Health (illness) claim form

Please provide information below marked with an asterisk (*).

Please don’t provide more information than we ask for below as our Claims Assessor will be in touch and go through any additional information we require.

Please check the definitions that apply to your policy in your Policy Provisions or Terms & Conditions booklet before completing the claim form.

Your policy does not cover social distancing, shielding or self-isolation due to Coronavirus (Covid-19) or loss of employment. It might be worth checking our most commonly asked questions.

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IMPORTANT NOTES

Data Privacy Notice

Your Data Protection is very important to us, and it is important that you understand how the personal information you give us will be used. Therefore, we strongly advise that you read our privacy notice, which you can find at www.scottishwidows.co.uk/legalprivacy or you can ask us for a copy.