Mid Term Adjustments
Please submit this form and we will contact you to arrange your mid term adjustments.
Personal Details
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
example@example.com
Time and date you wish to be contacted
Time
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Hour
00
10
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Minutes
AM
PM
AM/PM Option
Date—if not today.
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Day
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Month
Year
Date
Policy Adjustments
Make the adjustments you require.
Increase Sums Insured
Select Sum Insured
£4,000
£6,000
£8,000
£10,000
£12,000
£14,000
Increase/Add Laptop Cover (room only).
Select Sum Insured
£500
£750
£1,000
£2,000
£2,500
£3,000
£3,500
Increase/Add Laptop Cover (all risks anywhere within the UK).
Select Sum Insured
£500
£750
£1,000
£2,000
£2,500
£3,000
£3,500
Accidental Damage.
(item limits apply)
Accidental Damage to Landlords Property | Tenants Liability.
(up to £10,000)
Increase/Add Course Fees and Rental Protection.
Select Sum Insured
£4,000
£5,000
£6,000
£7,000
£8,000
£9,000
£10,000
£11,000
£12,000
£13,000
£14,000
£15,000
£16,000
£17,000
£18,000
£19,000
£20,000
Mobile Phones | Cover Anywhere Within The UK.
Select Sum Insured
£2500
£500
£750
£1,000
Please note: The mobile phone must have been purchased within the UK.
Pedal Cycle | Cover Anywhere Within The UK (Within Europe For Up To 45 days).
£250
£500
£750
£1,000
£1,250
£1,500
£1,750
£2,000
£2,250
£2,500
£2,750
£3,000
Musical Instruments | Cover Anywhere Within The UK.
Select Sum Insured
£300
£400
£500
£600
£700
£800
£900
£1,000
£1,100
£1,200
£1,300
£1,400
£1,500
£1,600
£1,700
£1,800
£1,900
£2,000
£2,100
£2,200
£2,300
£2,400
£2,500
£2,600
£2,700
£2,800
£2,900
£3,000
Personal Accident & Criminal Assault.
Select Sum Insured
£10,000
£25,000
£50,000
Photographic Equipment | Cover Anywhere Within The UK.
Select Sum Insured
£100
£200
£400
£600
£800
£1,000
£1,200
£1,400
£1,600
£1,800
£2,000
£2,200
£2,400
£2,600
£2,800
£3,000
£3,200
£3,400
£3,600
£3,800
£4,000
£4,200
£4,400
£4,600
£4,800
£5,000
Choose the ones you require.
Vacation Cover up to £3,500
Legal Expenses up to £30,000
Digital Download up to £1,000
Examination and Coursework Cover up to £250
Excess Protection Cover .
Select Sum Insured
£125
£250
£500
£1,000
Unspecified Items | Cover Anywhere Within The UK.
Select Sum Insured
£250
£500
£750
£1,000
£1,250
£1,500
£1,750
£2,000
£2,250
£2,500
£2,750
£3,000
£3,250
£3,500
£3,750
£4,000
Specified Items | Covered Anywhere In The UK
Add item description and value.
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