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South Africa

Forms

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Forms

Forms required by the Fund

file_type_pdf Application for Purchase of Past Service
file_type_pdf Death Claim Form
file_type_pdf Retirement Form
file_type_pdf Beneficiary Nomination Form
file_type_pdf Two-Pot Retirement System Opt-in Form_SALA
file_type_pdf Two-Pot Retirement Claim form_SALA
file_type_pdf Withdrawal Resignation Form
file_type_pdf Fairsure Withdrawal and Retirement Form
file_type_pdf Retirement Benefits Counselling Confirmation Letter
file_type_pdf Nomination of Beneficiaries
file_type_pdf SALA RA8 - Member Communication

Complaint Form

Complaints/ Feedback Form

Notification of transfer

file_type_pdf Notification of Transfer Form

Risk Benefit Forms required by the Insurer Disability - Monthly Income Benefit

file_type_pdf Notice of Impending Disability Form - Ref No 200
file_type_pdf Employer Disability Claim Form - Ref No 201
file_type_pdf Claimant Disability Claim Form - Ref No 202
file_type_pdf Medical Specialist Examination Form - Ref No 203
file_type_pdf Claimant Consent Form - Ref No 204 - Claimant 1
file_type_pdf Claimant Consent Form - Ref No 204 - Claimant 2
file_type_pdf Claimant Appeal Application Form - Ref No 205
file_type_pdf Medical Progress Form - Extended Period - Ref No 206

Family Funeral and Family Support Benefits

file_type_pdf Family Funeral and Family Support Claim Form - Ref No 300
file_type_pdf Mandate for Payment of Funeral and Family Support Benefit - Ref No 301
file_type_pdf Mandate for payment of disability benefit

Divorce Form

file_type_pdf Divorce Form

Accidental In - Hospital Benefit

file_type_pdf In-Hospital Claim Form - Ref No 400
file_type_pdf Mandate for Payment of Hospital Benefit - Ref No 401

Dread Disease Benefits

file_type_pdf Claimant Dread Disease Claim Form - Ref No 500
file_type_pdf Employer Dread Disease Claim Form - Ref No 501
file_type_pdf Dread Disease Appeal Form - Ref 502
file_type_pdf Employer Dread Disease Claim Form Appeal

FNB Application Forms

file_type_pdf Smart Housing Plan
file_type_pdf Manual Housing Form
file_type_pdf SALA Process
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