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Claims Procedure

WHO CAN CLAIM

who should make the claim?
•    The claimant himself, personally, if he is an adult with full mental capacity.
•    The claimant’s parents or guardians, if the claimant is a minor.
•    The claimant’s curator if the claimant is an adult without full mental capacity.
•    A claimant, through a representative, who can either be a lawyer or a representative or employee of the Botswana government.

WHEN CAN A CLAIM BE MADE

A claim can be made:
•    Within two years of the date of accident. (This is in accordance with the old MVA Fund Act of 1998).
•    Within three years of the date of accident. (This is in accordance with the new MVA Fund Act of 2007).
•    Prescription is not applicable to minors and persons suffering from mental disorders.

HOW TO CLAIM

How is a claim made against the Fund?

All claims must be made by completing the Fund’s prescribed claim form, Claim Form B, which is available from the Fund offices, all major police stations, hospitals and selected post offices. The form is also available for downloading on this website under Making a claim. The completed form must be submitted with all the relevant supporting documents to any of the Fund Offices, either by hand or through the post. Claimants may collect the form from the above places and fill it on their own or they may seek assistance from the Fund or Post Office personnel at the selected Post Offices.

Necessary Documents

If the accident victim is injured:


•    Claim Form B
•    The doctor who first treated the claimant completes medical form Appendix B1
•    Police report, police statements, and police sketch plan
•    Documents to prove medical expenses e.g. medical bills
•    Documents to prove loss of earnings e.g. salary advise slip, tax returns.
•    Proof of guardianship of minor children
•    Proof of curatorship of adults with diminished mental capacity.
•    Copy of identity document
•    Copy of medical aid card if under medical aid
•    Proof of Residence/Work Permit for foreigners

NB: Under the new MVA Fund Act of 2007, any doctor who treated the claimant completes the medical form.


If the accident victim is deceased:


•    Claim Form B
•    Police report, police statements, and police sketch plan
•    Death certificate or post mortem report
•    Marriage certificate (if claim by spouse)
•    Birth certificate of minor children
•    Full proof of paternity in the case of children born out of wedlock
•    Proof of deceased earnings e.g. salary advise slip, tax returns
•    Proof of surviving spouses earnings e.g. salary advise slip, tax returns
•    Proof of funeral expenses e.g. receipts
•    Proof of guardianship of minor children

 

The actual claims process  

 

•    Claim forms are received by Customer Service Officers and a letter acknowledging receipt of the claim is dispatched to claimants also notifying them of their claim number.


•    Files assessed by Claim Assessors. If necessary they might;
          o    Send the file to the Fund Investigations Department to collect more evidence;
          o    Ask the Claimant to provide more information;
          o    Arrange for the claimant to be examined by relevant medical experts.


•    If all the information is there, the Claim Assessors will first determine if the Fund is liable.
          o    If the Fund is not liable, a letter of repudiation is sent to the claimant.
         o  If the Fund is liable, the amount of compensation is then determined, taking into consideration the extent to which claimant has contributed to the occurrence of the accident. An offer is then made and dispatched to the claimant.


•    The claimant then indicates his/her acceptance in writing and upon receipt of such written acceptance, the Fund issues a crossed cheque in favour of the claimant and dispatches it to the claimant by registered mail.


•    There are times where the claimant disputes the repudiation or amount of the compensation. In those situations the Fund encourages the claimant to engage in a dialogue with the Fund substantiating his objection instead of rushing off court. The Fund has at times reviewed its final determination in favour of the claimant. Where the claimant is still dissatisfied after the dialogue he may approach the courts for redress of his complaint.


•    All claims and resultant offers or repudiations are assessed and signed by two Claim assessors, one junior and one senior. This is in order to ensure fair and equitable assessment of claims and to prevent corruption.


