Dentists Indemnity Indication Form

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Data Protection Act – All personal information supplied by you will be treated in confidence by Dental Insurance Agency and will not be disclosed to any third parties except where your consent has been received or where permitted by law. In order to provide you with products and services this information will be held in the data systems of Dental Insurance Agency or our agents or subcontractors. By providing this information you are consenting to us contacting you solely in relation to products we offer and arranging insurance on your behalf. Any 'material fact' must be disclosed to Insurers. A 'material fact' is any information which may alter the judgement of an Insurer in assessing the risk. Any 'material change' must be disclosed to Insurers. A 'material change' is any information which may alter the judgement of an Insurer that has not previously been disclosed as a material fact. Failure to provide all 'material facts' and/or notify all 'material changes' may cause the contract of insurance to be void and may result in Insurers repudiating liability entirely. If you have any questions when completing this form please contact us on 0345 034 1432.

All information submitted via this enquiry form is covered by the Data Protection Act 1998


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Please click the 'Request Quote' button or alternatively contact us using the details below:

Dental Insurance Agency
Park House
45 The Park
Yeovil
Somerset
BA20 1DF

T: 0345 034 1432
E: [email protected]


Contact Information

Dental Insurance Agency
Park House
45 The Park
Yeovil
Somerset
BA20 1DF

T: 0345 034 1432
E: [email protected]


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All information submitted via this enquiry form is covered by the Data Protection Act 2018 and General Data Protection Regulation


Accreditations

Dental Insurance Agency is a trading name of Medical Insurance Consultants Ltd who are authorised and regulated by the Financial Conduct Authority and is entered on the Financial Services Register under reference 309026.

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