Application Form - Portugal - Elysium Funeral Plans

SELECT YOUR LOCATION:

Elysium Funeral Plan - Portugal

CONTRACT

URL

This field is for validation purposes and should be left unchanged.

Contract Info

Funeral Plan No:

(Auto fills)

Date(Required)

The Parties to the Contract: The Company

ELYSIUM FUNERAL PLANS SL

Registered Office:
Calle Carlos Cervera 14,
Bajo,
Valencia, 46006,
Spain

CIF No.: B19931633
Tel: +34 960 730 230
Email: clientcare@elysiumfuneralplans.com

Hereinafter called “THE PLAN HOLDER”.

The Parties to this Contract: Applicant 1

Name(Required)

Prefix First Name Middle Name Surname

Address in Portugal(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth(Required)

Email(Required)

Telephone(Required)

Nationality(Required)

ID (Cartão de Cidadão / Other)(Required)

PASSPORT ID(Required)

Upload your ID

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Cartão de Cidadão / Passport / Other

Religion

Hereinafter referred to as “the Plan Holder”.

Is there a second Applicant?(Required)

Yes

Applicant 2

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth(Required)

Email(Required)

Telephone(Required)

Nationality(Required)

ID (Cartão de Cidadão / Passport / Other)(Required)

PASSPORT ID(Required)

Upload your ID Copy

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Cartão de Cidadão / Passport / Other

Religion

Next of Kin Applicant 1

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth(Required)

Email(Required)

Telephone(Required)

Relationship to Plan Holder(Required)

Plan Holder has confirmed they are aware they have been chosen as Next of Kin.(Required)

Yes

Next of Kin Applicant 2

Same Next of Kin as Applicant 1

Yes

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth(Required)

Email(Required)

Telephone(Required)

Relationship to Plan Holder(Required)

Plan Holder has confirmed they are aware they have been chosen as Next of Kin.(Required)

Yes

Purpose & Scope

1. PURPOSE OF THE CONTRACT

The purpose of this Contract is to provide and guarantee the funeral services selected by the Plan Holder, subject to the terms, conditions, inclusions and exclusions contained within this Contract and the applicable Elysium Funeral Plan.

Elysium Funeral Plans SL, hereinafter referred to as “Elysium” or “the Company”, undertakes to:

Organise and coordinate the contracted funeral arrangements.
Coordinate the appointed Portuguese Funeral Director and other necessary service providers.
Coordinate the administrative arrangements necessary for the contracted funeral services.
Arrange the contracted services in accordance with the Plan selected by the Plan Holder.
Use reasonable endeavours to ensure the proper provision of the contracted services when the Plan is called upon.

Where the funeral services are to be provided in Portugal, Elysium will work with an appropriately authorised Portuguese Funeral Director or other appropriately authorised local service provider.

The actual provision of regulated funeral services in Portugal will be undertaken by the relevant authorised service provider in accordance with applicable Portuguese law and regulatory requirements. Portuguese law defines funeral activity as including the organisation and performance of funerals, transportation, burial, cremation and related activities (Diário da República).

2. SCOPE OF THE SERVICE

The service provided by Elysium is limited to the goods and services expressly included within the selected Plan.

2.1 INCLUDED

Unless otherwise stated within the selected Plan, the contracted service includes:

Organisation and coordination of the funeral.
Basic funeral services applicable to the Plan selected.
Coordination with the appointed Portuguese Funeral Director.
Administrative coordination relating to the funeral.
Coordination with relevant Portuguese authorities and service providers where required.
Payment of contracted services to the nominated service provider in accordance with the Plan.

2.2 EXCLUDED

Unless expressly included in the selected Plan, the following are excluded:

Additional flowers or floral tributes.
Obituaries or media notices.
Catering and wakes.
Burial plots or cemetery concessions.
Headstones, plaques or memorials.
Cemetery maintenance charges.
Additional municipal, cemetery or crematorium charges not included in the selected Plan.
Additional venue costs.
Additional transportation.
Services provided by a Funeral Director not appointed or authorised by Elysium.
International repatriation unless specifically included in the Unity Plan.
Services, goods or expenses not expressly stated within this Contract.

