Cancel all products in case of decease

To cancel all products of a deceased person, please complete the form.

Details of the deceased

We are sorry for your loss.

During this difficult period, we aim to ensure that your administrative dealings with Proximus are as smooth as possible.

Personal information of the deceased

This information is necessary to correctly identify the customer. Carefully enter the first and last names.

{{errorMessages.SRCFIRSTNAME.required}} {{errorMessages.SRCFIRSTNAME.pattern}} {{errorMessages.SRCFIRSTNAME.pattern}} {{errorMessages.SRCFIRSTNAME.pattern}} {{errorMessages.SRCFIRSTNAME}} {{errorMessages.SRCFIRSTNAME.pattern}}
{{errorMessages.SRCLASTNAME.required}} {{errorMessages.SRCLASTNAME.pattern}} {{errorMessages.SRCLASTNAME.pattern}} {{errorMessages.SRCLASTNAME.pattern}} {{errorMessages.SRCLASTNAME}} {{errorMessages.SRCLASTNAME.pattern}}
Do you have the customer number of the deceased at hand?
{{errorMessages.customerIDKnown.required}}
{{errorMessages.SRCCUSTOMERID.required}} {{errorMessages.SRCCUSTOMERID.pattern}} {{errorMessages.SRCCUSTOMERID.pattern}} {{errorMessages.SRCCUSTOMERID.pattern}} {{errorMessages.SRCCUSTOMERID}} {{errorMessages.SRCCUSTOMERID.pattern}}

Extra information of the deceased

This information is necessary to correctly identify the customer.

Invalid address
{{errorMessages.SRCBIRTHDATE.required}} {{errorMessages.SRCBIRTHDATE.pattern}} {{errorMessages.SRCBIRTHDATE.pattern}} {{errorMessages.SRCBIRTHDATE.pattern}} {{errorMessages.SRCBIRTHDATE}} {{errorMessages.SRCBIRTHDATE.pattern}}
{{errorMessages.SRCPHONECountry.required}} {{errorMessages.SRCPHONECountry}}
{{errorMessages.SRCPHONEPhone.required}} {{errorMessages.SRCPHONEPhone.pattern}} {{errorMessages.SRCPHONEPhone.pattern}} {{errorMessages.SRCPHONEPhone.pattern}} {{errorMessages.SRCPHONEPhone}} {{errorMessages.SRCPHONEPhone.pattern}}

If the contract of the deceased was provided by their employer, it should be managed by the employer and you do not need to take any action.

Identification

This field is mandatory.

Your contact details

{{errorMessages.TGFIRSTNAME.required}} {{errorMessages.TGFIRSTNAME.pattern}} {{errorMessages.TGFIRSTNAME.pattern}} {{errorMessages.TGFIRSTNAME.pattern}} {{errorMessages.TGFIRSTNAME}} {{errorMessages.TGFIRSTNAME.pattern}}
{{errorMessages.TGLASTNAME.required}} {{errorMessages.TGLASTNAME.pattern}} {{errorMessages.TGLASTNAME.pattern}} {{errorMessages.TGLASTNAME.pattern}} {{errorMessages.TGLASTNAME}} {{errorMessages.TGLASTNAME.pattern}}
{{errorMessages.TGPHONECountry.required}} {{errorMessages.TGPHONECountry}}
{{errorMessages.TGPHONEPhone.required}} {{errorMessages.TGPHONEPhone.pattern}} {{errorMessages.TGPHONEPhone.pattern}} {{errorMessages.TGPHONEPhone.pattern}} {{errorMessages.TGPHONEPhone}} {{errorMessages.TGPHONEPhone.pattern}}
{{errorMessages.TGEMAIL.required}} {{errorMessages.TGEMAIL.pattern}} Please match the e-mail address above {{errorMessages.TGEMAIL.pattern}} {{errorMessages.TGEMAIL.pattern}} {{errorMessages.TGEMAIL}} {{errorMessages.TGEMAIL.pattern}}
{{errorMessages.TGEMAIL_confirmation.required}} {{errorMessages.TGEMAIL_confirmation.pattern}} Please match the e-mail address above {{errorMessages.TGEMAIL_confirmation.pattern}} {{errorMessages.TGEMAIL_confirmation.pattern}} {{errorMessages.TGEMAIL_confirmation}} {{errorMessages.TGEMAIL_confirmation.pattern}}
Relationship to the deceased
{{errorMessages.TGRELATIONSHIP.required}} {{errorMessages.TGRELATIONSHIP.pattern}}

By completing this form, you are providing Proximus with your personal data. Proximus, as the data controller, will process your data solely for the purpose of contacting you for follow-up communications, based on its legitimate interest in facilitating the cease of the products of the concerned customer. You will not be contacted for promotional purposes.

Proximus will retain your data for a period of 14 months following their collection.

You have the right to access your data, rectify it, request its deletion, or limit its processing. To exercise these rights, contact the Proximus Data Protection Office by e-mail at privacy@proximus.com, through this web form, or by postal mail at Boulevard du Roi Albert II 27, 1030 Brussels. For more information on how Proximus processes your personal data and how to exercise your rights, please refer to our privacy policy.

In accordance with Article 77 of the GDPR, you also have the right to file a complaint with the Belgian Data Protection Authority.

Summary of your request

Your data


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  • {{field.title}} :
    Yes No {{hasProperty(field.name,model[field.name])}}
    Slot :
    {{convertToDisplay(model[field.name])}}
    Slot :
    {{model[field.name]}}
    {{field.title}} :
    {{model[field.name].fuzzySearch}}
    {{field.title}} :
    {{model[field.name].streetName}} {{model[field.name].houseNumber}} {{model[field.name].houseNumberSuffix + ','}} {{model[field.name].zipCode}} {{model[field.name].cityName}}
Cancellation date
  • Cancellation date :
    Today

By completing this form, you are providing Proximus with your personal data. Proximus, as the data controller, will process your data solely for the purpose of contacting you for follow-up communications, based on its legitimate interest in facilitating the cease of the products of the concerned customer. You will not be contacted for promotional purposes.

Proximus will retain your data for a period of 14 months following their collection.

You have the right to access your data, rectify it, request its deletion, or limit its processing. To exercise these rights, contact the Proximus Data Protection Office by e-mail at privacy@proximus.com, through this web form, or by postal mail at Boulevard du Roi Albert II 27, 1030 Brussels. For more information on how Proximus processes your personal data and how to exercise your rights, please refer to our privacy policy.

In accordance with Article 77 of the GDPR, you also have the right to file a complaint with the Belgian Data Protection Authority.

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