MPS Portal - ReportADeathForm

Report a death

We're sorry to hear that you need to inform us of the death of one of our scheme members. Please accept our condolences on behalf of MPS.

Unfortunately, if you don’t have the following information, you won’t be able to use this form to let us know about the members death and you should contact us on 0333 222 0077 (UK) or +44 (0) 333 222 0077 (Overseas):

Name of deceased member
Date of Death, and
Membership or National Insurance number of the deceased member

Please tell us some information about our scheme member who has passed away

What was their Full Name? This field is required

What was the date they passed away? Please enter the date of death in format DD/MM/YYYY

Please enter the date of death in format DD/MM/YYYY

Deceased members Date of Birth Please enter a date of birth in format DD/MM/YYYY

Please enter a date of birth in format DD/MM/YYYY

Please provide the deceased members MPS membership number and/or their National Insurance number

Member MPS Membership Number Please enter the members MPS membership number OR their National Insurance number

National Insurance Number

Please tell us about who you are:

What is your relationship to the deceased?

What are your contact details?

Title

Full name This field is required

Email address This field is required and must be a valid email address

Contact number

Please enter a valid phone number

Please enter your contact number

Example: 0333 222 0077

Enter address

UK Address Quickfinder

Enter a valid postcode e.g. BS16 7FL

Please enter your postcode

Address Line 1 Please enter line 1 of your address

Please enter line 1 of your address

Address Line 2 Please enter line 2 of your address

Please enter line 2 of your address

Address Line 3 Please enter line 3 of your address

Please enter line 3 of your address

Town / City Please enter your Town / City

Please enter your Town / City

Postcode / Zip Please enter your Postcode / Zip

Please enter your Postcode / Zip

Country Please enter your country

Next of Kin information

If you are not the Spouse/ Civil Partner or an adult dependent, do you know if the member had:

If you ticked any of the boxes above, please enter their contact details below if known

Spouse contact details:

Title

Full name This field is required

Email address This field is required and must be a valid email address

Contact number

Please enter a valid phone number

Please enter your contact number

Example: 020 7888 8080

Enter address

Address Quickfinder

Enter a valid postcode e.g. BS16 7FL

Please enter your postcode

Address Line 1 Please enter line 1 of your address

Please enter line 1 of your address

Address Line 2 Please enter line 2 of your address

Please enter line 2 of your address

Address Line 3 Please enter line 3 of your address

Please enter line 3 of your address

Town / City Please enter your Town / City

Please enter your Town / City

Country Please enter your country

Postcode / Zip Please enter your Postcode / Zip

Please enter your Postcode / Zip

Spouses Date of Birth Please enter a date of birth in format DD/MM/YYYY

Please enter a date of birth in format DD/MM/YYYY

Adult Dependant contact details:

Title

Full name This field is required

Email address This field is required and must be a valid email address

Contact number

Please enter a valid phone number

Please enter your contact number

Example: 020 7888 8080

Enter address

Address Quickfinder

Enter a valid postcode e.g. BS16 7FL

Please enter your postcode

Address Line 1 Please enter line 1 of your address

Please enter line 1 of your address

Address Line 2 Please enter line 2 of your address

Please enter line 2 of your address

Address Line 3 Please enter line 3 of your address

Please enter line 3 of your address

Town / City Please enter your Town / City

Please enter your Town / City

Country Please enter your country

Postcode / Zip Please enter your Postcode / Zip

Please enter your Postcode / Zip

Date of Birth Please enter a date of birth in format DD/MM/YYYY

Please enter a date of birth in format DD/MM/YYYY

Child in full-time education contact details:

Title

Full name This field is required

Email address This field is required and must be a valid email address

Contact number

Please enter a valid phone number

Please enter your contact number

Example: 020 7888 8080

Enter address

Address Quickfinder

Enter a valid postcode e.g. BS16 7FL

Please enter your postcode

Address Line 1 Please enter line 1 of your address

Please enter line 1 of your address

Address Line 2 Please enter line 2 of your address

Please enter line 2 of your address

Address Line 3 Please enter line 3 of your address

Please enter line 3 of your address

Town / City Please enter your Town / City

Please enter your Town / City

Country Please enter your country

Postcode / Zip Please enter your Postcode / Zip

Please enter your Postcode / Zip

Date of Birth Please enter a date of birth in format DD/MM/YYYY

Please enter a date of birth in format DD/MM/YYYY

Who is dealing with the deceased members estate?

Are you dealing with the estate?

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