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<div><section class="module product-features theme-white module--product module-noCurveTop module-noCurveBottom       "><div class="wrapper"><div class="container product-features__container"><div class="columns@md product-features__main"><div><div class="head  theme-text-undefined moduleheader"><div class="head__main"><p class="title h2">New home?</p><p class="lead">We hope you&#39;re happy in your new place</p></div></div></div><div><div class="editablediv product-features__body bulleted"><ul>
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      </g></svg></span></div><div class="editablediv form-field__info "><div>If you have more than one product, please complete this form again selecting the other product(s) you have</div></div></div><div class="form-field form-field--text form-field--valid" for="Policy_number"><label class="form-field__label" for="Policy_number" data-label="Your policy number"><span class="labelText">Your policy number</span><span class="fieldErrors" for="Policy_number"></span></label><div class="form-field__field"><input class="lg" placeholder="Please enter your policy number" data-validate="true" type="text" id="Policy_number" name="Policy_number"/><span class="form-field__infoicon "><svg fetchPriority="auto" loading="lazy" decoding="async" focusable="false" width="29" height="29" viewBox="0 0 29 29" class="icon icon--infoTooltop">
      <g id='tt-bg' style="stroke:none;">
        <path id='tt-circle' style="fill-rule:nonzero;stroke:#04589b;stroke-width:1.60000002" d="m 14.62,28.32 c 7.566301,0 13.7,-6.133699 13.7,-13.7 0,-7.5663011 -6.133699,-13.7 -13.7,-13.7 -7.5663011,0 -13.7,6.1336989 -13.7,13.7 0,7.566301 6.1336989,13.7 13.7,13.7 z" />
        <path id='tt-i' d="m 14.744,10.01 c -0.858,0 -1.584,-0.704 -1.584,-1.584 0,-0.88 0.77,-1.584 1.628,-1.584 0.858,0 1.584,0.704 1.584,1.584 0,0.88 -0.77,1.584 -1.628,1.584 z m -2.42,11.11 v -1.98 h 1.474 v -5.632 h -1.474 v -2.024 h 3.872 v 7.656 h 1.43 v 1.98 z" />
      </g></svg></span></div><div class="editablediv form-field__info "><div>You can find your policy number on your policy documents or yearly statements.</div></div></div><div class="form-field form-field--text form-field--valid" for="Address_1"><label class="form-field__label" for="Address_1" data-label="Your previous address - Line 1"><span class="labelText">Your previous address - Line 1 <em title="Required">*</em></span><span class="fieldErrors" for="Address_1"></span></label><div class="form-field__field"><input data-required="true" class="lg" placeholder="Please enter your previous address" data-validate="true" type="text" id="Address_1" required="" name="Address_1"/></div></div><div class="form-field form-field--text form-field--valid" for="Address_2"><label class="form-field__label" for="Address_2" data-label="Address - Line 2"><span class="labelText">Address - Line 2</span><span class="fieldErrors" for="Address_2"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="Address_2" name="Address_2"/></div></div><div class="form-field form-field--text form-field--valid" for="Address_3"><label class="form-field__label" for="Address_3" data-label="Address - Line 3"><span class="labelText">Address - Line 3</span><span class="fieldErrors" for="Address_3"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="Address_3" name="Address_3"/></div></div><div class="form-field form-field--text form-field--valid" for="County"><label class="form-field__label" for="County" data-label="County"><span class="labelText">County</span><span class="fieldErrors" for="County"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="County" name="County"/></div></div><div class="form-field form-field--text form-field--valid" for="Post_code_existing"><label class="form-field__label" for="Post_code_existing" data-label="Your post code"><span class="labelText">Your post code <em title="Required">*</em></span><span class="fieldErrors" for="Post_code_existing"></span></label><div class="form-field__field"><input data-required="true" class="md" placeholder="Please enter your post code" data-validate="true" type="text" id="Post_code_existing" required="" name="Post_code_existing"/></div></div><div class="form-field form-field--text form-field--valid" for="Telephone_number"><label class="form-field__label" for="Telephone_number" data-label="Telephone number"><span class="labelText">Telephone number <em title="Required">*</em></span><span class="fieldErrors" for="Telephone_number"></span></label><div class="form-field__field"><input