Change of name form (valid for UK policies beginning with PR)

About you

Details marked with * must be completed in full.

Policy number (this MUST begin with PR). If you hold more than one Life insurance policy beginning with PR, we’ll make changes to all of those policies:

Your old name including your title:

Your new name including your title:

Date from which your new name is effective:

Your date of birth:

Your email address:

Your telephone number:

Reason for your name change (for example, marriage / divorce / civil partnership / etc):

First line of your address:

Second line of your address (optional):

City or Town:

Postcode

Do you have any requirements you’d like us to be aware of when fulfilling your request?

Electronic check

As a security measure we will complete electronic checks through third parties to verify your identity. This isn't a credit check, and it won't form part of any credit reference assessment, but it may mean we can validate your change without the need for any additional documentation.

In the event that an electronic check isn't successful or the data set we check against has not been fully updated yet, we'll ask you to provide copies of the evidence required.

I consent to Zurich completing an electronic check if required.