Claim forms

We know this can be a difficult time for you. If you need make a claim, the first step is to notify Irish Life. If you need further assistance, our guide to making a claim and claims booklet will help. Please select from the relevant form below.

Death claims

Please select the relevant claim form below. 

death-claim-form-dual-joint-life.pdf

This form is to be completed when there are two people covered under the plan. This claim form is to be completed by the second person covered under the plan or by the trustee or assignee.

death-claim-form-single-life.pdf

This form is to be completed where there is one person covered under the plan and the life cover amount is less than €60,000. The claim form is to be completed by the next of kin or executor.

death-claim-form-greater-than-60000.pdf

This form is to be completed where there is one person covered under the plan and the life cover amount is greater than €60,000. The claim form is to be completed by the executor or administrator.

death-claim-form-child-life.pdf

This form is to be completed by the plan owner.

Once completed please return by post to;

Protection Claims Department
Irish Life
Lower Abbey Street
Dublin 1.

Non-death claim forms

Please follow the instructions blow in order to make your income protection or hospital cash cover claim.

hospital-cash-cover-claim-form.pdf

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.

Income Protection claims

If you would like to make an Income Protection claim, the first step is to either;

  • Contact your financial advisor, or
  • Contact our customer service team on+353 (0)1 704 1010

Any information provided will be used solely for the purposes of processing your claim.

Specified illness claims

If you would like to make a Specified Illness claim, the first step is to either;

  • Contact your financial advisor, or
  • Contact our customer service team on+353 (0)1 704 1010

Any information provided will be used solely for the purposes of processing your claim.