* Mandatory field

Your details

 

AMP policy or plan number

 

Deceased's details

Did the deceased leave a Will?
Have you applied (or will apply) for Grant of Probate or Letters of Administration?

Please provide details of all surviving children (this includes adopted and step children and children from a previous marriage), spouse or de facto spouse, parents, brothers, sisters and other persons dependent on the deceased when they died. If the deceased was previously divorced or in a de facto relationship, provide details for that person, as well as anyone else who lived with the deceased and/or received financial assistance from.

 

Details for correspondence

Please tick the appropriate option

 

Completing this online application

You will need to send us the following so we can commence your claim application:
  1. Proof of identity of the deceased1 (Please refer to the point 3 of the Notes section)
  2. Confirmation of death2 (Please refer to the point 3 of the Notes section)

You can email or post the documents to AMP:

lifeclaims@amp.com.au
or
AMP Life Claims
PO Box 300
PARRAMATTA NSW 2150

Once you submit this form, we'll send you a letter requesting further information within 10 business days. If you have any questions, you can call us on 131 276. 

Privacy

The information you provide is being collected by AWM Services Pty Ltd ABN 15 139 353 496 (AWM Services), which is part of the AMP group, and AMP Life Limited ABN 84 079 300 379 (AMP Life), which is part of the Resolution Life group, in order to assess your claim. 'We', 'Us', 'Our' refer to AWM Services and AMP Life. Without this information, we will not be able to assess your claim. Your personal information may be shared with business areas or companies within our groups for these purposes.

Where required by law or for the purposes of supplying our financial services to you we may disclose your personal information to individuals, external service providers or government bodies located in Australia or overseas (recipients). Our Privacy Policies provide more information about how we manage and protect the personal information we hold about individuals. It sets out how you can access and correct the personal information that we hold about you, how you may complain about a breach of privacy and our process for resolving privacy related enquiries and complaints.

 

 

Notes

1. Proof of Identity of the deceased can be one of the following:
  (a) Drivers licence; or
  (b) Passport; or
  (c) Full birth certificate

2. Confirmation of death is a minimum of one of the following:
  (a) Registrar's full certificate of Deathi; and/or
  (b) Medical certificate (of Cause of Death); and/or
  (c) Letter(s) of Administration; and/or
  (d) Probate
i Note:if the death occurs overseas, the certification of the death certificate must be certified by the Australian Consulate in the Country of death & certified copy of translated certificate by NAATI

3. Certification of documents:
A copy of a document must be certified to be a true and correct copy of the original document. Only certain people can certify copies including:

  • police officer or sheriff
  • justice of the peace or notary public
  • legal practitioner, magistrate, judge or registrar/deputy registrar of a court
  • pharmacist, physiotherapist or veterinary surgeon
  • optometrist, dentist, medical practitioner or nurse
  • member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practicing Accountants or the National Institute of Accountants.

View the full list of people who can certify documents