Letter of Authority

Please Print on your company letterhead and sign the ‘Letter of Authority’ (example below) addressed to your existing insurer so that we can obtain five years scheme history from existing insurer

XXXX Assurance Company

XXXX

TO WHOM IT MAY CONCERN

I/We give authority to Independent Financial Consultants t/a GroupRisk.ie to review all and any of our policies held with your company.   

Please provide them with all information that is required by them.

A member of Grouprisk.ie (IFC) will be in touch with you in this regard and I/We would appreciate if you could give them all the help they need in order for them to prepare their work on my/our behalf.

Any Previous Address Used:                           _________________

                                                                                _________________

                                                                                __________________

Thanking you in advance.

Yours sincerely,

______________________                     ______________________

PRINT NAME / TITLE:

Date _________________

Please tick below the Insurance Companies you may have cover with: 

[ ]ArkLife                              [ ]BoILife              [ ]CanadaLife                      [ ]Caledonian Life

[ ]Eagle Star/Zurich              [ ] Friends First     [ ]Hibernian/Aviva               [ ]IrishLife                             

[ ]NewIreland                       [ ]StandardLife     [ ]ScottishProv/PhoenixIreland       

[ ]Other ______________________________________________