongoing monthly

More information

Application for the issue of or a change to a UK Design Organisation Approval (DOA) in accordance with Part 21 subpart J.

Application for the issue of or a change to a UK Design Organisation Approval (DOA) in accordance with Part 21 subpart J. Application for the issue of or a change to a UK Design Organisation Approval (DOA) in accordance with Part 21 subpart J. Please complete this form online (preferred method) then print, sign and submit

More information

Motor Trade Road Risks Proposal Form

Motor Trade Road Risks Proposal Form Motor Trade Road Risks Proposal Form coveainsurance.co.uk Motor Trade Road Risks Proposal Form Important notes 1. You are reminded of the need to disclose any material facts, i.e. those that the Insurer

More information

Mortgage Application Form

Mortgage Application Form Mortgage Application Form Bank of China (UK) Limited Bank of China (UK) Limited is registered in England, Number 6193060 Registered Office 1 Lothbury, London EC2R 7DB 2 PERSONAL DETAILS (First Applicant)

More information

Gadget Insurance Summary of Cover

Gadget Insurance Summary of Cover Gadget Insurance Summary of Cover Contents Policy Summary Gadget Insurance... 2 Your responsibility to review... 2 Who provides this policy?... 2 What is Gadget Insurance?... 2 Am I eligible for cover?...

More information

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines

DCU. Summer Scholars 2018 Summer Programme (2-week) Application Form. For Secondary School Students (12-17 years) Application Deadlines DCU Summer Scholars 2018 Summer Programme (2-week) Application Form For Secondary School Students (12-17 years) Application Deadlines Early Application Deadline Friday, 26 th January 2018 Financial Aid

More information

Kenya ETA Application Pack

Kenya ETA Application Pack Kenya ETA Application Pack Thank you for requesting an application pack for a Kenya ETA. You MUST complete the following three sections and then return the application pack and all supporting documents

More information

Overseas Secondment. Claim Form. Important Notes

Overseas Secondment. Claim Form. Important Notes Overseas Secondment Claim Form Important Notes To facilitate the processing of your claim, you are required to complete Sections A, B and C for all claim submissions. The issue and acceptance of this form

More information

Your summary of cover. Saga Breakdown Assistance

Your summary of cover. Saga Breakdown Assistance Your summary of cover Saga Breakdown ssistance Contents Your introduction to Saga Breakdown ssistance 3 quick guide to the cover we include 4-5 dditional cover options you can choose 6 fast, efficient

More information

Jump 10,000 ft for St Richard s Hospice

Jump 10,000 ft for St Richard s Hospice Jump 10,000 ft for St Richard s Hospice What's it like? Imagine standing at the edge of an open doorway in an aircraft flying at 10,000 feet - the noise of the engines and the wind ringing in your ears

More information

My Home Contents Insurance A special service for tenants and residents Application Pack T E N A N T R I S K S www.thistlemyhome.co.uk emh homes does not insure your furniture, belongings or decorations

More information

Lifeline offers peace of mind and reassurance by ensuring that at a simple touch of a button there is always someone there.

Lifeline offers peace of mind and reassurance by ensuring that at a simple touch of a button there is always someone there. Dear Sir / Madam Many thanks for your request for information regarding our Lifeline community alarm service. We hope you will see from the enclosed leaflet the benefits the Lifeline service response alarm

More information

Important things you need to know. Device Protect Combined Product Disclosure Statement, Policy Terms and Conditions and Financial Services Guide

Important things you need to know. Device Protect Combined Product Disclosure Statement, Policy Terms and Conditions and Financial Services Guide Important things you need to know Device Protect Combined Product Disclosure Statement, Policy Terms and Conditions and Financial Services Guide 1 Combined product disclosure statement, policy terms and

More information

COLOUR JOB LOCATION: PRINERGY

COLOUR JOB LOCATION: PRINERGY Banking made easy Contents Welcome 3 Easy access to your account 4 Online 4 By phone 4 Services available at Post Office branches 4 On your mobile 4 In branch 4 Cash machines 4 What payment types are there?

