Notify of a bereavement

Your form has been submitted

Please provide the Policy Number

Policy number (Begins with 2, 3, UK, US, UP, U, G, 0T0 or 00)

Title

First name

Last name

Middle name(s) (if applicable)

Last known address for the deceased

Date of birth

Please enter the date of birth in the format DD/MM/YYYY

Date life assured/ policyholder passed away

Please enter a date in the format DD/MM/YYYY

Is a full death certificate available? Yes No

If 'No', please advise which Coroner's office is dealing?

Country of death?

Please advise us if a grant of probate is being obtained Yes No

Please advise us if a 'Will' exists? Yes No

Title

First name

Last name

Your full address

Your telephone number (incl. STD code)

Your email address (if applicable)

Relationship to life assured/ policyholder

Additional information (if applicable)

Name of spouse (if applicable)

Spouse's date of birth (if applicable)

Please enter the date in the format DD/MM/YYYY

Spouse's full address (if applicable)

Please note that if there's a spouse named on the plan we'll need to send the correspondence to them.

Does the life assured/policyholder have any additional policies with Legal & General? Yes No