Making a Claim

General Documents

Claim Form B
Medical Form
Police Report
Statements of Witnesses
A Sketch Plan

ADDITIONAL DOCUMENTS

Funeral Expenses

The required documents are:

  • Claim form
  • Police report
  • Police statements
  • Police sketch plan
  • Investigating officer`s statements
  • Death certificate/post mortem report/death notification
  • Sworn affidavit for authority to claim and relationship to the deceased
  • Proof of funeral expenses
  • Certified copy of Omang of claimant
  • Full details of next of kin

Loss of Earnings

Additional to the general documents please provide;

  • Documentary proof of earnings

Loss of Support

The required documents are:

  • Claim form
  • Police report
  • Police statements
  • Police sketch plan
  • Investigating officer`s statement
  • Sworn affidavit of authority to claim and relationship to the deceased
  • Birth certificates of children under 21
  • Salary advices slip of deceased and claimant
  • Copy of marriage certificate if claim by spouse
  • Proof of terminal benefits (Group life insurance)
  • Bank Statements/Tax returns (if deceased was self-employed)
  • Full details of next of kin

Loss of Support

The required documents are:

  • Claim form
  • Police report
  • Police statements
  • Police sketch plan
  • Investigating officer`s statement
  • Sworn affidavit of authority to claim and relationship to the deceased
  • Birth certificates of children under 21
  • Salary advices slip of deceased and claimant
  • Copy of marriage certificate if claim by spouse
  • Proof of terminal benefits (Group life insurance)
  • Bank Statements/Tax returns (if deceased was self -employed)
  • Full details of next of kin

Medical Assistance

  1. Claim form
  2. Medical form
  3. Proof of medical expenses (receipts)
  4. Police report
  5. Police statements (driver, injured, witnesses)
  6. Police sketch plan
  7. Investigating officer`s statement
  8. Form BP73
  9. Motor vehicle inspection report
  10. Certified copy of Omang
  11. Copies of medical cards
  12. Copy of medical aid card
  13. Birth certificate if it’s a minor injured (under 21yrs)
  14. Proof of loss of earnings (Salary advice slip/letter from employer)
  15. Work/ residence permit
  16. Full details of next of kin
  17. Receipts proving expenses on medical interventions (must be costs incurred in the treatment of the injury sustain pursuant to the accident)