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

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

Fully completed and signed by Claimant Choose file No file chosen

doc,docx,pdf

Copy of BI-1663 Certificate

Notice of death/stillbirth Choose file No file chosen

doc,docx,pdf

Copy of Claimants ID Document

Only if he/she is NOT one of the assured lives covered in the policy Choose file No file chosen

doc,docx,pdf

SAPS Statement (ARLPR) download

SAPS Statement - Only needed in case of death due to unnatural causes Choose file No file chosen

doc,docx,pdf

Proof of Bank Details

Only necessary if claim proceeds are to be transferred to an account different from premium collection account Choose file No file chosen

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

Fully completed and signed by Claimant Choose file No file chosen

doc,docx,pdf

Copy of Death Certificate

Provided by department of home affairs Choose file No file chosen

doc,docx,pdf

Copy of BI-1663 Certificate

Notice of death/stillbirth Choose file No file chosen

doc,docx,pdf

Copy of Claimants ID Document

Only if he/she is NOT one of the assured lives covered in the policy Choose file No file chosen

doc,docx,pdf

SAPS Statement (ARLPR) download

SAPS Statement - Only needed in case of death due to unnatural causes Choose file No file chosen

doc,docx,pdf

Medical Information

From treating doctor / medical specialist Choose file No file chosen

doc,docx,pdf

Proof of Bank Details

Only necessary if claim proceeds are to be transferred to an account different from premium collection account Choose file No file chosen

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

Fully completed and signed by Claimant Choose file No file chosen

doc,docx,pdf

Declaration by Employer

Choose file No file chosen

doc,docx,pdf

Statement by Insured / Declaration by Employee

Choose file No file chosen

doc,docx,pdf

Confidential Medical Report

Choose file No file chosen

doc,docx,pdf

Sick Leave Records

For the past 12 months Choose file No file chosen

doc,docx,pdf

Proof of Bank Details

Only necessary if claim proceeds are to be transferred to an account different from premium collection account Choose file No file chosen

Any Other Available Medical Information

Choose file No file chosen

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

Fully completed and signed by Claimant Choose file No file chosen

doc,docx,pdf

Proof of Bank Details

Only necessary if claim proceeds are to be transferred to an account different from premium collection account Choose file No file chosen

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Make a claim

Make a claim

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)

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)

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)

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)

Let us call you back

Make a claim

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)

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)

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)

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)

FESTIVE SEASON HOURS

Make a claim

Make a claim

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)

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)

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)

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)

Let us call you back

Make a claim

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)

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)

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)

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)

FESTIVE SEASON HOURS

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)

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)

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)

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)

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)

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)

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)

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)