Forms

• Select the relevant form from the list below, by clicking on the corresponding hyperlink.
• Print and complete the form.
• Fax the completed form to Sanlam.
• The quality of the form printouts may vary from printer to printer.

 

 

To view these forms in afrikaans, click here.

We strongly advise you to approach your financial advisor, who will assist you with the completion of these forms.

Disability claims	Size
Care Benefit Cover	71Kb
Claim for lump sum disability benefit and/or monthly disability income benefit	762Kb
Claim for accident benefit	67Kb
Claim for breast cancer benefit	46Kb
Claim for spouse disability benefit	62Kb
Claim for terminal illness benefit	73Kb
Claim for trauma benefit	69Kb
Disability claim: Statement regarding continuation of disability	24Kb
IncomeCare Rehabilitation Questionnaire: Member	96Kb
IncomeCare sick leave report: Employer	128Kb
Medical certificate for proof of continuation of disability	117Kb
Safrican: Claim for disability benefit	84Kb
Safrican: Claim for spouse disability benefit	54Kb
Safrican: Claim for trauma benefit	58Kb
Supermed: Claim form	201Kb
Telkom: Application for disability benefits: Employee declaration	129Kb
Telkom: Application for disability benefits	160Kb
Telkom: Guideline for medical reports for application for disability benefits	98Kb
Telkom: Job ability assessment	130Kb
Top Plan for Executives	82Kb

Fax

SA: (021) 947-3207

International: +27 21 947-3207

Schemes Death claims	Size
Application for funeral benefits	23Kb
Co-operative Credit Assurance	17Kb
Funeral claim for an insured	25Kb
Funeral claim for an insured's family member	23Kb
Schemes Death Claims Process	17Kb
Sentrasure Credit Assurance	16Kb
Statement on death	21Kb

Fax

SA: (021) 947-1288
International: +27 21 947-1288

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