SLFC001E
Sanlam 10/2014
Licensed Financial Services and Registered Credit Provider (NCRCP43) 1
What you need to know about claiming on a
funeral policy
What happens when you claim
For us to consider your claim you must
1. Read page one and then complete the claim form part on page two.
2. Send page two of this claim form and the other documents we need back to us.
What we will do within 48 hours after receiving the claim
inform the person claiming if we need any other information, or
inform the person claiming about our decision to either approve or decline the claim
Who must claim
All benefits are payable to the policyholder:
If the policyholder is the deceased then the benefit is payable to the beneficiary of the death benefit.
If there is no beneficiary appointed then the benefit is payable to the nominee for ownership.
If there is no beneficiary or nominee then the benefit is payable to the next insured as indicated in the policy contract.
If there are no further lives insured then the benefit is payable to the person appointed by the family.
If the person receiving the money is a minor then the legal guardian must claim.
If you are not sure who must claim, please contact us at the numbers below.
What to send us
Cause of death: Natural (for example illness)
This completed funeral claim form.
A certified copy of the official death certificate issued by the Department of Home Affairs.
A certified copy of the deceased’s identity document.
A certified copy of the claimant’s identity document.
A letter from the funeral parlour, on a formal letterhead, confirming that the body is in their care.
BI 1663 completed by the doctor who certified the death.
Cause of death: Unnatural (for example accident/ murder)
This completed funeral claim form.
A certified copy of the official death certificate issued by the Department of Home Affairs.
A certified copy of the deceased’s identity document.
A certified copy of the claimant’s identity document.
A letter from the funeral parlour, on a formal letterhead, confirming that the body is in their care.
BI 1663 completed by the doctor who certified the death.
Fully completed SAPS statement (SLFC002E).
Still-born child
This completed funeral claim form.
A certified copy of the identity document of the still-born child’s mother.
Notice of stillbirth.
A letter from the doctor who was present at the baby’s birth, confirming the mother of the child and at how many weeks the
child was born.
A letter from the funeral parlour, on a formal letterhead, confirming that the body is in their care.
How to send us the information or get help
deathclaimsfamily@sanlam.co.za
Fax us at
(021) 947 4487
Visit your nearest Sanlam
office
Ask your Sanlam adviser
or broker to assist you
Call Sanlam Death Claims
Call Centre at
0861 106 180
SLFC001E
Sanlam 10/2014
Licensed Financial Services and Registered Credit Provider (NCRCP43) 2
Funeral claim form
Policy number
We will look at and consider your claim as soon as you send this claim form and all required documents (refer to “What to send us” on
page 1) to us.
1. Particulars of deceased
Full name and surname
Occupation of deceased
Employer of deceased: Telephone number ( )
Describe the exact cause of death
Was the deceased a stillborn or uninsured child? Yes No
2. Details of undertaker
Company name: Undertaker company number
Contact person
Business postal address
Telephone number ( ) Fax number ( )
Place of burial or cremation Date of burial or cremation / /
(dd/mm/ccyy)
3. Details of doctor who certified the death
Full name and surname Practice code
Telephone number ( ) Fax number ( )
Where did the death occur? Hospital Clinic Home Other Admission number
4. Details of the person who is claiming (claimant)
The claim was submitted by Policyholder Beneficiary for death benefit Appointed by family
(please select one):
Beneficiary or nominee for ownership Next insured
Full name and surname
Relation to deceased Identity number
Postal address
Telephone number (home) ( ) Telephone number (work) ( )
Fax number ( ) Cell phone number
e-mail address
Bank details
Account holder
Name of bank Name of branch
Account number Branch code
Account type Current (cheque) Savings Transmission
Declaration by claimant
I, the claimant declare that:
I have completed this document or someone has completed it for me with my approval.
I understand the information in this document.
The information in this document is correct.
Full names Identity number
Signature Date / /
(dd/mm/ccyy)
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