Death

Details of the insured person

Policy no.

Title

First name

Last name

Street

No.

Postcode

Place

Country

Date of birth

Marital status

since, date

E-mail

Date of death

*Mandatory fields

Details of the surviving dependants

Note: Spouses, registered partners as well as minor children and those children of the insured w ho are under the age of 25 and still at school or undergoing professional training are preferred beneficiaries pursuant to the Order of Precedence for Beneficiaries.

Note: Precedence for Beneficiaries further includes as beneficiaries any natural persons supported by the insured to a considerable extent; or the person with whom the insured lived together without interruption for the last five years before his/her death or who is responsible for supporting one or more children; the children of the deceased who do not satisfy the requirements of Art. 20 LOB, the parents or the siblings; as well as the other legal heirs, to the exclusion of the public body.

Surviving spouse/registered partner

First name

Last name

Street

No.

Postcode

Place

Partner

First name

Last name

Street

No.

Postcode

Place

Children of the insured

Child

First name

Last name

Street

No.

Postcode

Place

Date of birth

Others entitled to claim according to the benefit regulations.

Other entitled person

First name

Last name

Street

No.

Postcode

Place

Relationship with the deceased

Child with no entitlement to benefits
Siblings
Parent
Person receiving substantial support
Other legal heirs

*Mandatory fields

Documentation relating to the death

To simplify matters, please attach the documents you already have.

Documents required:

Official death certificate
List of heirs
Family record document or certificate of the registered partnership

Additional documents, if an entitlement shall be considered:

for persons supported by the insured to a considerable extent
for a person with whom the insured lived together without interruption for the last five years before his/her death
for a person who is responsible for supporting one or more children
For adult children under the age of 25 and still at school or undergoing professional training (see above): certificate of the educational institution

Documents attached:

Upload documents

You can upload the documents as a file here.

Drag the file here
or click to select it (10 MB; jpg, png oder pdf)*

Document accepted

*Mandatory fields

Contact person details

Note: This Notification of Death serves the Foundation exclusively for information purposes. The Foundation reserves the right to demand additional information which may serve to identify the beneficiaries. Once the right to benefit is established, the Foundation w ill request the necessary address details for payment from the beneficiaries.

The reglementary Order of Precedence for Beneficiaries serves as a basis to determine the right to benefit in con junction with any requests for changes to or clarifications of the Order of Precedence for Beneficiaries as supplied by the insured him / herself.

First name

Last name

Street

No.

Postcode

Place

E-mail:

Telephone no.

*Mandatory fields

Summary

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Data protection

All personal data will be processed in accordance with the current legislation:
For compulsory occupational benefits, the data protection regulations of LOB (Art. 85a ff. LOB) apply. The provisions of the FADP apply in addition. The FADP applies to purely supplementary occupational benefits (for information e.g. identity and contact details of responsible persons, processing purposes, etc. please see www.helvetia.ch/privacy).

Details of the insured person

Details of the surviving dependants

Documentation relating to the death

Upload documents

Contact person details

Summary

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Data protection