data-required="true" class="lg" placeholder="Please enter your telephone number" data-validate="true" type="text" id="Telephone_number" required="" name="Telephone_number"/></div></div><div class="form-field form-field--email form-field--valid" for="Email_address"><label class="form-field__label" for="Email_address" data-label="Email address"><span class="labelText">Email address <em title="Required">*</em></span><span class="fieldErrors" for="Email_address"></span></label><div class="form-field__field"><input data-email="true" data-required="true" class="lg" placeholder="Please enter your email address" data-validate="true" type="email" id="Email_address" required="" name="Email_address"/></div></div><div class="form-field form-field--date form-field--valid" for="DOB"><label class="form-field__label" for="DOB" data-label="Date of birth"><span class="labelText">Date of birth <em title="Required">*</em></span><span class="fieldErrors" for="DOB"></span></label><div class="form-field__field"><input data-required="true" date-format="mm/dd/yyyy" class="" placeholder="dd/mm/yyy" data-validate="true" type="date" id="DOB" required="" name="DOB"/></div></div></div></div></fieldset><fieldset><div class="xx"><div class="xx__left"><div class="legend-wrapper"><legend>Your new address</legend><h2 class="editable">Your new address</h2></div></div><div class="xx__right"><div class="form-field form-field--text form-field--valid" for="New_address_1"><label class="form-field__label" for="New_address_1" data-label="Your new address - Line 1"><span class="labelText">Your new address - Line 1 <em title="Required">*</em></span><span class="fieldErrors" for="New_address_1"></span></label><div class="form-field__field"><input data-required="true" class="lg" placeholder="Please enter your new address" data-validate="true" type="text" id="New_address_1" required="" name="New_address_1"/></div></div><div class="form-field form-field--text form-field--valid" for="New_address_2"><label class="form-field__label" for="New_address_2" data-label="Address - Line 2"><span class="labelText">Address - Line 2</span><span class="fieldErrors" for="New_address_2"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="New_address_2" name="New_address_2"/></div></div><div class="form-field form-field--text form-field--valid" for="New_address_3"><label class="form-field__label" for="New_address_3" data-label="Address - Line 3"><span class="labelText">Address - Line 3</span><span class="fieldErrors" for="New_address_3"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="New_address_3" name="New_address_3"/></div></div><div class="form-field form-field--text form-field--valid" for="County"><label class="form-field__label" for="County" data-label="County"><span class="labelText">County</span><span class="fieldErrors" for="County"></span></label><div class="form-field__field"><input class="lg" placeholder="" data-validate="true" type="text" id="County" name="County"/></div></div><div class="form-field form-field--text form-field--valid" for="Post_code_new"><label class="form-field__label" for="Post_code_new" data-label="Your new post code"><span class="labelText">Your new post code <em title="Required">*</em></span><span class="fieldErrors" for="Post_code_new"></span></label><div class="form-field__field"><input data-required="true" class="lg" placeholder="Please enter your new post code" data-validate="true" type="text" id="Post_code_new" required="" name="Post_code_new"/></div></div><div class="form-field form-field--date form-field--valid" for="New_address_date"><label class="form-field__label" for="New_address_date" data-label="When should we start using your new address?"><span class="labelText">When should we start using your new address? <em title="Required">*</em></span><span class="fieldErrors" for="New_address_date"></span></label><div class="form-field__field"><input data-required="true" date-format="mm/dd/yyyy" class="" placeholder="dd/mm/yyy" data-validate="true" type="date" id="New_address_date" required="" name="New_address_date"/></div></div><div class="form-field form-field--radio form-field--valid" for="Policy_covering_2_lives" data-radio-anyrequired="true"><label class="form-field__label" for="Policy_covering_2_lives" data-label="Does your policy cover 2 lives insured?"