Denplan for patients/Contact us/Bereavement form

Tell us of a bereavement

Please accept our sincere condolences during this difficult time.

We will aim to do everything we can to make your query as trouble free as possible.

Please be aware that we can only accept cancellations of this nature from a family member or someone who holds a Death Certificate.

We are sorry to advise that we cannot action any cancellation of this nature without consent from a direct family member or from someone who has and can prove their Power of Attorney over the patient or hold a death certificate.

If you know of someone who matches this criteria, please ask them to kindly get in touch the same way and we will be more than happy to help.

All fields are required unless labelled optional.

For contact details - Person notifying us

Contact Name^*

Email^*

Phone (optional)

First line of address^*

Postcode^*

For the deceased - Policy holder

Name^*

Date of birth^*

Date of death^*

Postcode^*