Submit your Claim

Submitting a claim with MultiDo Insurance is quick and secure. Please complete the form accurately and upload all required supporting documents to avoid delays. Our claims team will review your submission and contact you if any additional information is needed.

Claim Form

Claim Form

Please complete this claim form fully, accurately, and truthfully. Incomplete or incorrect submissions may result in delays in processing.

To ensure prompt assessment of your claim, all required supporting documents must be uploaded together with this form.


Required Supporting Documentation

Please upload clear, legible, and certified copies of the following documents, where applicable:

  • Certified copies of both the deceased’s and the claimant’s (beneficiary’s) identity documents

  • A letter from the Department of Home Affairs if the death certificate is handwritten

  • DHA-1663 (Pages 1, 2, and 3) with clearly visible barcode numbers

  • DHA-1663 (Pages 1 and 2 only) if the deceased passed away at home and the death was declared by a traditional leader
    Note: DHA-1663 must still be submitted in full in this case

  • Proof of banking details (bank statement not older than 3 months)

  • A completed police report from the investigating authority if the claim relates to an unnatural death or is under investigation

  • Stillbirth claims:

    • A letter from the attending doctor

    • All four (4) pages of DHA-1663
      (Page 4 is essential to determine the stage of pregnancy)

  • Foreign nationals:

    • A valid, certified copy of a passport and/or work permit

  • Late submissions:

    • Claims submitted more than six (6) months after the date of death must include an affidavit explaining the reason for the delay


Please ensure that all documents are current, correctly certified, and clearly readable. Failure to provide the required documentation may result in processing delays or rejection of the claim.

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