Skip Ribbon Commands
Skip to main content

Skip Navigation Linksemployee-benefit-claims Employee Benefit Claims

Invest

Advice

Service

Invest Online Back

Call me back

Email us

Back

Call me back

Email us

Email us

Skip Navigation LinksClaims

Employee Benefits Claims

Forms to be completed when applying for a group life or group disability insurance benefit:

Name of form Form code Download
Claim for Group Life Benefit AE1912 ENG
Claim for Spouses Insurance Benefit SEB005 ENG
Claim for Funeral Insurance Benefit – immediate family & extended family members SEB012 ENG
Claim for Funeral Insurance Benefit – immediate family members only SEB012 ENG
Claim for Universal Education Protector Benefit SEB007 ENG
Claim for Accident Benefit EBCL003 ENG
Statement by Police Service Official to Whom Death was Reported SEB008 ENG
Claim for Terminal Illness Benefit EBCL002E ENG
Claim for Severe/Critical Illness Benefit EB2475 ENG
Top Plan for Executives AE2921 ENG
Notification of Potential Disability Claim EBDC051 ENG
Claim for Lump sum Disability Benefit and/or Monthly Disability Income Benefit EB2878E ENG
Claim for Spouse Disability Benefit EB2877 ENG
Medical Certificate: Proof of Continuation of Disability AE2298 ENG
IncomeCare Rehabilitation Questionnaire EBCL004 ENG
IncomeCare Sick: Leave Report Employer EB2799 ENG
Nomination Forms
Nomination for Group Life Insurance SEB003 ENG

Invest

Advice

Service

Invest Online Back

Call me back

Email us

Back

Call me back

Email us

Email us

Sanlam Life Insurance is a licensed financial service provider.
Copyright © Sanlam