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Make a claim

Complete the form below to start your claim.

Make a claim

Enter the details below or WhatsApp your details to 081 029 7458 and we will call you back.




    Claim Type

    FuneralDeathDisability and Dread DiseaseLoans and surrenders
    To make the claims process a little easier, you can provide the following documents on this form.
    These are optional, and can be provided later in the process as well.
    Supported file types: doc, docx, pdf, rtf, txt. (Max size: 5MB)


    Funeral Claim form download

    doc,docx,pdf


    Copy of BI-1663 Certificate

    doc,docx,pdf


    Copy of Claimants ID Document

    doc,docx,pdf


    SAPS Statement (ARLPR) download

    doc,docx,pdf


    Proof of Bank Details


    To make the claims process a little easier, you can provide the following documents on this form.
    These are optional, and can be provided later in the process as well.
    Supported file types: doc, docx, pdf, rtf, txt. (Max size: 5MB)


    Death Claim Form download

    doc,docx,pdf


    Copy of Death Certificate

    doc,docx,pdf


    Copy of BI-1663 Certificate

    doc,docx,pdf


    Copy of Claimants ID Document

    doc,docx,pdf


    SAPS Statement (ARLPR) download

    doc,docx,pdf


    Medical Information

    doc,docx,pdf


    Proof of Bank Details


    To make the claims process a little easier, you can provide the following documents on this form.
    These are optional, and can be provided later in the process as well.
    Supported file types: doc, docx, pdf, rtf, txt. (Max size: 5MB)


    Debility/Dread Disease Form download

    doc,docx,pdf


    Declaration by Employer

    doc,docx,pdf


    Statement by Insured / Declaration by Employee

    doc,docx,pdf


    Confidential Medical Report

    doc,docx,pdf


    Sick Leave Records

    doc,docx,pdf


    Proof of Bank Details


    Any Other Available Medical Information

    doc,docx,pdf


    To make the claims process a little easier, you can provide the following documents on this form.
    These are optional, and can be provided later in the process as well.
    Supported file types: doc, docx, pdf, rtf, txt. (Max size: 5MB)


    Surrender loan form download

    doc,docx,pdf


    Proof of Bank Details


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