Endowment
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Surrender
UK
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Compensation Claim Form
No obligation, you can still try and sell or cash in your endowment policy.
Endowment Compensation Enquiry Form
Title:
Mr
Mrs
Ms
Dr
First Name: *
Surname: *
Address:
Town/City:
County:
Post Code:*
Telephone Day: *
Telephone Evening:
Email: *
Fax:
Your Policy Details:
( * Obligatory to fill in)
Issuing Life Office: *
Select
Australian Mutual Provident
Britannia Life
Britannic Assurance
Clerical, Medical & General
Co-Operative
Co-Operative (Old Series)
Colonial Mutual Life
Commercial Union
Crusader
Eagle Star
Equitable Life
Equity & Law
Equity & Law (Old Series)
Friends Provident
General Accident
General Accident (Old Series)
Gresham Life
Gresham Life (Old Series)
Guardian Assurance
Guardian Assurance (Old Series)
Imperial Life
Imperial Life (Old Series)
Laurentian Life
Laurentian Life (Old Series)
Legal & General
Life Association of Scotland
Liverpool Victoria Friendly
London & Manchester
London Life
Marine & General
Marine & General (Old Series)
National Farmers Union
National Farmers Union (Old Series)
National Mutual Life
National Mutual of Australasia
National Provident
National Provident (Old Series)
Norwich Union
Norwich Union (Old Series)
Pearl
Pearl (Old Series)
Phoenix Assurance
Provident Life
Provident Life (Old Series)
Provident Mutual
Prudential
RNPF for Nurses
Refuge
Reliance Mutual
Royal Life
Royal London
Scottish Amicable
Scottish Amicable (Flexi)
Scottish Equitable
Scottish Equitable (Flex)
Scottish Life
Scottish Life (Old Series)
Scottish Mutual
Scottish Provident
Scottish Widows
Standard Life
Standard Life (EMO)
Sun Alliance
Sun Life
Sun Life (Old Series)
Sun Life of Canada
Sun Life of Canada (Old Series)
Swiss Life (A)
Swiss Life (B)
Swiss Life (C)
TSB Life
Tunbridge Wells Equitable
United Friendly (New Series)
United Friendly (Old Series)
United Kingdom Provident
Wesleyan & General
Wesleyan & General (Equity)
Yorkshire-General
(Please Select from Pull Down Menu)
Start Date of Policy: *
must start pre 2004
(dd/mm/yy - eg. 21/03/79)
End Date of Policy: *
dd/mm should be same as start date
(dd/mm/yy - eg. 21/03/06)
Premium: *
£
eg 23.00 not 23-00
Frequency: *
Monthly
Annual
Quarterly
Semi-Annual:
Minimum Sum Assured: *
£
NB:*not death benefit*
Bonuses: *
£
eg 23.00 not 23-00
Bonus date: *
(dd/mm/yy - eg. 21/03/04)
Surrender Value: *
£
eg 23.00 not 23-00
Surrender Value Date:*
(dd/mm/yy - eg. 21/03/04)
Has the Policy been altered? *
Select
No
Joint life to single life
Single life to joint life
Term date
Cancelled term insurance
Premium frequency
(Please Select from Pull Down Menu)
Has the Policy been Assigned? *
Yes
No
Special bonus
£
eg 23.00 not 23-00
Policy Number: *
Life Assured: *
2nd Life Assured
(if applicable)
Gender of 1st life assured *
- Select -
Male
Female
Gender of 2nd life assured
- Select -
Male
Female
Do you have the policy documents: *
Yes
No
Comments:
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