More information

PERSONAL EFFECTS CLAIM FORM

PERSONAL EFFECTS CLAIM FORM Telephone: 020 8667 1600 / + 44 (0) 20 8667 1600 Email: enquiries@rpclaims.com Address: Rightpath Claims, PO Box 6053, ROCHFORD, SS1 9TT, UK PERSONAL EFFECTS CLAIM FORM Please complete this form in BLOCK

More information

Summary of Cover. An insurance package for your business suitable for: Why choose the AXA Haulage Vehicle Insurance? Haulage Vehicle Insurance

Summary of Cover. An insurance package for your business suitable for: Why choose the AXA Haulage Vehicle Insurance? Haulage Vehicle Insurance Haulage Vehicle Insurance Summary of Cover An insurance package for your business suitable for: Hauliers operating up to 5 vehicles within the UK. Hauliers where all drivers are over the age of 25 and

More information

Baggage, personal property, money claim form

Baggage, personal property, money claim form Baggage, personal property, money claim form Vhi Travel Claims, Claim Ref Number Intana, Collinson Insurance Services Ltd., IDA Business Park, Athlumney, Navan, Co. Meath, Ireland Email: vhitravelclaims@intana-assist.com

More information

Your summary of cover. Car Insurance

Your summary of cover. Car Insurance Your summary of cover Car Insurance Contents Your introduction to Saga Car Insurance 3 A quick guide to the cover we include 4-5 A few key things we don t cover 6-7 Additional cover options you can choose

More information

Kenyan evisa. Thank you for requesting an application pack for a Tourist/Business visa for Kenya

Kenyan evisa. Thank you for requesting an application pack for a Tourist/Business visa for Kenya Kenyan evisa Thank you for requesting an application pack for a Tourist/Business visa for Kenya Checklist: PLEASE DO NOT APPLY MORE THAN 3 MONTHS BEFORE YOUR PROPOSED DATE OF TRAVEL 1x Completed application

More information

Title Mr Mrs Ms Miss Other M/F Date of birth / / Given names - - Step 2A What form of identification will you need to provide?

Title Mr Mrs Ms Miss Other M/F Date of birth / / Given names - - Step 2A What form of identification will you need to provide? Contributions Splitting Application If you need help Call the Helpline 1800 682 626. Step 1 Complete your personal details Please print in black or blue pen, in uppercase, one character per box. A Title

More information

OCA Skydive Day. Take Off and Take Action. Enquiry Pack

OCA Skydive Day. Take Off and Take Action. Enquiry Pack OCA Skydive Day Take Off and Take Action Enquiry Pack OCA Skydive Day 5 th September 2015 Thank you for enquiring about the OCA Skydive Day On 5 th September 20 jumpers will participate in the challenge

More information

Claiming UK State Pension - Questionnaire

Claiming UK State Pension - Questionnaire Claiming UK State Pension - Questionnaire 1. Title: 2. Surname: 3. Forenames: 4. Maiden Name 5. (if applicable) 6. Date of Birth: 7. UK National Insurance number (if know): 8. Address (Australia): 9. Home

More information

LIABILITY CLAIM QUESTIONNAIRE

LIABILITY CLAIM QUESTIONNAIRE Transport for London Please complete and return to: Gallagher Bassett Ltd., PO Box 42501, London E1 1YB. LIABILITY CLAIM QUESTIONNAIRE Thank you for advising us of your intention to claim damages for an

More information

Health care cash plan

Health care cash plan Health care cash plan Exclusively for Morrisons colleagues Get 20 in Morrisons vouchers when you join Provided by A simple way to get cash back on your everyday health costs Planning for the cost of your

More information

Algeria Tourist Visa Application Pack

Algeria Tourist Visa Application Pack Algeria Tourist Visa Application Pack Thank you for requesting an application pack for an Algeria Tourist Visa. You MUST complete the following three sections and then return the application pack and all

More information

HOME CONTENTS INSURANCE Designed Exclusively for Residents of:

HOME CONTENTS INSURANCE Designed Exclusively for Residents of: HOME CONTENTS INSURANCE Designed Exclusively for Residents of: Aon UK Limited, Tenant Insurance Services, are offering YOU the chance to apply for low cost Home CONTENTS Insurance THIS COVER CONSISTS OF

More information

What is expected of you Which? guidance for traders and consumers

What is expected of you Which? guidance for traders and consumers Trusted Traders Vehicle repairs and servicing August 2013 What is expected of you for traders and consumers A Which? Trusted trader has passed a rigorous assessment process to become a Which? Trusted trader.

