Notify us of a bereavement

We’re really sorry about your loss. To notify us of a bereavement please contact us on 0151 702 0265 or complete the form below so we can help you during this difficult time.

If at any time you feel you need more support, we would encourage you to visit https://www.ataloss.org/ for more resources and service signposting.

Deceased Policyholder Details

The name of the deceased *

Date of death *

Their policy number (if known)

Has the deceased been in hospital in the last 6 months (for longer than one night)?

The deceased's home address including postcode *

Has the deceased had any other treatment that may be covered in the last 6 months? (Optical, Dental, Physiotherapy etc.)

Next of Kin Details/Informant

Is the informant the legal Next of Kin?

Next of Kin's relationship to deceased

Next of Kin name

Next of Kin's contact number

If not Next of Kin, informants full name and contact number

We are here to help and guide you through the process, if you would like us to call you please confirm your contact number and a member of our team will call you within 2 working days. Our office hours are 8am-5pm, Monday to Friday, excluding public holidays (optional)

If you would prefer to be contacted by email, please provide your email address. (optional)

The information provided in this form is true, complete and accurate to the best of my knowledge;