Any additional service requested by the Plan Holder or Next of Kin will be quoted separately and must be paid for before the additional service is provided.

Plan Purchased - Applicant 1

The Elysium Funeral Plan Payment Calculator (Applicant 1)

Select your plan and customise it to suit your budget.

Select Funeral Plan

Payment Summary

Please select a plan... €0.00

Total Price (incl. Deposit) €0.00

Select preferred monthly payment date:(Required)

Plan Purchased - Applicant 1

Price: 0,00 €

This field is hidden when viewing the form

Selected Plan Name app 1

This field is hidden when viewing the form

Funeral Type

This field is hidden when viewing the form

Term (Months)

This field is hidden when viewing the form

Want to pay Applicant 1

This field is hidden when viewing the form

Payment Selection

This field is hidden when viewing the form

Balance

This field is hidden when viewing the form

Month 1 Payment

This field is hidden when viewing the form

Months 2+ Payment

The specific features of the plan are set out in Clause 8 of this contract.

Beneficiaries - Applicant 1

Under the 10-Year & 14-Year Legacy-Refund Commitments, the Plan Fee will be refunded to the Plan Holder’s nominated Beneficiary/ies, subject to the terms of the Plan.
Payment will be released upon presentation of the original Funeral Plan Certificate and, where a nominated Beneficiary is under 18 years of age, once that Beneficiary has reached the age of 18.

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Telephone(Required)

Date of Birth(Required)

Relationship to Plan Holder(Required)

ID No:(Required)

If you do not have one, write N/A

Nationality(Required)

Is there a second beneficiary?(Required)

Yes

2nd Beneficiary Details - Applicant 1

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Telephone(Required)

Date of Birth(Required)

Relationship to Plan Holder(Required)

ID No:(Required)

If you do not have one, write N/A

Nationality(Required)

Plan Purchased - Applicant 2

The Elysium Funeral Plan Payment Calculator (Applicant 2)

Select your plan and customise it to suit your budget.

Select Funeral Plan

Payment Summary

Please select a plan... €0.00

Total Price (incl. Deposit) €0.00

Select preferred monthly payment date:(Required)

Plan Purchased - Applicant 2

Price: 0,00 €

This field is hidden when viewing the form

Selected Plan Name (App 2)

This field is hidden when viewing the form

Funeral Type

This field is hidden when viewing the form

Term (Months)

This field is hidden when viewing the form

Want to pay Applicant 2

This field is hidden when viewing the form

Payment Selection

This field is hidden when viewing the form

Balance

This field is hidden when viewing the form

Month 1 Payment

This field is hidden when viewing the form

Months 2+ Payment

The specific features of the plan are set out in Clause 8 of this contract.

Beneficiaries - Applicant 2

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Telephone(Required)

Date of Birth(Required)

Relationship to Plan Holder(Required)

ID No:(Required)

If you do not have one, write N/A

Nationality(Required)

Is there a second beneficiary?(Required)

Yes

2nd Beneficiary Details - Applicant 2

Name(Required)

Prefix First Name Middle Name Surname

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Telephone(Required)

Date of Birth(Required)

Relationship to Plan Holder(Required)

ID No:(Required)

If you do not have one, write N/A

Nationality(Required)

Special Instructions

Please enter any special requests or instructions you would like to record in relation to your funeral plan.

You can also use this section to advise us if your plan:

Forms part of a Family Plan;
is a Living Funeral Plan;
Relates to a pre-arrangement to donate your body to medical research; or
Has been created under our Transfer-In Scheme.

Alternatively, you may use this section to record any particular elements of your funeral that you would like us to note, such as a favourite reading, hymn, poem, music or other personal wishes.

You will also receive a separate Funeral Wishes Sheet with your Welcome Pack, which provides an opportunity to record further details about your funeral wishes.

