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Get Hollard Group Risk Death Benefit Claim Form - Fpm
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How to fill out the Hollard Group Risk Death Benefit Claim Form - FPM online
Completing the Hollard Group Risk Death Benefit Claim Form - FPM online can be straightforward if you follow the right steps. This guide will help you navigate each section of the form, ensuring all necessary information is accurately provided, which is essential for a smooth claims process.
Follow the steps to complete the claim form efficiently.
- Click ‘Get Form’ button to obtain the form and open it for completion.
- In Section A, review the informative text carefully to understand the claims process. Ensure you have all necessary supporting documents ready, such as certified copies of the death certificate and identity documents.
- Proceed to Section B to fill out the scheme details. Provide the employer's name, policyholder's name, policy number, and membership or employee number.
- In Section C, input the employer's details, including the name of the company, physical address, postal address, and contact details for a point person.
- Enter the deceased's personal information in Section D. Fill in their first names, surname, identity number, date of birth, and gender.
- For Section E, report on the last risk contribution paid and clarify if the deceased was at work on the date of death, providing additional information where required.
- In Section F, document the date and cause of death. If applicable, note details of any accident, including location, time, and police report involvement.
- Section G requires you to detail the banking information for where the death benefit should be paid, whether to the policyholder or other beneficiaries. Include beneficiaries’ banking details if necessary.
- Finally, complete Section H by signing the declaration. Double-check that all information is accurate and truthful before submitting.
- Once you have filled out the form, save your changes. You can then download, print, or share the completed document as needed.
Complete your Hollard Group Risk Death Benefit Claim Form online today to initiate your claim process.
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