Annuity enquiry form

This field is for validation purposes and should be left unchanged.

Personal Details - Main Annuitant

Gender*
DD slash MM slash YYYY
Are you a smoker?*

Contact details

Email*
Address

Annuity requirements

(We are not able to provide quotes if your existing pension is a defined benefit scheme or contains safeguarded benefits)
Please enter a number from 0 to 25.

Spouses pension

Would you like a pension paid to your spouse in the event of your death?*
DD slash MM slash YYYY
This is only needed if you have chosen to include a spouses pension
Are you a smoker?
Please enter an amount between 1% and 100% (if you have chosen a spouses pension)

Medical Disclosures

Do you suffer from any medical conditions? (this information can help us obtain enhanced rates)*
We may contact you to obtain further information or clarification on some of the details provided
Does your spouse have any medical conditions? (only applicable if you have chosen a spouses pension)
We may contact you to obtain further information or clarification on some of the details provided