 

TSAMAISO YA GO TSENYA KOPO YA DITHUSO TSA LETLOLE LA MVA
 
Moikopedi o tshwanetse a isa kopo ya gagwe kwa go ba Lephata la Customer Service ko diofising tsa Letlole la MVA le le gaufi. Kopo e tshwanetse ya nna Pampiri ya Ikopelo e bong Form B e e tladitsweng sentle mme e patilwe ke dipampiri tsa botlhokwa . Kopo e ka romelwa ka poso fela fa dipampiri di tladitswe sentle e bile e patilwe ke dipampiri tsa botlhokwa tse di latelang;
-          Pego ya kotsi ya ba Sepodisi ,
-          Pego ya baboni ba tiragalo,
-          Setshwantsho sa tiragalo sa Sepodisi,
-          Moriti wa Omang oo rurifaditsweng,
-          Bosupi jwa ditshenyegelo tsa kalafi,
-          Bosupi jwa ditshenyegelo tsa phitlho (jo bo supiwang ka mokwalo oo ikanetsweng fa go rekwa kgomo kana podi ya dijo tsa loso),
-          Bosupi jwa go latlhegelwa ke tiro,
-          Bosupi jwa tuelo ya mohiri,
-          Moriti wa setlankana sa matsalo se se rurifaditsweng,
-          Bosupi jwa ditshenyegelo tsa phitlho (jo bo supiwang ka dipampiri tse di supang theko),
-          Bosupi jwa banka kana dituelo tsa lekgetho.
 
1.       Kopo ya dithuso tsa phitlho, e tlhoka dilo tse di latelang gore moikopedi a bone dithuso mo lebakeng la diora tse di masome a mabedi le bone.
-          Pego ya kotsi ya ba Sepodisi ,
-          Bosupi jwa ditshenyegelo tsa phitlho (jo bo supiwang ka mokwalo oo ikanetsweng fa go rekwa kgomo kana podi ya dijo tsa loso le sesupo sa maikaelelo a go reka kesi le dijo),            
-          Setlankana sa loso kana bosupi jwa gore ka boammaaruri motswa setlhabelo o tlhokafetse,
-          Moriti wa Omang oo rurifaditsweng kana lekwalo la mosepele fa e se Motswana,
-          Lekwalo la Pereko/Tiro kana Boagedi fa moswi e se Motswana,
-          Pampiri ya Ikopelo (Form B) ee tladitsweng ka botlalo.
 
2.       Kopo ya thuso ya tsa kalafi ee rulaganyetsweng moikopedi e tlhoka go patiwa ke dipampiri tse di latelang gore dithuso ke tswe mo sebakeng sa malatsi a matlhano;
-          Pego ya kotsi ya ba Sepodisi ,
-          Pego ya baboni ba tiragalo,
-          Setshwantsho sa tiragalo sa Sepodisi,
-          Karata ya thulaganyo ya thuso ya botsogo (Medical Aid Card),
-          Pego ya bongaka ka botsogo (BP 73 Medical Report)
-          Bosupi jwa ditshenyegelo tsa kalafi,
-          Bosupi jwa go latlhegelwa ke dituelo/morogo fa moikopedi sa bona letseno ka mabaka a kotsi,
-          Bosupi dituelo/Phimolo keledi ya mohiri,
-          Moriti wa Omang oo rurifaditsweng,
-          Lekwalo la Pereko/Tiro kana Boagedi fa moikopedi e se Motswana,
-          Pampiri ya Ikopelo (Form B) ee tladitsweng ka botlalo.
-          Pampiri ya Bongaka ya Letlole la MVA Fund ee tladitsweng ka botlalo,
 
