Your Accident Only Income Protection quote

Your age at policy start*

Select your age.

Annual income*

£

Enter your annual income.

Occupation* (Start typing the occupation name and select from the drop down list. If the occupation name is not on the list, please call us on 0333 014 6244.)

Enter your occupation.

Quote type*

Select quote type.

Monthly benefit* (Limited to 70% of your earnings.)

Enter a monthly benefit.

Monthly premium*

Enter a monthly premium.

Benefit period*

Select a benefit period.

Waiting period*

Select a waiting period.

Age at which the policy ends*

Select an age at which the policy ends.

Level / indexation*

Select level or indexation.

Accidental death benefit*

Yes

No

Select an option.

Fracture cover*

Yes

No

Select an option.

Hazardous pursuits* (click here for the extended list.)

Yes

No

Select an option.

Amount of hazardous pursuits cover Please note: Cover is at least £500 a month and no more than £2,000 a month. If you choose a 5 year claim period the maximum Hazardous Pursuits cover would be £500 per month. It also cannot be more than the selected main benefit.

First Name*

Enter your first name.

Last Name*

Enter your last name.

Phone Number*

Enter your phone number.

Email Address*

Enter your email address.

How we will use your data

The information that you provide in this form will be held and used by National Friendly for the purposes of providing our products and services. Please inform us at any time if your details change. The ways in which we will use your data is laid out in our Privacy Policy. We will never share your data with any other companies for their marketing purposes.

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