Non-Standard Referral Form

  • DD slash MM slash YYYY
  • By submitting this referral to us you are confirming that you have obtained all necessary consents from the Customer as is necessary to ensure that Cavere or anyone on our behalf may Process the Personal Data in respect of business transacted under your Agreement with Cavere without being in breach of the Data Protection Legislation. The information to be disclosed to the Customer or Policyholder will include without limitation the name of Cavere, the fact that Cavere may make further disclosure to other insurance companies, reinsurers, legal advisors, loss adjusters, claims handlers and/or other organisations.