Direct Debit Mandate

If you would like to change the bank account details on your plan or start making payments by direct debit, please fill in a  Direct Debit Mandate Form and return to us.

  • If the bank account being used is not in the name of the plan owner we will require ID & Utility Bill for the customer and the account holder (3rd party).

For your convenience Irish Life will process any changes to your direct debit, there is no need for you to contact your bank

You can print a downloadable copy and either post, fax or scan and email your completed form to us.

How to complete a Direct Debit Mandate Form

  • You can print a copy of the Direct Debit Mandate Form by clicking on one of the options in the right top corner of the form, this completed form can be:
    • Posted to Irish Life, Lower Abbey Street, Dublin 1.
    • Faxed to customer service on 01 242 2931.
    • Scanned to your PC or Mac and email it to
    • If you have a smart phone you can take a clear picture of the form and email it to

Need more information? – contact us here.

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