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PBA internal case builder

PBA Case Questionnaire

In order to build the strongest case possible we require you to complete the following questionnaire to the best of your ability, providing as much detail as possible.

If you are unsure about answering the questions, or if you’d rather complete them over the telephone with one of our experts, please contact the office on 01254822880.





Europe = neverEurope = once a yearEurope = more than once a yearOutside Europe = NeverOutside Europe = once a yearOutside Europe = more than once a yeardo winter sports = neverdo winter sports = once a yeardo winter sports = more than once a year


yesno


yes (please explain why in as much details below)no


yesno


yesno


yesno


yesno



yes (please explain in detail below)noI can't remember


yesnodon't know


car breakdown covermobile phone insurancetravel insuranceaccidental death coverlife assuranceidentity theft insurancegadget insuranceany other insurance that was also included on the PBA


yes (please provide details and explanation below)no


yesno


yesnodon't know


yesnodon't know












yesno

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