More information

Application for Renewal of SJIB Grade (ECS) Card

Application for Renewal of SJIB Grade (ECS) Card Please return this form with one passport style photograph with your name and National Insurance number printed on the reverse. Application for Renewal of SJIB Grade (ECS) Card Scottish Joint Industry

More information

Service & Maintenance Solutions

Service & Maintenance Solutions Super Care Warranty Service & Maintenance Solutions Comprehensive Maintenance and Warranty Programmes Moving & Handling and Showering & Bathing Equipment Moving & Handling Maintenance Why is a maintenance

More information

Address: State: Postcode: Yes (If Yes, provide details) No

Address: State: Postcode: Yes (If Yes, provide details) No Claim Number: Office use only Email Address travelclaims@woolworthsinsurance.com.au Phone Number 1300 10 1234 Postal Address Woolworths Travel Insurance Claims Locked Bag 2010 St Leonards, NSW 1590 Important:

More information

Any fee charged by the member s GP for providing information for completion of the claim form will not be covered.

Any fee charged by the member s GP for providing information for completion of the claim form will not be covered. TRAVEL COVER CLAIM FORM FILLING IN THIS FORM Please fill in this form if a claim is being made from the Worldwide Travel Cover. Complete this form in black ink and as fully and truthfully as possible.

More information

My Home Contents Insurance

My Home Contents Insurance My Home Contents Insurance A special service for tenants and residents Application Pack V6 T E N A N T R I S K S www.thistlemyhome.co.uk Personal Details PLEASE USE CAPITAL LETTERS WHEN FILLING IN THIS

More information

THE NEW WAY TO CARRY CURRENCY USER GUIDE

THE NEW WAY TO CARRY CURRENCY USER GUIDE THE NEW WAY TO CARRY CURRENCY USER GUIDE Find out how to; USE YOUR CARD OVERSEAS MANAGE YOUR BUDGET RELOAD YOUR CARD AND MUCH MORE... Welcome to your new The Cash Passport is a traveller s card, issued

More information

Credit Account Application (30 Day) Please Enclose a Copy of your Company Letterhead Together with a Copy of Your Current Hired In Plant Insurance

Credit Account Application (30 Day) Please Enclose a Copy of your Company Letterhead Together with a Copy of Your Current Hired In Plant Insurance Credit Account Application (30 Day) Section One Please Enclose a Copy of your Company Letterhead Together with a Copy of Your Current Hired In Plant Insurance *Page One of Three* To Be Completed By Limited

More information

PRSRT STD U.S. POSTAGE PAID MAILED FROM ZIP CODE PERMIT NO. 750

PRSRT STD U.S. POSTAGE PAID MAILED FROM ZIP CODE PERMIT NO. 750 738 PRSRT STD U.S. POSTAGE PAID MAILED FROM ZIP CODE 33310 PERMIT NO. 750 An important message from the City of Greenwood It s important to protect your finances from the unexpected expense and inconvenience

More information

Swahili Safari Adventure

Swahili Safari Adventure Swahili Safari Adventure With Sue Verrall 7 June 2019 BOOKING FORM Please read our terms and conditions on the reverse of this booking form before completing the form below. PERSONAL DETAILS: You Travelling

More information

American Express Cardmember / Business Travel

American Express Cardmember / Business Travel American Express Cardmember / Business Travel Claim Form The information requested and supporting documents required for your claim are detailed below each section. Further documents or information may

More information

Thank you for downloading this information.

