We are sorry to hear about your loss, please fill out the form below as best you can and we'll take care of the policy.
Name of customer
Was the customer’s passing a result of a road traffic accident?
Does the customer have any other cover, policies or products with one of our brands?
What is your name?
Where do you live?
Our opening hours are 08:00 – 17:00, Monday – Friday. If we don’t need to call, we’ll write to the contact details you’ve provided
Are you the customer’s Next of Kin or Executor?
Please select your preferred contact method, if these options are available (select all that apply)
