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Julie Andrews
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See our quote menu below and select the type of insurance you would like to get a quote for.

Personal Accident Quote

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Your details

Title

First name

Surname

Address

Address

Town / City

County

Postcode

Email address

Contact telephone

Contact mobile

Date of Birth

Height

Weight

Occupation

Duties (full details)

Employer's name and nature of business

Medical Insurance History

Are you undergoing treatment of any kind or taking any medication?

Have you had any accidents or received any medical treatment in the last five years?

Have you any physical defects or infirmities of any kind?

Does your work involve the handling of or close proximity to dangerous materials or processes?

Is your sight or hearing impaired (ignore sight corrected by glasses or contact lenses)?

Have you ever had a slipped disc, any other back trouble, heart trouble, diabetes or any recurrent injury?

Do you participate in any form of riding activity?

Do you participate in any other sports, pastimes or activities which could render you liable to injury?

Are you now or have previously been insured in respect of personal injury risks?

Have you claimed for benefits under any accident or sickness insurance in the last five years?

Have you ever been declined or accepted at special terms for personal accident risks?

Are there any material facts which may influence the decision of the underwriters?

If you answered Yes to any of the above questions please provide full details

Cover required

Level of cover

Activity Group

Include Winter Sports +£15

Please add any further details you wish

Finally, prior to pressing the Submit buttom where did you hear about us?

Petcover EU Limited t/a Julie Andrews Horse Insurance Services

Unit 4 Bridge Road Business Park, Haywards Heath, West Sussex, RH16 1TX. Tel: 01566 774161 or 01566 779161, Email Enquiries@jahis.co.uk. Authorised and regulated by the Financial Conduct Authority (FCA) No. 747757

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