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.


* Indicates a required field.

Your contact details

So we can get back in touch with you.

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.