Relevant Life Insurance Quote

1

Great lets get started. Whats your first name* This field is required

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2

Thanks, and your surname?* This field is required

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3

What's your occupation?* This field is required

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4

What's your date of birth?* This field is required

Date

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5

What level of life insurance lump sum do you require? * This field is required

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6

What term of cover do you require in years?* This field is requiredThe maximum age at expiry for a Relevant Life plan is aged 75

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7

Are you a Director in a Ltd company?* This field is requiredIf looking for cover for an employee you can also reply yes

YESNO

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8

How are you remunerated?* This field is required

Salary

Dividend

Combination of salary/dividend

Other

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9

Have you smoked or used tobacco/vapor products in last 12 months? * This field is required

YESNO

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10

Do you have a high risk occupation or hobby?* This field is requiredPlease confirm below or mark as no

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11

Do you have any ongoing medical conditions in last 5 years?* This field is required

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12

Do you want to compare Relevant Life to any current life insurance you have?* This field is requiredWe can provide a full breakdown on savings you could make against your current life cover.

YESNO

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13

do you want to provide any other information to help with your quote:

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14

E-mail* This field is requiredGive us your best email to deliver your quotes to

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