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Claim (24-hour helpline)

Change of name or marital status

Do you wish to make a change?

In the case of amendments of name or marital status, we require, by post or electronically via «attach documents», a copy of the following documents:

  • an official document (marriage, divorce, change of name or adoption certificate)
  • an official identification document containing the new signature (e.g. passport, identity card)

Fields marked * must be completed.

I hereby inform you that my marital status has changed due to:

Marital status*

Please enter your former marital status.

Old details

Title*

Please enter your former title.

Please enter your former first name.

Please enter your former surname.

Please enter the street name of your former address.

Please enter a valid postcode.

Place of residence*

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Please enter a valid place of residence.

Please enter a valid telephone number.

Please enter a valid telephone number.

Please enter your date of birth.

New information

Title

Please enter a valid postcode.

Place of residence

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Please enter a valid place of residence.

Please enter a valid e-mail address.

Please enter a valid telephone number.

Please enter a valid telephone number.

Please enter a date

Please enter your policy number.

 characters remaining

Upload attachments?

Attach Documents (PDF/JPG/PNG/ZIP, max. 20 MB, max. 3 documents)*

The maximum size of all files is 20MB.

Files must be .pdf, .jpg, .png or .zip only.

This file is infected.

No file selected.

Contains the same file twice

The maximum size of all files is 20MB.

Files must be .pdf, .jpg, .png or .zip only.

This file is infected.

Contains the same file twice

The maximum size of all files is 20MB.

Files must be .pdf, .jpg, .png or .zip only.

This file is infected.

Contains the same file twice

  • {{file.name}}

captcha

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