Customer Bereavement

We are sorry to hear about your loss, please fill out the form below as best you can and we'll take care of the policy.

Customer details

Name of customer

Was the customer’s passing a result of a road traffic accident?

Does the customer have any other cover, policies or products with one of our brands?

help
Our brands:

  • Admiral
  • Bell
  • Diamond
  • Elephant
  • Gladiator
  • Ford Insure
  • AA Insure

help
Our brands:

  • Admiral
  • Bell
  • Diamond
  • Elephant
  • Gladiator
  • Ford Insure
  • AA Insure

Your details

What is your name?

Where do you live?

Our opening hours are 08:00 – 17:00, Monday – Friday. If we don’t need to call, we’ll write to the contact details you’ve provided

Are you the customer’s Next of Kin or Executor?

Please select your preferred contact method, if these options are available (select all that apply)