Authorised Speaker

Authorised Speaker

If you want to add someone to your policy to support you when contacting us, let us know if you’d like to add a trusted person to help you manage your policy.

Contact Form

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Authorised Speaker

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Policyholder Details*

Policyholder’s name?*

Policyholder’s date of birth?*

Please enter a number from 1 to 31.
Please enter a number from 1 to 12.
Please enter a number from 1900 to 2035.

Authorised person’s name?*

Authorised person’s date of birth?*

Please enter a number from 1 to 31.
Please enter a number from 1 to 12.
Please enter a number from 1900 to 2035.
This field is for validation purposes and should be left unchanged.