3.       Kopo ya go latlhegelwa ke motlhokomedi e tlhoka dipampiri tse di latelang gore dithuso di tswe mo sebakeng se se beilweng;
-          Pego ya kotsi ya ba Sepodisi ,
-          Pego ya baboni ba tiragalo,
-          Setshwantsho sa tiragalo sa Sepodisi,
-          Setlankana sa loso kana bosupi jwa gore ka boammaaruri motswa setlhabelo o tlhokafetse,
-          Setlanka sa matsalo fa bana ba moswi ba le dingwaga tse di ka fa tlase ga masome a madedi le bongwe.
-          Bosupi jwa dituelo tsa mohiri tsa kgwedi le kgwedi,
-          Bosupi jwa dituelo tsa pereko ya monna/mosadi wa moswi,
-          Bosupi jwa thulaganyo e mohiri a e direlang mmereki ga e le teng,
-          Makwalo a banka/tuelo ya lekgetho fa moswi a ne a ipereka,
-          Setlankana sa kompone fa moswi a ne a ipereka,
-          Lekwalo la Pereko/Tiro kana Boagedi fa moswi e se Motswana,
-          Pampiri ya Ikopelo (Form B) ee tladitsweng ka botlalo.
-          Bosupi jwa dituelo dipe fela tse di dirilweng ke mohiri.
 
Lephata la Customer Service, fa le sena go amogela kopo e e feletseng e bile e kgotsafatsa ka ditlhokego tsotlhe, le rulaganya kopo ka go e tsenya mo sebalamakgolong. Morago ga moo, Lephata le kwalela moikopedi lekwalo go supa fa Letlole la MVA le amogetse kopo ya moikopedi mme le tla e sekaseka. Lekwalo le gape, le neela moikopedi nomoro ya kopo ee tla a bong e dirisiwa mo go tsotlhe tse di amanang le kopo ya mioikopedi. 
 
Lephata la Claims Assessment jaanong le simolola go kanoka kopo go bona gore go ya ka ditsetla tsa molao, moikopedi o tshwanelwa ke dithuso dife. Morago ga tshekatsheko, lekwalo la go supa ditshwanelo tsa moikopedi le a kwalwa mme lo romelelwe moikopedi . Moikopedi o fiwa malatsi ale lekgolo le masome a roba bobedi  (180) go sekaseka le go dumalana kana go ganana se Letlole la MVA le se mmayang pele. Fa moikopedi a dumalana le diteng tsa lekwalo lele tswang ko go ba Letlole la MVA, o tshwanetse go baya monwana wa gagwe go supa fa a dumalana mme a busetse lekwalo kwa diofising tsa Letlole la MVA. Letlole jaanong le tlaabo le duela moikopedi madi go ya ka tumalano ya lekwalo. Fa moikopedi a sa dumalane le se a se fiwang ke Letlole, o tshwanetse go kwala lekwalo la ngongorego. Komiti ya tshekatsheko e kanoka kopo ya moikopedi e lebile mabaka a mongongoregi ka bongwe ka bongwe. Komiti e, e tlaabo e ntsha tshwetso e e dumalanang kana e ganana le mabaka e remeletse mo ditsetleng tsa molao.
 
Fa Letlole la MVA, go ya ka tsetla ya molao le ka seka la tsaya boikarabelo jwa go thusa motswa setlhabelo, Letlole le gana kopo ya moikopedi ka mokwalo le ntsha mabaka ka botlalo. Fa go ntse jalo moikopedi ga a fiwe dithuso dipe. Moikopedi o neelwa sebaka sa malatsi ale lekgolo le masome a roba bobedi (180) go supa ngongorego fa a le sebete le molangwana ka tshwetso e tserweng, mme o tshwanetse go supa ka go kwalela mogolwane wa Letlole la MVA a ntsha mabaka a gagwe a ikuelo. Fa moikopedi a tsere tsela e ya ikuelo, Komiti e sekaseka kopo ya moikopedi mme e tseye tshwetso e nngwe ee ka nnang ya dumalana kana ya ganana le moikopedi mme e remeletse mo ditsetleng tsa molao wa Letlole la MVA. Tshwetso e, e neelwa moikopedi ka mokwalo.
 
 
 
 

 

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