Certificate of Continued Disability Form
Critical Illness Claim Form Form
Death Claim Form Form
Disability Claimant’s Statement Form
Confidential Extract from Records Form (PMA) Form
Funeral Claim Form
Hospital Cash Plan Claim Form
Personal Accident Claim Form
Physical Impairment Claim Form
Statement by Police Form
Please submit all completed funeral claim forms and follow ups to [email protected]
6th Floor, Fairscape Precinct, Plot 70667 Fairgrounds Gaborone Private Bag 00168, Gaborone t +267 318 0262