Request a redundancy insurance quotation

Please use the form below to request a quotation for redundancy insurance. - or telephone 0870 7456247


Your name
E-mail address	- important information about us will be sent to this address.
Address line 1
Address line 2
City
County
Post code
Age
Telephone No.
Policy Type
Gross monthly income	£(average of wages, bonuses before tax)
Monthly Mortgage	£(if applicable. Better policies may be available if you want mortgage protection to be included)
Mortgage Status
Mortgage related	£(life insurance, repayment vehicle, buildings and contents)
Other monthly bills	£(loans, credit cards, HP, utility bills, standing orders)
Total cover required	£(We may be able to obtain cover of up to 75% of your gross income BUT if the cover exceeds 50% the price may increase
Occupation
Further information
Have you any other specific demands and needs?	I have no specific demands and needs
Declaration I am a UK citizen aged 18 to 60 and have been in full time employment for at least the last 6 months I do not know of any reason why I may lose my job in the forseeable future. I have completed the form to the best of my knowledge and belief. I have made a full disclosure of all material facts. I have read and understood the Important information below. I understand that there is no cover in force until confirmed by B. Portwood & Co Ltd, a satisfactory proposal form completed and accepted and payment of the premium made - either in full or an instalment plan set up acceptable to B. Portwood & Co Ltd.

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