Tell us about a death using our online form

We need just a a few details about you and the person who died. We'll then get back in touch with you about your claim. This can take 5 working days.

This form should take about two minutes to complete. All fields are mandatory unless marked as (optional).

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Your contact details

Personal information collected on this form will be used to administer your request. To understand the detail of how we use your information you can read theĀ privacy policyĀ (opens in new window) or listen onĀ 0800 085 8352.

Your title
How would you prefer to be contacted?

Details of the person who has died

Title
Plan/policy information
If you have more than one, please separate them with a comma.