Change of Address (UK/International)

Change of Address Request Form

The purpose of this form is to capture all the information needed to register a change your address.

This may take up to 10 minutes to complete.

Once you've completed the form press 'Send'.

Please complete the form in full, so that we can verify your identity and update your address.

Policy No.

Title

Title - other

First Name

Surname

Date of birth

Please provide the address we currently hold on our records.

Is the address we hold on file currently overseas?

Yes

House No. / Name

Street Name

Your city or town

Your province, state or department

Your zip or postal code

Country

Email address

House no. / name

Street name

Town / City

Your county, province, state or department

Your zip or postal code

Country

Do you have more than one life insurance policy?

Yes

Do you want to update your address for:

All your life insurance policies

This policy number only

We understand that your needs may change during your policy.

If you would like us to call you to discuss options for making changes to your policy, complete the section below.

Why are you requesting this change to your policy today?

Please type your reason for requesting this change

Does this policy still meet your needs?

Would you like us to call you to discuss options for making changes to your policy?

Please provide a preferred contact number for us to call you on within the next 2 working days.

Your preferred contact number

Please note that this change of address request will be applied to Life Cover policies in your name only.