Pupil Personal Accident Report Page 3

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Data Protection – How we use your information
YOUR CONSENT
By providing your information, you consent(ed) to the use of your information as outlined below. This includes specific / explicit consent for
sensitive information such as medical or conviction details.
USE & DISCLOSURE
Allianz and your insurance intermediary (where applicable) will use your personal information, including sensitive data, for insurance
administration purposes such as providing a quotation, underwriting a policy and handling a claim. We may use and share your personal data to check
information provided, and to prevent fraud. These checks may be carried out at any stage, including quotation, mid-term, renewal and claims stage.
We may share your details with or seek information from a number of external parties such as:
- your Intermediary & anyone authorised by you to act on your behalf,
- other insurance companies,
- publicly available information,
- the Insurance Link Anti-Fraud register (for more info see ),
- the Integrated Information Data System (‘IIDS’) to verify information including penalty points and No Claims Discount (NCD),
- Loss Adjusters, repairers and other claims handling agents, medical practitioners,
- the Motor Insurers’ Bureau of Ireland (MIBI),
- Private Investigators when we need to further investigate certain claims,
- Vehicle history check suppliers/ databases,
- other fraud prevention and ID verification databases available in the insurance industry.
We may also use and share your information for customer satisfaction surveys, statistical analysis and similar purposes.
Personal data may be transferred outside the European Economic Area (EEA) for payment card administration, subject to and in accordance with Data
Protection Laws and using appropriate security measures.
REPRESENTATION
If you provide information about someone else, such as an additional insured, you must have obtained this person's consent and have
made them aware of the terms of this insurance. For motor insurance, you must also have obtained the additional insured’s consent to allow us to verify
their information via the IIDS.
UP-TO-DATE INFORMATION
In order for us to keep your information up to date, please contact Allianz or your insurance intermediary if any of your
details change.
ACCESS
You have the right to request a copy of your personal data held by Allianz and your insurance intermediary (where applicable). This will be subject
to payment of an appropriate fee.
RETENTION
We will retain your personal information in line with our Record Management Policy.
CALL RECORDING
Calls may be recorded or monitored for regulatory, training and quality purposes.
5. Declaration
I/we hereby certify that to the best of my/our knowledge and belief the statements and particulars contained herein are fully made and
that I/we have withheld no material fact concerning the accident or the injured party.
Signature of parent/guardian:
Date
6. Membership confirmation
I confirm that the above named pupil is a member of our Group Pupil Personal Accident cover.
Signature of school principal:
Date
Please continue overleaf

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