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Details marked with * must be completed in full.
Only complete this section if the contact for the claim is to be different to you.
If the plan is in trust/jointly owned or assigned we will only be able to supply claim information to the plan owner.
If not jointly owned you will have to provide executor(s) details. We will contact them with regards to the claim.
Please note we may need to see a death certificate, which we will confirm in our notification letter.