Complete Your Medical Declaration Form

We need some information

Your employer has arranged insurance cover with us that’s designed to provide protection for you as their employee, where financial help could be provided if a claim is made. To set up this cover we need to collect details about your health and activities, and your consent to:

  • access your medical reports that may be needed to help us confirm our decision
  • use your personal, health and medical information to assess the application to provide the insurance cover, administer the policy and process a subsequent claim in line with our Privacy Policy Privacy policy | Legal & General (

We’ll only use the information provided by you on this form, your General Practitioner (GP) and any medical practitioner we may ask you for the purpose of managing and arranging this insurance cover.

Complete Form


Frequently asked questions (FAQ's)

Here are some useful frequently asked questions to help you understand the process.