HomeContact Countrywide AssuredSite MapPrinciples and Practices of Financial ManagementPassword Required Access For IFAs
Home
  Heading  
 
IMPORTANT: The information you send to Countrywide Assured is encrypted which means that your details will be transmitted to us securely.
 
  Please use the form below. Fields that are marked * must be completed.  
 
  Surname*
 
  Initial(s)*
 
  Date of Birth*   [dd / mm / yy]
 
/ /  
 
 
  Please complete the form below with your amended contact details.
 
Address*
Postcode*
If any of your existing policies are held in joint names, please confirm whether the address above is relevant to both parties. (  = relevant to both parties).
 
 
Home Telephone Number*
 
STD:  
Work Telephone Number
 
STD:  
Mobile Telephone Number
 
  If you have a preferred contact number, please indicate this by clicking next to your preferred number.
 
  If your name has changed, please phone our Customer Helpline free on 0800 262536 Monday to Friday, between 8.00 a.m. and 6.00 p.m. for details of the evidence required to amend your Policy details.  
     
  Please complete this section if your bank details have changed.
         
  Please advise us which Policy or Policies this new direct debit is to be used for:*  
     
1.
    All Policies (please use this option if you only have one Policy)  
     
2.
    Only the Policy or Policies below:  
     
  If you have selected option 2. above, please enter the Policy number(s)  
         
 
Policy Number(s)
   e.g. 123456A  
         
 
1
    
         
 
2
    
         
 
3
    
         
 
4
    
         
 
5
    
         
         
  Account Number*    
         
  Account Name*    
         
  Sort Code*  
   
 
         
 
 
The Direct Debit Guarantee
Direct Debit
  • This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored by your own Bank or Building Society.
  • If the amounts to be paid or the payment dates change Countrywide Assured will notify you at least ten working days in advance of your account being debited or as otherwise agreed.
  • If an error is made by Countrywide Assured or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.
  • You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.
If you are providing new bank details, you are confirming you have read and agree to the terms of the direct debit guarantee by clicking the submit button.
         
The information you have provided will be used by Countrywide Assured for administration purposes.
You can ask at any time to see the information that is held about you (a fee may be payable for this service). Countrywide Assured or other subsidiary companies of Countrywide Assured may also use this information to up-date you by telephone, post or e-mail on our range of financial products and services.
Yes
No
If you would prefer not to take advantage of this service, please indicate by selecting 'No'.
         
  IMPORTANT:    
 
The information you send to Countrywide Assured is encrypted which means that
your details will be transmitted to us securely.
 
 
 
 
 

Alternatively, you can update your details by calling our Customer Helpline free on 0800 262536 Monday to Friday, between 8.00 a.m. and 6.00 p.m. A member of the team will be happy to help.
  
 


Countrywide Assured plc is authorised and regulated by the Financial Services Authority.

  
Section Image
Online Services
Update Your Details
 
Home Customer Helpline 0800 262536