For information on how we use your personal data please refer to our UK Privacy Notice

CIDRA Disclosure Obligations – Consumers

You must take reasonable care to provide complete and accurate answers to the questions we ask when you take out, make changes to, and renew your policy.

Your disclosure obligations

You should be aware that if the information provided by you is not complete and accurate, we may:

  • cancel your policy and refuse to pay any claim, or
  • not pay any claim in full, or
  • revise the premium and/or change any excess, or
  • revise the extent of cover or terms of this insurance.

We recommend that you keep a record (including copies of letters) of all the information you provide to us for your future reference.

Customer Definition: any natural person who is acting for purposes which are outside his trade or profession.

Policyholder details

All questions marked with * must be answered in full.

Additional policyholders

Additional policyholder details

+44
Please note that the (+44) extension is already prefixed.

The date you would like the policy cover to start.

Contact Number

Let us know the best telephone number to reach you on, we will use this should we need to speak with you about this policy

Email Address

We’ll email you with the details of your quote and may also notify you when this quote is due to expire