Please answer the following:
If Yes please provide the following details
Cover will not commence until this application has been approved and a Quotation issued and accepted.
The policy will run for 12 months from the agreed commencement date.
Please acknowledge acceptance of the following:
The insurer for policies written under this scheme are AXA Insurance UK plc (AXA). The scheme is administered on their behalf by Graybrook Insurance Brokers Limited.
To set up administer your policy AXA and Graybrook Insurance Brokers Limited will hold and use information about you supplied by you. They may send it in confidence for processing to other companies acting on their instructions including those located outside the European Economic Area.
Unless you select one of these options we will not be able to send information on any of our other insurance policies or services.
We will not sell or pass your information to other organisations for marketing purposes.
CUE - Insurers pass information to the Claims and Underwriting Exchange register, run by Insurance Database Services Limited (IDS Ltd). The aim is to help us to check information provided and also to prevent fraudulent claims. When we deal with your request for insurance, we may search the register. When you tell us about an incident which may or may not give rise to a claim, we will pass information relating to it to the register. You can ask for more information about this.
IPT - Insurance Premium Tax
The Finance Act 1994 requires us to levy Insurance Premium Tax at the prevailing rate on insurance premiums. For further information, please ask us.
The parties to the policy have the right to choose the law applicable to the Policy. Unless the parties agree otherwise English Law shall apply