Enter any special requests or instructions

Payment Terms & Performance Clauses

3. EFFECT OF PAYMENT

3.1 FULL PAYMENT
Where the Plan has been paid in full, Elysium will provide the contracted services in accordance with the selected Plan, subject to the exclusions within this Contract and circumstances outside the Company’s reasonable control.
Additional costs may arise where:

The Plan Holder or Next of Kin requests services outside the Plan.
Additional services are required which are not included within the selected Plan.
Mandatory charges imposed by public authorities arise after the Contract is entered into.
Applicable legislation, regulation or municipal requirements change.
Exceptional circumstances require additional services or costs not contemplated by the Plan.

3.2 MONTHLY PAYMENT
Where the Plan has not been paid in full at the time it is called upon, the outstanding balance must be addressed before Elysium is required to provide the full contracted service.
The Next of Kin will be notified of the outstanding balance and the arrangements required to settle it.
If the Next of Kin cannot or refuses to settle the outstanding balance, Elysium may decline to provide services beyond the value of payments received, subject to any applicable statutory rights.
Where the Contract is terminated due to non-payment, any refund will be subject to the applicable cancellation provisions and administrative charges stated in this Contract.

4. NON-PAYMENT

In the event of non-payment:

1 Missed Payment: Elysium will notify the Plan Holder of the missed payment and request that the account be brought up to date.
2 Missed Payments: Elysium will notify the Plan Holder and may place the Plan temporarily on hold until the account be brought up to date.
3 Missed Payments: Elysium will notify the Plan Holder and provide 7 days’ notice to bring the account up to date. If payment is not received within that period, Elysium may terminate the Contract in accordance with the applicable cancellation provisions.

If the Plan is called upon while payments remain outstanding, Elysium will not be obliged to provide services exceeding the value of payments received unless the outstanding balance is paid or otherwise agreed in writing.

5. CONSIDERATION AND CANCELLATION

5.1 21-DAY CONSIDERATION PERIOD
The Plan Holder may cancel this Contract within 21 calendar days from the date the Contract is signed, without the Company’s standard cancellation charge. Day 1 of the 21-day period is the date on which this Contract is signed.
Where the Plan Holder validly exercises the right to cancel within this period, Elysium will refund monies paid in accordance with the applicable legal requirements and the Company’s refund procedure.

5.2 AFTER THE 21-DAY CONSIDERATION PERIOD
After the 21-day consideration period, cancellation will be dealt with in accordance with the applicable Terms and Conditions and applicable consumer law. Standard Elysium administrative/cancellation fee: €495, where applicable. Nothing in this clause is intended to exclude or restrict any mandatory statutory cancellation or consumer rights that apply to the Contract.

6. LIABILITY AND THIRD-PARTY SERVICE PROVIDERS

Elysium is responsible for coordinating the contracted funeral plan. Elysium may use appropriately authorised third-party service providers, including Portuguese Funeral Directors, crematoria, cemeteries, transport providers and other funeral service providers.

Where regulated funeral services are provided in Portugal, those services will be performed by the relevant authorised Portuguese provider in accordance with applicable Portuguese requirements. Elysium will use reasonable care in selecting and coordinating its appointed service providers.

Elysium will not be responsible for delays or additional costs caused by decisions of public authorities, documentation delays, police/medical examiner requirements, transport disruption, changes in law or circumstances beyond the Company's reasonable control.

7. FINANCIAL PROTECTION

Payments made by the Plan Holder to Elysium are intended to meet the obligations arising from the contracted funeral plan. The funds relating to the Company’s funeral plan arrangements are managed in accordance with Elysium Funeral Plans SL’s financial protection arrangements, currently including management through a ring-fenced arrangement with Amundi Group.

When a Plan is called upon in Portugal, Elysium will use the funds available under the Plan to arrange and settle the contracted services with its nominated Portuguese Funeral Director and/or other contracted service providers.

