Online claim form for employees

Group Critical Illness

Get your claim started

To begin making a claim, just fill in the form below and our claims team will be in touch to let you know what happens next.

Alternatively you can call us on 0800 015 7523 or via email at groupciclaims@aviva.com. Our opening hours are Monday to Friday, between 9.00am and 5.00pm. For your protection and ours, calls may be recorded and/or monitored. Calls to 0800 numbers from UK landlines and mobiles are free of charge. Calls from outside the UK may be charged at international rates.

To submit the form, please enable JavaScript on your browser.

Policy details

Your details

Please enter the date in the format dd/mm/yyyy

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.
How would you prefer to be contacted? (Email/Phone) (optional)
Is this claim on behalf of a spouse/ partner or child?

Please enter the date in the format dd/mm/yyyy

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.
Is their address the same as the employee?
Preferred method of contact? Email/ Phone (optional)

Critical illness details

Please enter the date in the format dd/mm/yyyy

Please enter the date in the format dd/mm/yyyy

Please enter the date in the format dd/mm/yyyy

Have they previously suffered from the critical illness they are claiming for, or had any related illnesses?

Critical illness details

Please enter the date in the format dd/mm/yyyy

Please enter the date in the format dd/mm/yyyy

Please enter the date in the format dd/mm/yyyy

Have you previously suffered from the critical illness you are claiming for, or had any related illnesses?

Please provide the name, address, email and telephone number of the registered GP

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.

Please provide the name and address of any specialist seen in connection with the condition and the date of the last appointment

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.

Please enter the date in the format dd/mm/yyyy

By submitting this claim you’re confirming that the person the claim relates to is aware you are providing their details, or you have parental responsibility for them.

Aviva uses your personal data as set out in our Privacy Policy. We use Google’s reCAPTCHA technology to protect our websites from spam and abuse. The Google Privacy Policy and Terms of Service apply to reCAPTCHA.

If you are unsure if your condition or operation meets the insured definition, you can call our

claims team on the number above, or talk to your medical professional to clarify the definition.

  • Claims should be submitted within three months of first diagnosis or undergoing surgery or as soon as reasonably practicable.
  • If we are not notified of a claim within three months, we will not pay the lump sum benefit where any evidence required is no longer available due to the lapse of time. Where we are not notified within three months of first diagnosis the lump sum benefit will only be payable at our discretion.