Get Momentum Death Claim Form

Filling out the Momentum Death Claim Form online can be a straightforward process if you follow the correct steps. This guide will provide you with detailed, step-by-step instructions to ensure that your claim is submitted accurately and efficiently.

Follow the steps to complete your claim form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with section A, providing scheme details. Fill in the scheme name, scheme number, and employer information. Indicate whether the benefit is approved or unapproved by selecting the appropriate option.
3. Move to section B and fill out the member's details. Include initials, title, first name, surname, RSA ID, date of birth, and other relevant identifiers. Complete the marital status field, and provide the postal address along with the dates of joining the employer and the fund.
4. In section C, provide details about the deceased, including their initials, title, first name, surname, and relationship to the member. Specify the date of death, cause of death, and the date of last contribution.
5. Proceed to section D, where you will allocate the percentage share of benefits among the listed beneficiaries. Ensure that each entry includes initials, title, name, address, postal code, and relationship to the member.
6. In section E, specify who the benefit will be payable to. Include details for payment directly into a bank account if applicable, offering the account holder's information as well as bank details.
7. Finally, review the entire form for accuracy. Once confirmed, save the changes, then download, print, or share the form as needed.

Complete your documents online to ensure a smooth claims process.