Details of the Plan

8. DETAILS OF THE PLAN:

THE ELYSIUM ASSIST PLAN - WHAT IS INCLUDED

Unattended cremation at an appointed crematorium.
Cremation fee.
Appointed Funeral Director attending to all the necessary arrangements for the unattended cremation.
Collection and transportation of the deceased from a place of residence, a care home, hospital or resting place in mainland Portugal to a mortuary within mainland Portugal.
Preparation and care of the deceased at the allocated mortuary (including full hygienic treatment and removal of pacemaker, where required).
Supply of a simple coffin – suitable for cremation.
Supply of a simple urn.
Return of ashes directly to the family in Portugal.
24-hour bereavement line with English speaking operators.
National & International death certificate.
Cremation certificate to allow ashes to be taken on board an aircraft, where appropriate.

THE ELYSIUM ASSIST PLAN – WHAT IS NOT INCLUDED

Privilege Collections
Any services for a Funeral Director not appointed by Elysium.
Face to face appointments with the Funeral Director.
Viewing of the deceased.
Dressing of the deceased in personal clothes or inclusion of items within the coffin.
Family attendance at the crematorium.
A service at the crematorium or any costs to host the event of a service including a church service.
Costs for any mortuary storage.
Choice of date, time or location of the cremation.
A wake, including the costs associated with catering for the funeral guests.
Any obituary notices.
Flowers, floral tributes, or any items requested in celebration of the deceased.
Interment of ashes.
Headstone, memorials, plaques or associated costs for erection or maintenance thereof.
Repatriation from outside Portugal.
Transfer to or from mainland Portugal.
Audio or visual equipment.
Travel or transport costs.
Any other goods or services not listed in the inclusions section.

8. DETAILS OF THE PLAN:

CLARITY PLAN – WHAT IS INCLUDED

The Clarity Plan provides a direct cremation service through an Elysium-appointed Portuguese Funeral Director. The Plan includes:

Appointment of a Portuguese Funeral Director.
Necessary administrative coordination.
Collection and transportation of the deceased within mainland Portugal, subject to the Plan terms.
Transfer to an appointed mortuary.
Preparation and care of the deceased as required.
Simple coffin suitable for cremation.
Cremation fee.
Simple urn.
Return of ashes to the family in Portugal.
Required funeral documentation.
Cremation documentation where applicable.
24-hour bereavement line with English-speaking operators.

CLARITY PLAN – WHAT IS NOT INCLUDED

Services provided by a Funeral Director not appointed by Elysium.
Face-to-face appointments beyond those provided by the appointed provider.
Viewing of the deceased.
Dressing of the deceased in personal clothing or inclusion of personal items in the coffin.
Family attendance at the crematorium unless specifically included.
A service at the crematorium.
Church, religious or humanist ceremony costs unless specifically included.
Additional mortuary storage.
Choice of cremation date, time or location where unavailable or subject to additional charges.
Wake or catering.
Obituary notices.
Flowers or floral tributes.
Interment or alternative placement of ashes.
Cemetery, columbarium or memorial charges.
Headstones, plaques or memorials.
Repatriation outside Portugal.
Travel or transportation costs for family members or funeral guests.
Audio or visual equipment.
Any other goods or services not expressly included.

8. DETAILS OF THE PLAN:

TRANQUILITY PLAN – WHAT IS INCLUDED

An Elysium-appointed Portuguese Funeral Director attending to the necessary funeral arrangements.
Advice regarding certification and registration of the death.
Collection and transportation of the deceased from a residence, care home, hospital or other permitted resting place in mainland Portugal to the mortuary.
Care and preparation of the deceased at the funeral home.
Simple wood-effect coffin suitable for burial or cremation.
Up to 4 days in the Chapel of Rest/mortuary facilities, subject to local availability and the terms of the Plan.
Up to 1 day allowing family and friends to pay their respects, where available.
Transportation of the deceased to the appointed crematorium or chosen cemetery.
Cremation fee where cremation is selected.
National and international death certificate documentation where applicable.
Simple urn where cremation is selected.
Cremation documentation where applicable.
24-hour bereavement line with English-speaking operators.
Applicable Privilege Collection selected under the Plan.