><span class="labelText">Does your policy cover 2 lives insured? <em title="Required">*</em></span><span class="fieldErrors" for="Policy_covering_2_lives"></span></label><div class="form-field__field"><ul><li><input data-required="true" type="radio" id="Policy_covering_2_livesYes0" name="Policy_covering_2_lives" value="Yes"/><label for="Policy_covering_2_livesYes0"><span></span>Yes</label></li><li><input data-required="true" type="radio" id="Policy_covering_2_lives No1" name="Policy_covering_2_lives" value=" No"/><label for="Policy_covering_2_lives No1"><span></span> No</label></li></ul></div></div><div class="form-field form-field--radio form-field--valid" for="Address_change_for_both_lives"><label class="form-field__label" for="Address_change_for_both_lives" data-label="Would you like to change the address for both lives insured?"><span class="labelText">Would you like to change the address for both lives insured?</span><span class="fieldErrors" for="Address_change_for_both_lives"></span></label><div class="form-field__field"><ul><li><input type="radio" id="Address_change_for_both_livesYes0" name="Address_change_for_both_lives" value="Yes"/><label for="Address_change_for_both_livesYes0"><span></span>Yes</label></li><li><input type="radio" id="Address_change_for_both_lives No1" name="Address_change_for_both_lives" value=" No"/><label for="Address_change_for_both_lives No1"><span></span> No</label></li></ul></div></div><div class="form-field form-field--checkbox form-field--valid" for="Checkbox"><label class="form-field__label" for="Checkbox" data-label="To confirm that you have permission to update the address of both lives insured on the policy and you are doing so honestly and truthfully. Please tick this box"><span class="labelText">To confirm that you have permission to update the address of both lives insured on the policy and you are doing so honestly and truthfully. Please tick this box</span><span class="fieldErrors" for="Checkbox"></span></label><div class="form-field__field"><ul><li><input type="checkbox" id="CheckboxI confirm that I have permission0" name="Checkbox" value="I confirm that I have permission"/><label for="CheckboxI confirm that I have permission0"><span><span class="icon icon--tick"><svg fetchPriority="auto" loading="lazy" decoding="async" focusable="false" width="16" height="16" viewBox="0 0 16 16"><path d="M4.8,15.5c-0.4,0-0.8-0.2-1.1-0.4L0.6,12C0,11.4,0,10.4,0.6,9.8s1.5-0.6,2.1,0l1.9,1.9l8.5-10.4 c0.5-0.6,1.5-0.7,2.1-0.2c0.6,0.5,0.7,1.5,0.2,2.1L5.9,15C5.6,15.3,5.3,15.5,4.8,15.5C4.8,15.5,4.8,15.5,4.8,15.5z"></path></svg></span></span>I confirm that I have permission</label></li></ul></div></div><div class="form-field form-field--textarea form-field--valid" for="Multiline_Text"><label class="form-field__label" for="Multiline_Text" data-label="Is there anything else we can help with?"><span class="labelText">Is there anything else we can help with?</span><span class="fieldErrors" for="Multiline_Text"></span></label><div class="form-field__field"><textarea class="lg" placeholder="" data-validate="true" name="Multiline_Text" id="Multiline_Text"></textarea></div></div></div></div></fieldset><div class="form-field form-field--button"><button class="cta cta--sm cta--primary cta--no-icon" name="submit">Submit</button></div></div></form></div></div></section></div></div></div>
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<div><section class="module product-features theme-white module--product module-noCurveTop module-noCurveBottom      theme--text-green "><div class="wrapper"><div class="container product-features__container"><div class="columns@md product-features__main"><div><div class="head  theme-text-undefined moduleheader"><div class="head__main"><p class="title h2">Having trouble completing the form?</p><p class="lead">We can help</p></div></div></div><div><div class="editablediv product-features__body bulleted"><ul>
    <li>If you need help making changes to a policy, just call us on <strong><span>0800 681 6294</span></strong>.&nbsp;Lines are open 9am - 5pm Monday - Friday.</li>
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<div><section class="module bodyCopy theme-white  module-noCurveTop module-noCurveBottom     bodyCopy--mini bodyCopy--hasTheme bodyCopy--alt-headings  "><div class="wrapper"><div class="container bodyCopy__container"><div class="editablediv"><p><a href="/data-protection" title="Data Protection Page">Find out how we use your personal information</a> and what rights you have. This includes who we are, how long we hold your information, what we do with it and who we share it with. Please let us know if you'd like us to send you a copy or have any questions.&nbsp;</p></div></div></div></section></div>
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