Tell us about a bereavement

Complete this form to tell us about a bereavement

We understand that dealing with a bereavement can be difficult. This form will only take a few minutes to complete.

If we need any more information after you’ve filled out the form, we'll be in touch.

Before you get started, check that you have the details we'll need.

Information about the deceased:

Name.
Date of birth.
Date of death.
Last known address.

It would also be helpful if you had the deceased’s policy number, but don’t worry if you don’t.

Information about you (and the next of kin if that's not you):

Name.
Address.
Phone number.
Email address.

Get started

TELL US ABOUT A BEREAVEMENT

Step 1 (of 3): Tell us about the deceased

Use information about the deceased to fill in this part of the form.

Title

First name

Last name

Date of birth

Date of death

Last known address

Address line 1

Address line 2 (optional)

Town/City

Country

Postcode

The deceased's policy number

You can find this on any of their policy or plan documentation. If there's more than one policy, just enter one of them below. It doesn't matter which one, as this form will help us find any other policies they might have with us.

Don’t worry if you don’t have a policy number. You can still complete the form.

Policy number (optional)

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TELL US ABOUT A BEREAVEMENT

Step 2 (of 3): Your details

We’ll use the information you give us in this section to keep in touch with you throughout the process.

Your title

Your first name

Your last name

Your relationship to the deceased?

Your email address

Your phone number

Address line 1

Address line 2 (optional)

Town/City

Country

Postcode

Are you the deceased's next of kin? Next of kin is normally someone who the deceased person is most closely related to. This can be a blood relative or someone of legal standing. For example, if you are the child of the deceased but there is a surviving spouse, the husband/wife is the closest next of kin.

Yes

I'm not sure

Next of kin's title

Next of kin's first name

Next of kin's last name

Next of kin's relationship to the deceased?

Next of kin's email address

Next of kin's phone number

Next of kin's address line 1

Next of kin's address line 2 (optional)

Next of kin's town/city

Next of kin's country

Next of kin's postcode

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TELL US ABOUT A BEREAVEMENT

Step 3 (of 3): Check the information you've given is correct

Please check all details are correct before you continue.

Information about the deceased

Name: ##deceased-sal## ##deceased-forname## ##deceased-surname##

Date of birth: ##deceased-day##/##deceased-month##/##deceased-year##

Date of death: ##deceased-death-day##/##deceased-death-month##/##deceased-death-year##

Address: ##deceased-add1##
##deceased-add2##
##deceased-tc##
##deceased-countrys##
##deceased-pc##

Policy number (if known): ##deceased-polno##

Edit deceased's details

Information about you

Your name: ##main-title## ##main-firstname## ##main-lastname##

Your relationship to the deceased: ##main-relationship-to-deceased##

Your email address: ##main-emailaddress##

Your phone number: ##main-phonenumber##

Your address: ##main-address1##
##main-address2##
##main-towncity##
##main-country##
##main-postcode##

Are you next of kin?: ##q-next-of-kin##

Information about next of kin (if applicable)

Next of kin's name: ##kin-firstname## ##kin-lastname##

Next of kin's relationship to the deceased: ##kin-rel-to-deceased##

Next of kin's email address: ##kin-emailaddress##

Next of kin's phone number: ##kin-phonenumber##

Next of kin's address: ##kin-address1##
##kin-address2##
##kin-towncity##
##kin-country##
##kin-postcode##

Edit your details

Back Finish

Your privacy is important to us. To understand how the personal information you give us will be used, please read our data privacy notice or ask for a copy on 0345 300 2244.