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Insurance Withdrawal Form


Important Information

Your request will be processed by Allianz, who act as the product manufacturer.

The personal data you provide will be shared with Allianz and relevant authorised parties for the purposes of administering your policy, processing your request, and meeting legal and regulatory obligations.

For full details on how Allianz collects, uses, and protects your personal data, please refer to their Privacy Notice, available here.

If you wish to exercise your data protection rights, including accessing or correcting your information, you should contact Allianz directly using the contact details provided within their Privacy Notice or see PTSB data protection notice here.

Withdrawal Declaration
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