TRANQUILITY PLAN – WHAT IS NOT INCLUDED

Funeral Director services not appointed by Elysium.
Costs associated with a religious, humanist or other funeral ceremony unless expressly included.
Additional venue costs.
Wake and catering.
Obituary notices.
Additional flowers or floral tributes.
Burial plot or cemetery concession.
Headstone, memorials or associated stonework.
Cemetery maintenance.
Gifts or charitable donations unless included within the applicable Privilege Collection.
Transportation of funeral guests.
Hymn cards or orders of service unless included.
Audio or visual equipment.
Interment or alternative distribution of ashes.
Repatriation outside Portugal.
Transfers between Portugal and another country unless specifically included.
Additional viewing beyond that included within the Plan.
Any other goods or services not expressly included.

8. DETAILS OF THE PLAN:

SERENITY PLAN – WHAT IS INCLUDED

An Elysium-appointed Portuguese Funeral Director attending to the necessary arrangements before and on the day of the funeral.
Advice regarding certification and registration of the death.
Collection and transportation of the deceased from a residence, care home, hospital or other permitted resting place in mainland Portugal to the mortuary.
Care and preparation of the deceased.
Quality veneered coffin suitable for burial or cremation.
Minister or celebrant for the funeral service where included.
Relevant funeral staff required to conduct the funeral service.
Cremation fee where cremation is selected.
Up to 5 days in the Chapel of Rest/mortuary facilities, subject to local availability and the terms of the Plan.
Up to 1 day allowing family and friends to pay their respects, where available.
Transportation of the deceased to the appointed cemetery or crematorium.
National and international death certificate documentation where applicable.
24-hour bereavement line with English-speaking operators.
Small floral tribute.
Simple urn where cremation is selected.
Cremation documentation where applicable.
Applicable Privilege Collection selected under the Plan.

SERENITY PLAN – WHAT IS NOT INCLUDED

Funeral Director services not appointed by Elysium.
Additional venue costs.
Church or religious venue costs unless expressly included.
Wake or catering.
Obituary notices.
Additional flowers or floral tributes.
Burial plot or cemetery concession.
Headstones, memorials or associated stonework.
Cemetery maintenance.
Gifts or charitable donations unless included within the applicable Privilege Collection.
Transportation of funeral guests.
Hymn cards or orders of service unless included.
Audio or visual equipment.
Interment or alternative distribution of ashes.
Repatriation outside Portugal unless specifically included.
Transfers between Portugal and another country unless specifically included.
Additional viewing beyond the period included within the Plan.
Any other goods or services not expressly included.

8. DETAILS OF THE PLAN:

UNITY REPATRIATION PLAN – WHAT IS INCLUDED

The Unity Repatriation Plan is intended to coordinate the repatriation of the deceased from mainland Portugal to the United Kingdom or another agreed EU destination, subject to the destination being available under the Plan. The Plan includes:

Coordination of legal and administrative formalities required for repatriation from Portugal.
Liaison with the Portuguese Funeral Director.
Liaison with the Elysium-appointed Funeral Director in the receiving country.
Supervision and coordination of the repatriation process.
Appointed Funeral Director in Portugal attending to necessary arrangements up to delivery of the coffin for transportation.
Appointed Funeral Director in receiving country attending to arrangements following receipt of the deceased.
Advice regarding certification and registration of the death.
Collection and transportation of the deceased within mainland Portugal to the mortuary.
Care and preparation of the deceased for transportation.
Up to 4 days’ mortuary expenses in Portugal, subject to the Plan.
Coffin suitable for transportation.
Transportation to the departure airport.
Transportation/flight of the deceased to the receiving country where included.
Receipt of the deceased by the Elysium-appointed Funeral Director in the receiving country.
Contribution towards basic funeral service in receiving country (€1,000 / GBP equivalent).
24-hour bereavement line with English-speaking operators.

