Refund of premium

If we've contacted you to request your bank account details, so we can refund premium, please complete the form below.


Please name your organisation and confirm you have authority to complete this form on its behalf.


You must have authority to complete this form. If you are not authorised please ask the person with authority to complete the form.

Bank details

Please advise the organisation’s bank account details for this refund.

Proof of the organisation’s bank account

Please attach a document displaying the company name and bank account, such as a bank deposit form.

Accepted file types: DOC, DOCX, PDF, JPEG, JPG or PNG (Max file size 2MB).

Organisation address

Please confirm the organisation address.

Enter your personal details

These details help us verify who you are so we can deal with your enquiry as quickly as possible.

Optional Optional Mr Mrs Miss Ms Mx None