New Ireland
  • home
  • Protection
    • What Should I be Protecting?
      • I'm a parent
      • I'm in a relationship
      • I'm single
      • I'm a business owner
    • I want to protect..
      • Protect my home
      • Protect my income
      • Protect my family
      • Protect my business
      • Protect my employees
      • Life Cover
      • Specified Illness Cover
    • About Protection
      • Why choose us for protection
    • Claims
    • Group Protection
    • Your needs change
  • Investments
    • Fund Performance
      • Fund Centre
      • Monthly & Quarterly Reports
        • Investment Plus Online
    • Market Watch
    • Thinking of Investing?
    • New to Investing
      • Investing & Investment Risk
    • Investment Opportunities
      • Our Funds
        • Elements
        • BNY Mellon Global Real Return
        • BNY Mellon Absolute Return Bond
        • BNY Mellon Broad Opportunities
        • Protected Assets
        • FutureSave
    • Our Fund Managers
    • Saving for Education
  • Pensions
    • Pension Schemes Online
    • Why choose us for your pension
    • I'm new to pensions
      • Self Employed
      • Employees
      • Director/Business Owner
      • In your 20s
      • In your 30s
      • In your 40s
      • In your 50s
    • I have a pension
      • Employees
        • Additional Voluntary Contribution
        • PRSAs
      • Public Sector
        • Investment Choice and Performance
        • Popular Forms and Booklets
        • AVCs for Public Sector
    • I'm approaching/at retirement
      • Approaching Retirement
      • Options at Retirement
    • Company Pensions
      • Trustees & Trustee Training
      • Company Pension Options
    • Pension Funds & Performance
    • Pre-retirement AVC Access
  • Help & Support
    • Our Promise to you
    • Why Choose New Ireland
    • Customer Forms
    • FAQs
      • Making A Claim
      • Schedule of Charges
      • Life Choice FAQs
      • Pensions/Retirement FAQs
      • Savings and Investments FAQs
      • General FAQs
    • Feedback
    • Jargon Buster
  • Contact
  • About Us
    • About the Company
    • Management Team
    • Board of Directors
    • Financial Information
  • Careers
    • Working at New Ireland Assurance
      • Benefits
      • Career Development
      • Employee Testimonials
    • Current Opportunities
    • Application Process
      • Creating your CV
      • Preparing for the Interview
    • Self-Employed Financial Advisors
  • Broker
    • Literature Centre
    • Login to Broker Centre
    • Your Mobile App
    • Meet the Underwriting Team
    • Pensions Technical Manual
  • You are here : 
  • home > Help & Support > Customer Forms
  • Our Promise to you
  • Why Choose New Ireland
  • Customer Forms
  • FAQs
    • Making A Claim
    • Schedule of Charges
    • Life Choice FAQs
    • Pensions/Retirement FAQs
    • Savings and Investments FAQs
    • General FAQs
  • Feedback
  • Jargon Buster
Find an advisor in your area

Customer Forms

If the form you are looking for is not listed below please Contact Us.

  • Declaration of Health
  • Hospital Cash Benefit Form
  • Confirmation of Source of Wealth
  • Regular Premium Encashment Form 
  • Single Premium Encashment Form
  • Change of Address Form
  • AVC Withdrawal Information and Claim Form

Use this Direct Debit Mandate Form to change the bank account details registered with us or to start paying us by direct debit.

  • Contact
  • Privacy Statement
  • Terms and Conditions
  • Site Map
  • News
  • Pension Schemes Online
  • Useful Links
  • Cookies

New Ireland Assurance Company plc is regulated by the Central Bank of Ireland. A member of Bank of Ireland Group.

Comhlucht na hÉireann um Árachas cpt [New Ireland Assurance Company plc] Registered in Ireland No. 7336. Registered Office: 11-12 Dawson Street, Dublin 2.

Web Design by Continuum