• Section

Details of the person who died

First name

Last name

Date of birth

Date of death

(Cannot be a future date)

Address line 1

Address line 2

Address line 3

County

Please Select Carlow Cavan Clare Cork Donegal Dublin Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Waterford Westmeath Wexford Wicklow

Eircode

National sort code and bank account number

Any additional bank account numbers or card numbers

Tell us about yourself

First name

Last name

Relationship to the person who died

Please Select Executor Next of Kin/Family Member Administrator Solicitor Other

Solicitor’s firm

If other please specify

Contact number

Email address

Confirm email address

Address line 1

Address line 2

Address line 3

County

Please Select Carlow Cavan Clare Cork Donegal Dublin Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Waterford Westmeath Wexford Wicklow

Eircode

Documents

Death Certificate (If available)

Choose File

Please have it certified by a Solicitor or AIB Bank Official

Submit