Get Sirago Claim Form

Filling out the Sirago Claim Form online can be a straightforward process when you follow each step carefully. This guide is designed to help you complete the form accurately, ensuring that all necessary information is provided for your claim to be processed efficiently.

Follow the steps to complete the Sirago Claim Form online

1. Press the ‘Get Form’ button to access the claim form and open it in your preferred editor.
2. Begin by filling out the principal insured details section. Enter the full first name(s), title, surname, and initials as required. Make sure all information is accurate.
3. Provide your date of birth in the specified format (DD/MM/YYYY). Then fill in your home, work, and mobile phone numbers, including the area codes.
4. Input your policy number and ID number. Following this, include your contact details, such as email address and postal address, along with the postal code.
5. In the submitted documents section, check the boxes for the documents you are attaching: Medical Aid statement, Claim Form, Doctor’s Account, Hospital Account, Proof of Co-Payment.
6. Record the admission and discharge dates using the date format (DD/MM/YYYY). Make sure these dates reflect the actual hospital stay.
7. Move to the insured bank account details section. Fill in the name of the account holder, bank name, branch code, account number, and branch name.
8. Select the account type and the claiming product you are applying for: Gap, CoPay, Combined Cover, Medical Death Benefit, or Premium Waiver.
9. Obtain the signature of the account holder and date it. This confirms that all provided information is truthful and complete.
10. Review the entire form for accuracy before proceeding to save your changes, download, print, or share the document as needed.

Submit your completed Sirago Claim Form online today to ensure prompt processing.