I want to change my payment date

Fill in our form so we can help

After you submit this form, we’ll confirm your change of payment date by email and letter.

 

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Policyholder’s Details

Where policy is jointly held, please only enter one of the policyholder's details.

Bank Account Holder’s Details

Where bank account is jointly held, please only add your details.

If the email address you have provided isn’t the one we hold on our records we will get in touch with you by phone or post.

Please ensure that you input the exact premium amount eg: £21.22

Please note we are not able to collect premiums on the 29th, 30th or 31st unless you bought your policy with Friends Life and your policy starts with a F,L,R,H or VM.

Additional Support

Do you have any additional support requirements you would like to make us aware of?
Please let us know the additional support requirements you would like to make us aware of?

Customer Declaration

Please tick this box to confirm you are the bank account holder which payments for this policy are payable from

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