Insurance Research - Consent Form


Insurance communications – Consent form 

Thank you for agreeing to take part in this research study. The aim is to better understand how customers experience insurance – including nurturing, claims, renewal, and ongoing communications from their insurer. 

As part of this study, we will ask you to collect and share screenshots of emails, texts, app notifications, or account messages 

Your screenshots will only be used for research purposes. Any personal or identifying information (e.g. your name, address, claim reference numbers) will be blurred or redacted by the research team. 

Participation in the study is entirely voluntary. You can stop at any point. The information you provide will be treated confidentially and will not be shared beyond Lumivo and the research partner (Take Part in Research). No personally identifying information will appear in any reporting. 

Consent Statement 

Please read the following and confirm your agreement by writing the words "I consent" in the Consent response box below and fill in your name and the date. 

I understand the nature of the research project and what I’m being asked to do. 

I give permission for Lumivo and Take Part in Research to use the materials I provide (screenshots and survey responses) for internal research and reporting purposes. 

I understand that my personal details will remain confidential and will not be shared or published. 

Name:  
Date:
Consent response:  

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Insurance Research - Consent Form
lock iconUnique Document ID: c5556ae1ed0b07bd7708161c3543fe8e8e193f2a
Timestamp Audit
July 31, 2025 2:35 pm BSTInsurance Research - Consent Form Uploaded by Hannah Kruger - [email protected] IP 82.148.32.25
July 31, 2025 2:41 pm BSTTPIR Inbox - [email protected] added by Tap Tarika - [email protected] as a CC'd Recipient Ip: 82.148.32.25
July 31, 2025 2:48 pm BSTTPIR Inbox - [email protected] added by Tap Tarika - [email protected] as a CC'd Recipient Ip: 82.148.32.25
July 31, 2025 2:49 pm BSTTPIR Inbox - [email protected] added by Tap Tarika - [email protected] as a CC'd Recipient Ip: 82.148.32.25
August 14, 2025 6:25 pm BST Document owner [email protected] has handed over this document to [email protected] 2025-08-14 18:25:59 - 86.189.243.158
August 14, 2025 6:26 pm BSTTPIR Inbox - [email protected] added by Hannah Kruger - [email protected] as a CC'd Recipient Ip: 86.189.243.158
August 19, 2025 4:35 pm BSTTPIR Inbox - [email protected] added by Hannah Kruger - [email protected] as a CC'd Recipient Ip: 82.148.32.25
August 19, 2025 4:36 pm BSTTPIR Inbox - [email protected] added by Hannah Kruger - [email protected] as a CC'd Recipient Ip: 82.148.32.25
August 19, 2025 4:37 pm BSTTPIR Inbox - [email protected] added by Hannah Kruger - [email protected] as a CC'd Recipient Ip: 82.148.32.25
August 19, 2025 4:38 pm BSTTPIR Inbox - [email protected] added by Hannah Kruger - [email protected] as a CC'd Recipient Ip: 82.148.32.25