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About your Income Protection

How much would you like your policy to pay you each month?

Maximum benefit is 50-60% of your annual salary

How soon would you like your cover to start paying?

What age would you like your cover to run until?

Would you like your benefit to increase each year?

Your premium will stay the same for the life of your policy unless you include the increasing option.

Your details

Title

First Name

Surname

Date of Birth

Have you used tobacco or nicotine products in the last 12 months?

What is your annual salary before tax?

What is your occupation?

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Why do we ask for your phone number? To help you find the right policy we've partnered with Vita who offer free, no obligation advice. Providing your number is optional and Vita will only contact you to discuss the cover that's right for you. For details on our partnership with Vita please click here.

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About your Income Protection

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