UNITY REPATRIATION PLAN – WHAT IS NOT INCLUDED

Services provided by a Funeral Director not appointed by Elysium without prior written authorisation.
Additional venue costs, wake, catering, obituaries, or flowers.
Burial plot or cemetery concession, headstones or memorials.
Transportation of funeral guests or viewing facilities unless included.
Additional airport handling charges, transport costs, or authority fees outside the Plan.

8. THE NON-RESIDENT PLAN

PLAN INCLUSIONS/EXCLUSIONS

The inclusions and exclusions applicable to this plan are those associated with the plan selected

Portugal Specific Provisions & Legal Framework

9. PORTUGAL-SPECIFIC FUNERAL PROVISIONS

9.1 APPOINTED PORTUGUESE FUNERAL DIRECTOR: Where the Plan is being provided in Portugal, Elysium will appoint an appropriately authorised Portuguese Funeral Director or funeral service provider to deliver the regulated local funeral services. Portuguese law establishes requirements for entities carrying out funeral activity (Gov.pt).

9.2 CREMATION: Where cremation is selected, the cremation will take place at an appropriate authorised cremation facility in Portugal. Required documentation, applications and permissions will be coordinated by the appointed Funeral Director in accordance with applicable Portuguese procedures (Diário da República).

9.3 BURIAL: Where burial is selected, Elysium will arrange the contracted burial services through the appointed Funeral Director. The Plan does not include the purchase or concession of a burial plot unless expressly stated.

9.4 LOCAL AUTHORITY REQUIREMENTS: Funeral services in Portugal are subject to the requirements of relevant Portuguese authorities, municipalities, cemeteries and crematoria.

10. SERVICE AREA AND GEOGRAPHICAL LIMITATIONS

This Portugal version of the Contract applies to funeral services in mainland Portugal. Unless specifically agreed in writing, Madeira and the Azores are excluded, international transfers are excluded except where included in the Unity Plan, and transfers between Portugal and Spain are excluded unless expressly included.

Donations

11. SOCIAL CONTRIBUTIONS - (NON-CONTRACTUAL)

Elysium may, at its discretion: Make donations to charitable causes / Plant trees / Provide other social or environmental contributions.
These activities are voluntary and do not form part of the contracted funeral service unless specifically stated as a contractual benefit within the selected Plan or Privilege Collection.

NOMINATED CHARITY IF APPLICABLE

Policies

12. DATA PROTECTION

Personal information supplied by the Plan Holder will be processed by Elysium Funeral Plans SL in accordance with applicable data protection legislation, including GDPR, Spanish Organic Law 3/2018 (where applicable), and applicable Portuguese data protection requirements.

13. APPLICABLE LAW, CONSUMER RIGHTS AND DISPUTE RESOLUTION

This Contract is entered into by Elysium Funeral Plans SL. The contractual relationship shall be interpreted subject to applicable Spanish and European legislation, together with mandatory Portuguese legislation applicable to funeral services provided in Portugal (Diário da República).

14. COMPLAINTS

Any complaint regarding the Contract or provision of contracted services should initially be made to Elysium Funeral Plans SL via email: clientcare@elysiumfuneralplans.com.

15. FORCE MAJEURE AND EXCEPTIONAL CIRCUMSTANCES

Elysium will not be responsible for failure or delay in providing a contracted service where such failure or delay arises from circumstances beyond its reasonable control.

16. CHANGES TO THE CONTRACT

No material amendment to this Contract shall be effective unless agreed in writing by the Company and the Plan Holder.

17. ENTIRE AGREEMENT

This Contract, together with the applicable Elysium Terms and Conditions and selected Plan documentation, represents the entire agreement between the parties.

18. PLAN HOLDER DECLARATION AND ACCEPTANCE

The Plan Holder declares that they have read, understood, and agreed to all 15 items of declaration outlined in Section 20 of this Contract.

