Fish Insurance
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Basic Protect

Supporting people living independently

  • Your Details
  • Your Quote
  • Declaration
  • Payment
  • Confirmation

Welcome
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Please complete the following details.
Questions with an asterisk * are mandatory

Details of the person(s) receiving care

Please provide a correspondence email address. We may use this to contact you about the policy or a claim.

This is the first name of the person receiving care.

This is the last name of the person receiving care.

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This is the date of birth of the person receiving care.

Please provide a contact number. We may use this to discuss the policy or a claim. If the person receiving care doesn’t have a telephone number please leave blank.

This is the address where the care takes place. This does not have to be the correspondence address.

This is the address where you’d like us to send all postal correspondence to, including policy documentation or claims information?

The employer is the person who’s responsible for the hiring of the carer and pays their wages.

If you don't want to add another person receiving care to your policy, please continue to the next section.

We are able to insure up to 4 people on the same policy however, all care users need to live at the same address and must be directly related to each other or legally married. For example, brothers, sisters, husband and wife.

Add another person receiving care

Start date

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Please select a date you would like the cover to start. This date cannot be in the past, or more than 30 days in the future.

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