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Birdview Insurance

Group Last Expense Claim Form 2026
Member & Claim Details
Cause of Death *
Required Supporting Documents

PDF, JPEG, or PNG (Max 5MB)

PDF, JPEG, or PNG (Max 5MB)

PDF, JPEG, or PNG (Max 5MB)

In case of accidental death, a police abstract or report must be provided (PDF, JPEG, or PNG - Max 5MB)

Privacy & Consent

Birdview Insurance is committed to protecting your personal data. In line with the Data Protection Act, we collect, store, and process your data strictly for the purpose of providing insurance services, claims processing, and regulatory compliance.

By signing this form, you consent to Birdview Insurance collecting and processing your personal data, including sensitive medical and financial information, for the purposes of evaluating, approving, and paying insurance claims.

Your personal data may be shared with third-party service providers, regulators, or reinsurers strictly for the purposes outlined above. Birdview will ensure your data is safeguarded against unauthorized access, loss, or disclosure.

You have the right to access, correct, or request deletion of your personal data held by Birdview, subject to applicable law and contractual obligations.

Please confirm your consent to the statements below: