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Protection claim forms

Claim forms for Irish Life's protection benefits

Protection claim forms
  • Accident cover claim form
  • Accident cover claim form - fractures and dislocations
  • Death claim form, single life when the amount payable is less than €100,000
  • Death claim form, single life when the amount payable is greater than €100,000
  • Death claim form - joint or dual life
  • Hospital cash cover claim form

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  • irishlife.ie

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. 
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.

© 2022 Irish Life Insurance