multisure

SUBMIT YOUR CLAIM HERE

Before continuing, ensure that you take clear photos of the following documents.

* Certified copy of ID Document of the Deceased

* Notice of Death (all pages)

* Certified copy of ID Document of the Claimant

* Proof of the Bank Account of the Claimant

* Burial Order

* Certified copy of Death Certificate of the Deceased

* Click on Choose File button to upload a new file or to replace already uploaded file.

CLAIMANT'S DETAILS

Are you the appointed beneficiary?

Yes No

DECEASED'S DETAILS

NOMINATE NEW BENEFICIARY (To be completed by main member ONLY if a deceased dependent is also the beneficiary)

Are you the Main Member?

Yes No

DETAILS OF FUNERAL PARLOUR

BANK DETAILS - CLAIMANT

Sign inside the grey box using a mouse, your finger or a stylus. If you make a mistake or want to redo your signature then click the Reset button or Undo last stroke button. After that you must click on Preview and then Submit if you are happy with your signature. Please do not click on Submit before you have clicked Preview after signing or resigning.