Thank you for downloading this information. Thank you for downloading this information. For more information, advice or for a free quote, please contact our global head office at the address below who will redirect you to a regional office located

More information

ING credit cards Cardholder guide

ING credit cards Cardholder guide ING credit cards Cardholder guide 1 Welcome We are pleased to welcome you as an ING credit card holder. This guide describes the numerous benefits of your ING credit card. ING Visa Classic, ING Visa Gold*,

More information

FAQ s on Avis Hire Cars

FAQ s on Avis Hire Cars Question 1. What is an AWD number? 2. What is the minimum age an employee has to be to hire a vehicle on Company Business? 3. How do I order a vehicle? 4. If I need a copy of my Avis invoice or have a

More information

LANDLORDS INSURANCE POLICY SUMMARY

LANDLORDS INSURANCE POLICY SUMMARY LANDLORDS INSURANCE POLICY SUMMARY PLEASE READ THIS DOCUMENT CAREFULLY This document provides a summary of cover and does not contain the full terms and conditions which can be found in our Policy Booklet.

More information

Mobile: (Whatsapp)

Mobile: (Whatsapp) Pamoja Tours and Travel Uganda Limited Located at plot.536 Kyengera, Opposite Total Petrol Station,Tugume House block 3 P.o. Box 12578 Web: www.pamojatoursandtravel.com Mobile: +256-774-052000 +256-701-052000

More information

Rates, Terms & Conditions. Item Rental ( Monthly ) Delivery ( 2-way ) Deposit Bed Manual, 1-crank $80 $160 $200. Bed Manual, 3-crank $140 $230 $300

Rates, Terms & Conditions. Item Rental ( Monthly ) Delivery ( 2-way ) Deposit Bed Manual, 1-crank $80 $160 $200. Bed Manual, 3-crank $140 $230 $300 Rental Rates, Terms & Conditions Item Rental ( Monthly ) Delivery ( 2-way ) Refundable Deposit Bed Manual, 1-crank $80 $160 $200 Bed Manual, 3-crank $140 $230 $300 Bed Motorized, 3-cr $180 $260 $400 Bed

More information

AAT Licensed Accountant application form

AAT Licensed Accountant application form AAT Licensed Accountant application form Please complete this form in BLOCK CAPITALS. You must complete all sections to avoid delaying you application. If you have any questions about your application

More information

Claims Management Claim Form. When you have filled in the form, please send it to us at:

Claims Management Claim Form. When you have filled in the form, please send it to us at: For our use only.../... Claims Management Claim Form When you have filled in the form, please send it to us at: Solicitors Regulation Authority Claims Management The Cube 199 Wharfside Street Birmingham

More information

GoodNeighborInsurance. 690E.WarnerRd.Suite117 Gilbert,AZ85296,USA

GoodNeighborInsurance. 690E.WarnerRd.Suite117 Gilbert,AZ85296,USA GoodNeighborInsurance AFTERFILLING OUTTHISAPPLICATION PLEASEMAIL,FAX,OREMAILSCANTO: GoodNeighborInsurance 690E.WarnerRd.Suite117 Gilbert,AZ85296,USA TolFree:866-636-9100 Phone:480-633-9500 Fax:480-813-9930

More information

JIB UK-PHMES SMARTCARD CSCS Registration Application

JIB UK-PHMES SMARTCARD CSCS Registration Application JIB UK-PHMES SMARTCARD CSCS Registration Application Return to: JIB-PMES. Lovell House, Sandpiper Court, Phoenix Business Park, Eaton Socon, St Neots, Cambs. PE19 8EP Section 1 Your details Title (Mr,

More information

JIB UK-PHMES SMARTCARD CSCS Registration Application

JIB UK-PHMES SMARTCARD CSCS Registration Application JIB UK-PHMES SMARTCARD CSCS Registration Application Return to: JIB-PMES. Lovell House, Sandpiper Court, Phoenix Business Park, Eaton Socon, St Neots, Cambs. PE19 8EP Section 1 Your details Title (Mr,

More information