Claims Form
Life Claims

1. Accident Claim Form Attending Physician’s Satatement

2. Accident Claim Form To Be Completed By Certificate Owner / Claimant

3. Accidental Death Benefits Claim

4. Confidential Medical Certificate (Critical Illness) To Be Completed By Medical Attendent

5. Confidential Medical Certificate (Critical Illness) – Cancer

6. Confidential Medical Certificate (Critical Illness) – Stroke

7. Confidential Medical Certificate (Critical Illness) – Heart

8. Critical Illness Claim Form – Personal Statement

9. Death Claim – Doctor’s Statement

10. Death Claim Form – Claimant’s Statement

11. IL Beravement Benefit Claim Form

12. Letter Of Authorisation Consent – To Obtain Further Information

13. Notification Of Death Claim

14. Requirement Checklist For Life Claims Submission

15. Total & Permanent Disability Claim Doctor Statemet

Hospital & Surgical Claims Forms