Bereavement Notification Form | Saga Car Insurance

All fields are required unless states as optional

Name of policyholder

Please enter the name of the policyholder

Date of passing

Please enter the date of passing

Policy number

Enter the policy number. Their Saga Car Insurance policy number will start with ‘10’ or the letter ‘M’.

Policyholder's date of birth

Please enter policyholder's date of birth

Policyholder's address

manually enter address

Address Line 1

Address Line 1 is missing

Address Line 2

Town

Town is missing

County

Postcode

Postcode is missing

Postcode is invalid

Are you the executor or a representative?

Please select either 'Executor' or 'Representative'

Executor/representative full name

Please enter the name of the executor

Executor/representative address

manually enter address

Address Line 1

Address Line 1 is missing

Address Line 2

Town

Town is missing

County

Postcode

Postcode is missing

Postcode is invalid

Executor/representative telephone number

Please enter the executor's telephone number

Please enter a valid telephone number

Executor/representative email address

Please enter the executor's email address

Please enter a valid email address

What do you want to do with the car insurance policy?

Title of spouse/partner (if applicable) (optional)

Name of spouse/partner (if applicable) (optional)

Date of birth of spouse/partner (if applicable) (optional)

Occupation of spouse/partner (if applicable) (optional)

Is probate required?

Please select either 'yes' or 'no'

If probate is required, where will the vehicle be kept? (optional)

Whose address is this and what is the relation? (optional)

How long will it be kept at this address? (optional)

If you have answered all the questions, click submit

Please verify

Bereavement service car insurance form