Make a claim form - death | Zurich

Life insurance claim

Make a claim form

Details marked with * must be completed in full.

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Your details
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Details of the death claim
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1000 character limit
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If yes: please state their name. If no: please confirm their marital status – single/divorced. If divorced: please confirm the date of divorce if known.
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Where there is no surviving owner
(full names, addresses and telephone numbers where possible)
Contact for claim - Please note for plans in trust/jointly owned we will only write to surviving owner/s

Only complete this section if the contact for the claim is to be different to you.