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If you wish to make a Hospital Cash Cover claim please complete the claim form below. Section A of the claim form must be completed by the person making the claim and Section B of the claim form must be completed by the attending doctor in the hospital.

Once completed please return by post to:
Risk Benefits Department
Irish Life
Lower Abbey Street
Dublin 1

Hospital Cash Cover claim form (pdf 30kb)

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The pages of this site are issued in the Republic of Ireland and are for the information of Republic of Ireland residents in relation to Republic of Ireland products only. Access to this Web site and use of the information on it is subject to the following Terms and Conditions of Site Use. By proceeding further you will be deemed to have understood and agreed to be bound by these terms and conditions. If this is not acceptable to you, you should exit this site now. Irish Life Assurance plc is regulated by the Financial Regulator. "Irish Life" is a member of the Irish Life and Permanent plc group. Irish Life Assurance plc is a company registered in Ireland. Registered office is situated at Irish Life Centre, Lower Abbey Street, Dublin 1. Registered Number 152576.