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Income protection claim

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Company details

Employee details

Has the employee been off with this condition before?
Is the employee currently or going to be absent from work?
Has the employee provided you with any medical information that we can get from you?

Are you happy with us to contact the absent employee?

Consent to contacting your employee

Are you happy with our claims team to discuss the details of the policy with your employee?

Consent for claims team to contact your employee

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