Claims

Claim Application Form (Natural and Unnatural Causes)

How to Claim

STEP 1:
Notify Siyavika of the claim. A claim form will then be sent to you OR you can download the form from our website.

STEP 2:
Send complete claim form with required documentation as set out on the claim form to our claims department. Claims2@siyavika.co.za or fax: +27 86 679 2046.

STEP 3:
Siyavika will access and pay the claim within 48hrs after receipt of documents. Siyavika will provide you with a proof of payment AND / OR notify you of any outstanding information.

Police Form (Unnatural Causes)

Standard Claim Requirements

Submit the following claim requirements to Siyavika Claims Department. Make sure that all supporting documents are attached.

• Complete claim form in black ink and readable handwriting
• Certified copy of the deceased’s identity document
• Certified copy of the death certificate
• Certified copy of the beneficiary nomination form
• Fully completed BI 1663 form
• A police report in the case of death due to unnatural causes
• Beneficiaries banking details – proof of valid banking details
• If claimant is a different person / entity from the beneficiary, please attach written certified authorisation from the beneficiary for claimant to receive claim amount

Guardrisk / Siyavika will verify all deaths with the Department of Home Affairs.

Depending on the circumstances, there may be other requirements.