Claim Forms

 

 

Pensions

 

 

 

1. Application Forms

BM (Boresha Maisha) Individual Pension Plan

 

 

 

2. Servicing Forms

Pensions Change of Beneficiary Request

 

 

 

 

3. Exit Forms

Retirement Benefit Claim Form

Boresha Maisha Claim Form

 

 

 

 

 

 

Life

 

 

 

 

 

1. Application Forms

Long-Form Health Certificate Application

Long-Form Health Certificate for Juveniles

Amendments-to-application-for-policy

 

 

 

2. Servicing Forms

Change of Premium Payment

Request for Part Surrender

Policy loan request

Change of Beneficiary

 

 

 

 

3. Claim forms

Certificate of Continued Disability Form

Critical Illness Claim Form

Death Claim Form

Personal Accident Claim Form

Physical Impairment Claim Form

Statement by Police Form

Proof of Death Claimant Statement Form

Proof of Death Physician Statement Form

Group Death Claims - Proof of Death

Termination Form

Disability Claimant's Statement Form

Funeral Claim Form

Retrenchment Claim Application Form