Denplan for patients/Contact us/Bereavement form

Tell us about a bereavement

We’re very sorry to hear about your loss.

We're here to support you through this difficult time. Please use this page to notify us of a bereavement so we can begin the necessary steps to assist you.

If this relates to a Simplyhealth policy, please use our Simplyhealth bereavement form here.

All fields are required unless labelled optional.

For contact details - Person notifying us

Contact Name^*

Email^*

Phone (optional)

First line of address^*

Postcode^*

Relationship to the person who has passed away^*

For the person who has passed away - Policy holder

Name^*

Date of birth^*

Date of death^*

Postcode^*

Please note - we may require a copy of the death certificate to finalise our admin process. Should this be the case we will contact you using the details provided in this form.

Tell us about a bereavement

Other useful links

Help and bereavement support

Funeral services

Financial and legal advice