Downloads

Hospitalization preauthorization form

Directions: Please read carefully and fill out the entire form. Answer all questions otherwise there may be delays in preauthorization of the admission and/or bills/invoices may not be paid. (Complete in CAPITAL letters). A duly completed and signed inpatient form should be sent to Jubilee Insurance within 24hrs of admission of one of its members […]

Motor accident claim form

Directions: Please read carefully and fill out the entire form. All questions must be answered in full, in BLOCK letters, in your own handwriting or to your dictation. The issuing of this form is not to be taken as an admission of liability by the insurers. Neither owner nor driver may admit fault or liability […]

Motor theft claim form

All questions must be answered in full, in BLOCK letters, in the Claimant’s own handwriting or to his diction; if unable to reply personally, this form may be filled in on behalf of the Claimant. The issuing of this form is not to be taken as an admission of liability by the insurers.

J care claim form

Directions: Please read carefully and fill out the entire form. This form must be completely and legibly filled out in BLOCK letters in order for us to process your claim. Complete a separate claim form for each insured individual and for each visit to the doctor or service provider. Attach ALL medical bill(s) relating to […]

Motor windscreen Claim form

Directions: All questions must be answered in full, in BLOCK letters, in the Claimant’s own handwriting or to his direction. The issuing of this form is not to be taken as an admission of liability by the insurers. Please attach photocopy of ID / Passport / Birth Certificate.

Personal accident claim form

DIRECTIONS: All questions must be answered in full, in BLOCK letters, in the Claimant’s own handwriting or to his diction; if unable to reply personally, this form may be lled in on behalf of the Claimant. Ensure that both the Claim Form and the Medical Certi cate are properly completed. upporting documents or copies thereof […]

Life policy claim form

DIRECTIONS: Please read carefully and ll out the entire form. This form must be completely and legibly filled out in BLOCK letters in order for us to process your claim. Date and sign the form and ensure that the same is signed and stamped by the Doctor/Provider in the space provided. Incomplete claim forms will […]

Certificate of attending physician

DIRECTIONS: Please read carefully and ll out the entire form. This form must be completely and legibly filled out in BLOCK letters in order for us to process your claim. Date and sign the form in the space provided.

Miscellaneous claim form

DIRECTIONS: To be used for all Property Insurance other than marine, Motor and Plate Glass All questions must be answered in full, in BLOCK letters, in the Claimant’s own handwriting or to his direction. The issuing of this form is not to be taken as an admission of liability by the insurers Please attach photocopy […]

Barclays ultimate account claim form

Personal accident and last expense Barclays Ultimate Account.

SME application form

DIRECTIONS: Please answer all questions in BLOCK letters Please attach a passport-size photograph of yourself and of each member of your family proposed for insurance.

Corporate membership application form

DIRECTIONS: Please answer all questions in BLOCK letters Please attach a passport-size photograph of yourself and of each member of your family proposed for insurance.