Customer service forms

If you cannot find the form you are looking for, please feel free to contact our Customer Service Team on (01) 704 1010 or email customerservice@irishlife.ie

General

Evidence of Health form (pdf 27kb)

To reinstate a lapsed plan, you must complete the above form and return to us. Final decision on whether we are in a position to reinstate your plan will rest with our Underwriters.

Direct debit mandate (pdf 16kb)

If you would like to change the bank account details or start making payments by direct debit, please fill in the above form and return to us.




Please print and post your signed and completed form to:

Customer Services Team
Irish Life Assurance plc
Lower Abbey St.
P.O. Box 129
FREEPOST
Dublin 1

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Contact Us
Irish Life Call: +353 (0)1 704 1010
Canada Life Call: 1850 203 203
Outside Ireland Call: 01 704 1740

Email: customerservice@irishlife.ie

Mon - Thurs: 8am to 8pm, Fri: 10am to 6pm, Sat: 9am to 1pm
Call In
Irish Life Visitor Centre
Lwr Abbey St
Dublin 1

Mon - Fri: 9am to 5pm


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Irish Life Financial Services ltd. is regulated by the Central Bank of Ireland. Irish Life Assurance plc. is regulated by the Central Bank of Ireland.
Irish Life Financial Services ltd and Irish Life Assurance plc Registered Office - Lower Abbey Street, PO Box 129, Freepost, Dublin 1. Phone: 01 704 2000, E-mail: customerservice@irishlife.ie.
Irish Life Financial Services Registered Number 489221. Irish Life Assurance plc Registered Number 152576.
In the interest of customer service, we will record and monitor calls.

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