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The following claim forms are attached. These claim forms cannot be sent electronically, but can be printed from the website.
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1. Accidental Death Claim (Declaration by Police)
only to be used for accidental deaths, in conjunction with the Death Claim Form under (2) below. |
2. Death Claim Form (by Claimant)
to be used for both accidental and natural deaths |
3. Death Claim Form (Declaration by Personal Medical Attendant)
to be supplied for both natural and accidental deaths |
4. Disability Claim Form (Completed by Claimant)
to be used for both permanent and temporary disability claims |
5. Disability Claim Form (Completed by Employer)
to be used for both temporary and permanent disability claims |
6. Disability Claim Form (Completed by Doctor)
to be used for both permanent and temporary disability claims |
7. Retrenchment Claim form (Completed by Claimants Employer)
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8. Dread Disease claim form (Completed by medical practitioner)
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9. Dread Disease EFT claim form (Completed by claimants)
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