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