Death Claim

Please complete the online form below, once submitted a consultant will make contact with you. Alternatively, you can download the claim form at the bottom of the page, fill it in and email back to us at

If the cause of death was an accident, please also download the police form below.

Details of Deceased

If deceased is a minor
If deceased is a minor

Details of Death

Funeral Undertaker

Supporting documentation required:
  • Death Certificate
  • Copy of Identity Document of Policyholder
  • Copy of Identity Document of Deceased
  • Copy of Identity Document of Beneficiary (If Main Life has passed away)
  • Proof of banking
  • DHA 1663
  • Other documentation may be required at the time of assessing the claim

086 111 4803

Real People Views

12 Esplanade Road,
East London

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Real People Assurance Company Limited | Registration number 2001/028918/06 | Authorised Financial Services Provider FSP No. 26634
Terms and Conditions apply to all advertised offers. ERRORS AND OMISSIONS EXCEPTED.

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