Critical illness claim notification

If you need to make a claim, you can get the process started online.

To make a claim just fill in the form below and a member of our claims team will be in touch to let you know what happens next. If you’re a group protection policy holder, you’ll need to fill in a different form.

Your data and rights

We collect and use personal information so we can assess a claim. This notice explains the most important aspects of how we use personal information, but you can get more information about the terms we use and view our full privacy policy at: www.aviva.co.uk/privacypolicy

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

(Policy numbers are typically between 8-10 characters made up of letters and numbers)

Claimant's details

Preferred method of contact

Details of your claim