All policy numbers must be listed.
Please complete the full address of the bank where the payment is to be sent. Remember to allow for bank charges - typically the equivalent of £25 - when stating the amount required.
All Policyholders, Assignees or Trustees must sign the form.
Send the completed form and Policy Document (if required) to Old Mutual at:
St Peter Port,
Guernsey, GY1 1AW
Mark for the attention of the Claims section.
We will accept a fax of the Discharge form (please send to + 44 1481 728953), but we will not release the money until the original form has been received.
As we work on a weekly pricing basis, we need to receive the request before 5.15pm on Sunday, in order to secure the following week.