Employee Benefits Forms

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Investment Selection

 

Investment Portfolio Selection Form – Member Level
 






Retirement Benefit Forms

 

Retirement Notification
 

 


 

Retirement Notification for Unclaimed Benefits
 

 


 

Form A & D
 






Capital Alliance Funeral & Death Claims

 

Credit Life Death Claim Form
 

 


 

Funeral Benefit Claim Form
 

 


 

Funeral Claim Form – Voluntary Benefit
 

 


 

Funeral Nomination Form – Extended Family
 

 


 

Funeral Nomination Form – Compulsory Benefits
 

 


 

Critical Incidents Medical Questionnaire
 

 


 

Notification of Members’s Death From – Re-insured
 

 


 

Notification of Members’s Death From – Unapproved Fund
 

 


 

Spouse’s Death Benefit Claim Form
 






Death Benefit Forms

 

Death of an Employee Claim Form
 

 


 

Deceased Estate’s Guide
 

 


 

Comprehensive Guide to the Process & Requirements for Family Benefit Funeral & Death Claims
 






Funeral Benefit Form

 

Funeral and Spouse’s Death Benefit Claim Form
 






Withdrawal Benefit Form

 

Preservation of Benefit Withdrawal Notification Form
 

 


 

A Comprehensive Guide to the Processing & Requirements for the Submission of Withdrawal & Retirement Claims
 

 


 

Statement of Admission of Liability
 






Disability, Dread Disease or Impairment benefit forms

 

Confidential Doctors Report
 

 


 

Employer’s Statement
 

 


 

Form A & D
 

 


 

Member’s Statement
 

 


 

Job Description Questionaire
 

 


 

Notification of Possible Disability Claim

There are no forms available at this time.

Contact Us

Unit C5B, Westlake Square, Westlake Drive, Westlake, 7967

Tel: +27 21 7121198
Fax: +27 21 7128576
Fax: +2786 690 3568
Mobile: +2783  392 2922
email: reception@rdafs.co.za