Howden Life & Health

Title

First Name

Last Name

Gender

Male

Female

Marital Status

Date of Birth

Have you used tobacco or nicotine products in the last 12 months? Not sure?

Insurers will class a smoker as someone who has smoked cigarettes, cigars, used a pipe or other tobacco products (including nicotine replacements and e-cigarettes) in the last 12 months.

Yes

Post Code

You must be a UK resident – that does not include the Channel Islands or the Isle of Man

Phone Number

Email Address

We'll send you a copy of your quotes

One or more fields have errors, please review and try again, thank you.

We collect your details so that we can provide you with your quotes and may contact you to help get your cover in place.

By clicking “NEXT” you confirm that you agree to the Privacy Policy and Terms of Business