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  • Bupa Ipt Exemption Form

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PM/1143/NOV14 00049 IPT EXEMPTION DECLARATION Please tick where appropriate Please complete and sign this form and return it in an envelope to Bupa Group and Member Administration Services Salford Quays Manchester M50 3XL. My permanent address is in the Channel Islands or Isle of Man Name BLOCK CAPITALS Bupa membership number Residency address Correspondence address if different to the residency address Postcode Telephone home Telephone work Signature Date. You are normally resident at this address ARE YOU EXEMPT If you meet the criteria above please complete the IPT exemption declaration form below and return it to Bupa. Please remember oo if IPT exemption has already been applied to your registration you must reconfirm your exemption annually at your renewal by returning the completed form below IPT exemption cannot be back-dated or applied to your membership midyear therefore you must apply for exemption when you join or renew your membership. Please see your membership guide for de....

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How to fill out the Bupa IPT Exemption Form online

This guide provides clear, step-by-step instructions to help you successfully complete the Bupa IPT Exemption Form online. Ensuring that you fill out this form accurately is essential for confirming your exemption status.

Follow the steps to complete your exemption form online.

  1. Click the ‘Get Form’ button to access the Bupa IPT Exemption Form and open it in your preferred document editor.
  2. In the form, indicate your permanent address in the Channel Islands or Isle of Man by marking the appropriate checkbox. This is essential to confirm your exemption eligibility.
  3. Provide your name in block capitals in the designated field. This ensures clarity and accuracy in identifying you as the applicant.
  4. Enter your Bupa membership number in the specified section. This helps link your application to your existing insurance policy.
  5. Fill in your residency address, including the viewable postcode. Ensure that this address matches your permanent address declaration.
  6. If your correspondence address differs from your residency address, complete that section as well. This allows Bupa to send any correspondence to the correct location.
  7. Provide your home and work telephone numbers to facilitate any communication if needed.
  8. Sign and date the form in the appropriate fields. Your signature confirms the accuracy of the information provided and your request for exemption.
  9. Once all information is accurately filled out, you can save changes, download, and print the form for submission.
  10. Mail the completed form to Bupa, Group and Member Administration Services, at the address provided on the form.

Start filling out your Bupa IPT Exemption Form online today to ensure your exemption status is properly documented.

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Contracts which cover a risk outside the UK are exempt. For IPT purposes the UK : consists of Great Britain, Northern Ireland and waters within 12 nautical miles of their coastline. excludes the Isle of Man and the Channel Islands.

We can help you access the support you need faster. Call us on 0333 220 4384^. Lines open Monday to Friday 8am to 6pm. Call us on 0345 600 4622^.

Login to myBupa on an internet browser (desktop, mobile or tablet device). Note, the inbox is not available in the myBupa app. 2. Click the “inbox” icon on the top menu.

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