Specified Illness Application Pack

Application Pack for Specified Illness Mortgage Cover

  • Step 1:
    Application form for you to print, complete and post back to LABrokers.
    Step 2:
    Write your quote number at the top of the form. Your quote number is: .
    Step 3:
    Post the application form to LABrokers, Newcastle, Freepost FGSS10, Greystones, Co Wicklow. (No stamp necessary).
    Step 4:
    On receipt of your application by post, LABrokers, will email you with updates until your policy is ready to go*. You can then decide on a start date for the policy and the documents will be posted to you.

*subject to underwriting by the insurance provider.

Call Us

Call us on 01 281 0577

We're here to answer your questions

Message Us

Use our Contact Form

Send us a message, we'll get back to you

About LA Brokers

LABrokers became Ireland's first online discount broker in 1997. We specialize in selling discounted insurance products to residents of the Republic Of Ireland.

Our chief executive is John Geraghty, who has many years experience of looking after the Life Insurance, and related insurance requirements, of clients from all over Ireland. Our foundations are firmly based in our successful "real world" insurance brokerage practice in Greystones, Co. Wicklow.


LABrokers Newcastle
Co. Wicklow

Ph: 01 281 0577

Mon-Fri 9am - 1pm & 2pm - 5pm

© LABrokers Ltd, trading as LABrokers is regulated by the Central Bank of Ireland
Registered office LABrokers, Newcastle, Greystones, Co. Wicklow. Company reg No. 303231
A private company limited by shares and having a share capital.

Systems by Dovetail