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Business Assurance - Case Check Request Form
Protection
Protection
FPA Number
FPA number is required, eg FPA123456 – If you are unsure of your complete FPA number, this can be found within your Worksmart contact details section
Adviser Name
XPLAN Case ID (if available)
Please enter the e-mail address where you would like your confirmation e-mail to be sent
Adviser e-mail
Paraplanner name
Paraplanner e-mail address
Additional e-mail
Client Name
Client Postcode
Are you currently a Pre-CAS Adviser? Please tick this box if yes.
Product Type
-- Select Product --
CIC
General Insurance
IHT Planning
Income Protection
Life
Life and CIC
Private Medical Insurance
Whole of Life
xxx - Other - Please add to additional information section
Please enter any further relevant information e.g. additional persons to copy response to
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