Bereavement information form

Important information

Please read this section carefully before completing this form.

  • Royal London is the Trustee/Scheme Administrator of the pension scheme under which certain pension plans are held.
  • In that role, we have discretion when deciding who to make the payment of the death benefits to. The person(s) or body chosen must be within the ‘class of beneficiaries’ as set out in the pension scheme rules.
  • If the planholder has told us who they want us to consider making the payment to, although this nomination is not legally binding, we will take account of their nomination as part of the decision-making process.
  • In order to identify all potential beneficiaries, we must make appropriate enquiries and collect (and take account of) all the relevant facts in relation to the planholder’s personal circumstances at the time they passed away. Even if a planholder has nominated a beneficiary, it may be that they did this years ago, and their personal circumstances have changed since then (e.g. they have remarried).

Some information/documents you will need to complete this form:

  • The full name of the plan holder who died and their last known address
  • Their date of birth
  • Their National Insurance Number – can be found on items such as pay slips or HMRC letters
  • Plan number (s) – not mandatory but will help us locate all policies held with us
  • Copy of the death certificate must be attached in section 5 of this form
  • Copy of the will, if one was left, should be attached in section 5 of this form.

Please complete as much information as you can below. If you leave some fields blank, we can’t assume that means the information isn’t applicable. So it is better to state ‘N/A’, meaning not applicable, against any information that does not apply.

This form should take no more than 5 minutes to complete. All fields are mandatory unless marked as (optional).

 

Let us know about a death online

 

1. Planholder’s information

Their title
Please use the format DD/MM/YYYY
The date of death stated on the death certificate. Please use the format DD/MM/YYYY
Their last known address
Please enter the first line of your address.
Do you know the plan number relating to the person who died?

2. Tell us who you are 

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 the privacy policy (opens in new window) or listen on 0800 085 8352.

If you are representing the executor/potential beneficiary, please fill in your company's details below.

 
Title
Address
Contact details

In case we need to contact you, please provide your telephone number and/or email address.

We may use this email address to send you updates about your claim.
Preferred method of contact
If you are representing the executor/potential beneficiary, please provide their full name.

3. Required information

Please remember to complete all of the boxes below as fully as you can, even if there is a nominated beneficiary. If any information is left blank, we may have to come back to you for more information, which would cause a delay to the progress of the claim.

Please only provide details for living relatives.

*What does financially dependent mean?

This means being financially reliant upon the planholder or being in a relationship of joint financial reliance. For example, sharing utility bills, a dependent child or a dependent due to mental or physical incapacity etc.

Was the planholder legally married?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Did the planholder have a co-habiting partner?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Were they (the co-habiting partner) financially dependent on the planholder?
Did the planholder have any children? Please note that ‘children’ includes 18+/adult children
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (the first child) financially dependent on the planholder?
Did they have another child?
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (the second child) financially dependent on the planholder?
Did they have another child?
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (the third child) financially dependent on the planholder?
Did they have another child?
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (the fourth child) financially dependent on the planholder?
Did they have another child?
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (the fifth child) financially dependent on the planholder?
Was the planholder survived by their parents?
Please use the form DD/MM/YYYY
Does this person live in the UK?
Were they (parent 1) financially dependent on the policyholder?
Please use the form DD/MM/YYYY
Does this person live in the UK? (optional)
Were they (parent 2) financially dependent on the planholder? (optional)
Was the planholder survived by any siblings?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Were they (sibling 1) financially dependent on the policyholder?
Did they have another sibling?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Were they (sibling 2) financially dependent on the planholder?
Did they have another sibling?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Were they (sibling 3) financially dependent on the planholder?
Did they have another sibling?
Please use the format DD/MM/YYYY
Does this person live in the UK?
Were they (sibling 4) financially dependent on the planholder?
Are there any other potential beneficiaries we need to consider?
If they are financially dependent please upload evidence in section 5.

4. Additional information

5. Document upload

Please upload Death Certificate and any other supporting documents. If there is anyone who is financially dependant, who isn’t the spouse, please provide evidence of this such as joint bank account statements, joint rent agreement, joint utility bill etc. These documents need to be dated within the last 12 months.

 

And/or any other supporting documentation such as the will.
Please use PDF file format only.

6. Declaration

I confirm that I am/we are the person(s) best placed to provide the factual information required by Royal London to make an informed decision as to who the death benefits should be paid to.

I/we have considered the answers that I/we have given carefully and as far as I am/we are aware, the information provided on this form is an accurate account of the planholder’s personal circumstances at the date of death.

I/we confirm that every answer provided by me/us on this form is correct and complete to the best of my/our knowledge and belief.