Accident Protection Application Details

Setting up your Direct Debit

You're setting up a Direct Debit for monthly payments of . When payments are collected from your account, you'll see the name MetLife on your bank statement.

Before continuing, please make sure you read the Direct Debit Guarantee.

It will take a minimum of 8 working days to process the first payment. The first direct debit payment may be collected very close to the second payment. Your policy welcome pack will show the exact dates your premiums will be taken, please ensure that you check the dates and keep the pack in a safe place.

Who will be paying?

Applicant 3rd Party

Name

Address

I confirm the 3rd party’s address is the same as the applicants

Date Of Birth

YYYY

MetLife can only accept third party direct debits from a spouse, partner, parent or employer. Please choose from the options below

Name of account holder where can I find this?

8 digit account number where can I find this?

Sort code where can I find this?

Which day of the month should the direct debit be collected?

Back