Let us know about a bereavement

To assist you during this difficult time, we’ve simplified the process of letting us know about the loss of a loved one.

Notify us of a death

Our sincere condolences to you and your family. To ease some of your burden, we’ve made notifying us of a bereavement as simple as possible. Please use our online form below to provide us with the details we need to process your claim quickly and easily.

What You’ll Need

Before you start filling out our bereavement notification form, please have the following information at hand:

The deceased’s details

We will need the full name, date of birth, and date of death of the deceased.
Relevant policyholder information

If available, we’ll also need the relevant policy number and pension payroll number.

Please complete all sections marked with an asterisk (*). Once you submit the form, we’ll send a confirmation email to acknowledge the receipt of the required information.

We’ll contact you separately to let you know if we require any additional information.

Bereavement notification form

Product Details

Product type ^*

Policyholder Details

What is the policyholder’s full name?^*

Previous name or other names known by (if applicable)

Policyholder’s date of birth ^*

What is the policy number?

Date of death ^*

Country of death ^*

Policyholder’s marital status ^*

Spouse's name ^*

Pension payroll number ( Only applicable for Annuities. This can be found in the Pensioner’s details section on their P60)

Policyholder's address ^*

Contact Details

Your full name ^*

Your relationship to the Policyholder ^*

If we have any further questions about this form can we call you back?

Your contact number

When would be a good time to call? (Our opening times are Monday to Friday.)

Are you the person we should contact going forward? ^*

The name of the person who we should contact ^*

Their relationship to the policyholder ^*

Preferred method of contact ^*

Contact email address ^*

Best address to send our correspondence to ^*

Any other information you would like to provide?

The information you have provided in this form will be used in accordance with our data protection notice. A copy of this notice can be found here Data protection notice | Canada Life UK

I confirm I have read the Data Protection Notice and agree to Canada Life using, processing and sharing my personal data (including special categories of personal data) provided for the purposes set out in the Data Protection Notice.