Choose how you’d like to submit your claim.
Upload your filled form and supporting documents.
Choose & continue →
Guided digital form with e-signature and uploads.
Start online form →
Accepted: PDF, DOC/DOCX, JPG/PNG
E.g. certified ID, death certificate, proof of bank, BI-1663, etc.
Non-submission of relevant documents may delay assessment. :contentReference[oaicite:1]{index=1}
*Subject to any other information requested by the insurer from time to time. :contentReference[oaicite:2]{index=2}
Tick what you are attaching now. :contentReference[oaicite:3]{index=3}
*Subject to any other information requested by the insurer from time to time. :contentReference[oaicite:4]{index=4}
Attach certified copies of all required documentation.
Draw your signature or upload a scanned signature.
Kula Partners (Pty) Ltd (“Kula”) understands that your personal information is important to you; your privacy is equally important to Kula and we are committed to safeguard and process your information in a lawful manner. By submitting this form, you agree and consent to: (1) the processing of your personal information, including sharing for purposes of implementing and maintaining this policy and related services, including identity verification, processing and paying of claims, and use in risk models to enhance overall risk management by the Insurer; (2) receiving direct marketing of goods or services by electronic communication; and (3) acknowledge your rights, including objecting to the collection of personal information and lodging a complaint. Further information may be obtained on the Insurer’s website or the disclosure document provided to the policyholder. You declare that the details furnished are true and correct. Any false, misleading or misrepresented information may result in disqualification or repudiation of the claim. :contentReference[oaicite:5]{index=5}
