Tell us about a death

We’re sorry if you’re dealing with a death and know this can be a difficult time.​

We hope this form makes it easier to tell us what happened. Please fill out as much as you can – we’ll take care of the rest. 

Tell us about yourself

Are you working with a financial advisor? (Optional)

Tell us about the person who died

Tell us about the funeral home

Tell us who to contact

This is the person we'll contact about this claim. Make sure you have their permission to share their contact information.

By clicking Submit, you confirm you have permission to give us this information to start working on this claim.