Straker Financial Services

Protection Declaration Form

I/we confirm that we have disclosed full details regarding my/our current protection needs and existing arrangements.

As a result of the review that has been carried out by Straker Financial Services I/we understand that shortfalls exist in the following areas which I/we have decided NOT TO PROCEED with (please select each relevant cover):

The reasons for being recommended the above areas of protection have been explained to us and whilst I/we understand why these are important to protect my/our financial security in the event of one of these unforeseen events, I/we have decided not to proceed with these at this time.

It is my/our wish that these essential areas of protection are reviewed at a later time and we request a further review in: