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REQUEST EVALUATION

Policy Number(s)
Insurance Company
POLICY HOLDER(S)
Name & Surname
Address
Postal code
Telephone (H)
Telephone (W)
Fax
Email
ID Number


AUTHORISATION

I/We authorise my/our Insurance Company to release any information in respect of the abovementioned policies to POLINVEST or its nominated agent.

I confirm that I have read and understand the IMPORTANT NOTES listed below.




IMPORTANT NOTES
  1. If your policy or investment is referred by your financial adviser or an intermediary they may be entitled to a processing and/or a referral fee based on the net surrender value of your policy. This will however always be negotiated and disclosed to the policyholder.
  2. If you trade your policy you lose your life cover and possibly other benefits too. You should ensure that your insurance needs are met by other means. Have a new FNA done by your financial adviser
  3. Before you trade your policy we recommend that you seek independent financial advice from your Insurance Company or financial adviser to discuss the following options:
  • to convert your policy to a shorter term, and /or reducing the premium
  • to continue paying the premiums to the end of the policy term
  • to make a loan against the policy
  • to make the policy paid up
  • to surrender the policy and to accept the surrender value from the insurance company

 



FACILITATOR
Name & Surname
Business Name
Address
Postal code
Telephone (W)
Fax
Email


Consent & Authorisation for a Valuation:
I agree that my electronic submission of this document to POLINVEST serves as my acceptance of the above terms and conditions. I also agree that this electronic submission grants Polinvest or any nominated agent the right to request policy information on my behalf in order to finalise the requested valuation.

Yes No