Change Direct Debit

The purpose of this form is to capture all the information needed to change your Direct Debit details.

This may take up to 10 minutes to complete.

Once you've completed the form press 'Send'.

About you

Please complete the form in full, so that we can verify your identity and update your Direct Debit details.

Ensure that you provide a valid Policy Number. Application numbers will not be recognised.

Policy no.

Title

Other - Title

First name

Surname

Date of birth

Please provide the first line (inc. street name) and postcode of the address we currently hold on our records.

House no. / name

Street name

Postcode

Are you the policy owner?

Yes

Please enter the name and address of the premium payer.

Salutation

First Name

Surname

House no, / name

Address line 1

Address line 2

Address line 3

Postcode

Your new Direct Debit details

Bank or building society account number

Sort code

Name of account holder

Would you like to change your premium collection date?

Yes

Please enter your preferred premium collection date. Enter a value between 1 and 31.

Please note that if you select a date that does not appear at the end of every month, for example the 31st, on those months with less than 31 days, your premium will be collected on the 1st of the following month.

Should your preferred collection date fall on a non working day, for example a bank holiday or weekend day, your premium will be collected on the next working day.

New collection day

About your request

We understand that your needs may change during your policy.

If you would like us to call you to discuss options for making changes to your policy, complete the section below.

Why are you requesting to update your Direct Debit details today?

Please type your reason for requesting this change

Does this policy still meet your needs?

Would you like us to call you to discuss options for making changes to your policy?

Please provide a preferred contact number for us to call you on within the next 2 working days.

Your preferred contact number

Please note that the purpose of this call will be to discuss making changes to your policy.

For help with anything else, type ‘help’ in the search box after sending this form.