Online Forms

Funeral Claim Form

To enable S. R. I. C. to process your request, the claim form must be completed and all the documents listed at the end of the form be submitted. Please note that the claimant bears all the costs of obtaining the documents required.

Details of Policy

Scheme Name(Required)

Fullname(Required)

Membership Number(Required)

Claim Amount: E(Required)

Details of deceased person:

Fullname of Deceased(Required)

Relationship of Deseased to Member(Required)

Date of Birth(Required)

Date of Death(Required)

Where body is kept (Name of mortuary)(Required)

Cause of Death(Required)

Name of Employer/School(Required)

Telephone no. of Employer/School(Required)

Name of Chief(Required)

Name of Indvuna(Required)

Identity Number(Required)

Details of Claimant/Payee

Fullname of Claimant(Required)

Fullname of Payee(Required)

Relationship of Claimant Member(Required)

Postal Address(Required)

Physical Address(Required)

Name of Chief(Required)

Name of Indvuna(Required)

ID Number(Required)

Telephone No.(Required)

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Online Forms

Funeral Claim Form

Details of Policy

Details of deceased person:

Details of Claimant/Payee

Contact Us Now!

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