Equitable Life

Trapped Annuitants

supporting the With-Profit annuitants of Equitable Life

 

FORM OF AUTHORITY

 

The following form of authority (see below) is required to be sent to Equitable Life to authorise the release of any documentation required by Clarke Wilmott. You can download it as follows:

 

Word document

Adobe Acrobat document

  Click on logo to download Adobe for .pdf files


The Equitable Life Assurance Society

Walton Street

Aylesbury

Bucks

HP21 7QW

 

 

 

I [1], 

 

 

Of [2] 

 

 

 

Hereby authorise you to release all such records and papers as they may require to Clarke Willmott of 1 Georges Square, Bath Street, Bristol, BS1 6BA in respect of the policy/policies numbered[3]:

 

 

 

 

 

 

 

 

 

……………………………

Signed[4]:

 

………………….

Dated:

 



[1] Please insert full name

[2] Please insert full postal address

[3] Please list all policies including your with profits annuity and any policies used to purchase that annuity

[4] Please print your name here and sign above the line