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* Pre-contractual duty of disclosure

  You must answer all questions contained in this application form honestly and with reasonable care. Failure to do so may result in your policy being cancelled or we may refuse to deal with any claims or reduce the amount of a claim payment, as detailed under the Impact of Misrepresentation section, which you should read carefully.

The answers you provide are the basis upon which an insurance cover quotation will be offered or refused.

Warning
If you are not in a position to answer all of the questions asked of you in this cover application process, honestly and with reasonable care, then you should not proceed with your insurance quotation request.
Completed Application Form
If you decide to purchase cover and once your contract of insurance has been concluded with Laya Healthcare , you will be provided with a copy of your completed insurance cover application form, either on paper or another durable medium.

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Laya healthcare Car Hire Excess insurance is underwritten by AIG Europe S.A.. In order to provide our products and services and to run our business, we (AIG) will collect and  use  your Personal Information.  Personal Information may be used for various purposes including: insurance and claims administration, detection and prevention of crime, legal and regulatory compliance. We may share your Personal Information with our affiliates, service providers and other third parties for these purposes. Your Personal Information may be transferred outside the country in which you are located, including to countries outside the European Economic Area.
Automated decisions - This online system processes the information in your application using an automated decision-making tool that does not involve human input.  This automated tool checks the information in your application against our acceptance criteria to determine whether and on what terms we are able to provide you with insurance.
As a data subject you have certain rights in relation to your Personal Information including the right, in certain circumstances, not to be  to be subject to a decision based solely on automated processing. More details about AIG's use of Personal Information and your rights as a data subject can be found at www.aig.ie/privacy-policy or you may request a copy using the following contact details: Data Protection Officer, AIG Europe S.A., 30 North Wall Quay, International Financial Service Centre, Dublin 1 or by email at: dataprotectionofficer.ie@aig.com