19. SIGNATURES

PLAN HOLDER 1: SIGNATURE(Required)

PLAN HOLDER 1: NAME(Required)

PLAN HOLDER 1: DATE(Required)

PLAN HOLDER 2: SIGNATURE (if applicable)(Required)

PLAN HOLDER 2: NAME(Required)

PLAN HOLDER 2: DATE(Required)

Associate Details

Associate Name

Please leave blank if not known:

FOR ELYSIUM FUNERAL PLANS SL – OFFICE USE ONLY

COMPANY SIGNATURE

NAME

POSITION

A/AP No.

Office Only

Payment

Coupon

Total

Payment Method(Required)

I would prefer to pay offline

Pay using Card

Thank you for advising us that you would prefer to pay offline. We will contact you to arrange an alternative payment method.

Credit Card

Configuration Required: To use the Stripe field, please configure your Stripe Settings.

SELECT YOUR LOCATION:

Elysium Funeral Plan - Portugal

Contract Info

The Parties to the Contract: The Company

The Parties to this Contract: Applicant 1

Applicant 2

Next of Kin Applicant 1

Next of Kin Applicant 2

Purpose & Scope

1. PURPOSE OF THE CONTRACT

2. SCOPE OF THE SERVICE

Plan Purchased - Applicant 1

The Elysium Funeral Plan Payment Calculator (Applicant 1)

Payment Summary

Beneficiaries - Applicant 1

2nd Beneficiary Details - Applicant 1

Plan Purchased - Applicant 2

The Elysium Funeral Plan Payment Calculator (Applicant 2)

Payment Summary

Beneficiaries - Applicant 2

2nd Beneficiary Details - Applicant 2

Special Instructions

Payment Terms & Performance Clauses

3. EFFECT OF PAYMENT

4. NON-PAYMENT

5. CONSIDERATION AND CANCELLATION

6. LIABILITY AND THIRD-PARTY SERVICE PROVIDERS

7. FINANCIAL PROTECTION

Details of the Plan

8. DETAILS OF THE PLAN:

THE ELYSIUM ASSIST PLAN - WHAT IS INCLUDED

THE ELYSIUM ASSIST PLAN – WHAT IS NOT INCLUDED

8. DETAILS OF THE PLAN:

CLARITY PLAN – WHAT IS INCLUDED

CLARITY PLAN – WHAT IS NOT INCLUDED

8. DETAILS OF THE PLAN:

TRANQUILITY PLAN – WHAT IS INCLUDED

TRANQUILITY PLAN – WHAT IS NOT INCLUDED

8. DETAILS OF THE PLAN:

SERENITY PLAN – WHAT IS INCLUDED

SERENITY PLAN – WHAT IS NOT INCLUDED

8. DETAILS OF THE PLAN:

UNITY REPATRIATION PLAN – WHAT IS INCLUDED

UNITY REPATRIATION PLAN – WHAT IS NOT INCLUDED

8. THE NON-RESIDENT PLAN

PLAN INCLUSIONS/EXCLUSIONS

Portugal Specific Provisions & Legal Framework

9. PORTUGAL-SPECIFIC FUNERAL PROVISIONS

10. SERVICE AREA AND GEOGRAPHICAL LIMITATIONS

Donations

11. SOCIAL CONTRIBUTIONS - (NON-CONTRACTUAL)

Policies

12. DATA PROTECTION

13. APPLICABLE LAW, CONSUMER RIGHTS AND DISPUTE RESOLUTION

14. COMPLAINTS

15. FORCE MAJEURE AND EXCEPTIONAL CIRCUMSTANCES

16. CHANGES TO THE CONTRACT

17. ENTIRE AGREEMENT

18. PLAN HOLDER DECLARATION AND ACCEPTANCE

19. SIGNATURES

Associate Details

FOR ELYSIUM FUNERAL PLANS SL – OFFICE USE ONLY

Payment

Non/Plan Holder

What to Do: