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What is your occupation?

What is your annual gross income?

Your maximum monthly cover would be…

How much monthly cover do you need?

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Monthly Outgoings

Mortgage or Rent

Utility Bills

Gas, electricity, water internet, telephone, etc.

Council tax

Other direct debits

Loans, H.P., credit

Car expenses

Public transport expenses

Shopping

Family expenses

Lifestyle expenses

Monthly savings contributions

Your estimated monthly outgoings

What type of cover would you like?

After how long would you like your income protection payments to start?

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First name

Last name

Email address

Telephone

Date of Birth

Gender assigned at birth

Have you smoked cigarettes or cigars in the last 12 months?

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Monthly Outgoings

To complete your quote we need to ask you a few more questions