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  • Claims

Claims

Pension Maturities Claim Forms

  • Personal Pensions (PDF - 200 KB)
  • Company Paid Pensions (PDF - 246 KB)
  • Personal Retirement Bonds (PDF - 186 KB)
  • PRSA Pensions (PDF - 236 KB)

Pension Transfers Claim Forms

  • Personal Pensions (PDF - 34 KB)
  • Company Paid Pensions (PDF - 34 KB)
  • Buy-out Bond (Esi-Tran) Pensions (PDF - 34 KB)
  • PRSA Pensions (PDF - 8 KB)

Permanent Health Insurance Claim Forms

  • Waiver of Premium Benefit (PDF - 31 KB)
  • Individual Permanent Health Insurance (PDF - 36 KB)
  • Employers Permanent Health Insurance (PDF - 30 KB)

Serious Illness Claim Forms

  • Serious Illness (PDF - 117 KB)
  • Permanent Total Disablement (PDF - 34 KB)
  • Hospital Cash (PDF - 32 KB)
  • Certificate of Hospitalisation (PDF - 29 KB)
  • Surgical Cash Benefit (PDF - 31 KB)
  • Personal Accident Benefit (PDF - 55 KB)
  • Overseas Surgery Benefit (PDF - 30 KB)

Child Life Claim Forms

  • Authorisation for Release of Medical Information (PDF - 28 KB)
  • Child Serious Illness (PDF - 32 KB)
  • Child Overseas surgery benefit (PDF - 30 KB)
  • Child Hospital Cash (PDF - 32 KB)
  • Child Certificate of Hospitalisation (PDF - 16 KB)

Miscellaneous

  • Lost Policy Declaration (PDF - 33 KB)
  • Payment Request Form (PDF - 73 KB)

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    Zurich Life Assurance plc is registered in Ireland under number 58098. Registered office: Zurich Life Assurance plc, Zurich House, Frascati Road, Blackrock, Co. Dublin. Zurich Life Assurance plc is regulated by the Central Bank of Ireland.

    Copyright © Sat Nov 04 18:35:21 GMT 2017 Zurich Life Assurance plc