	Monthly Outgoings
	Food	£
	Gas, water, phone, electricity etc.	£
	Loans	£
	Rent	£
	Council Tax	£
	Clothing	£
	Holidays	£
	Travel	£
	Other Insurance's	£
	Other Regular Expenses	£
	Total outgoings per month	£
	Total per annum	£
	Number of years the cover is needed for		Years
	Total cover required	£