Employee Benefits Forms
Old Mutual
Liberty
Allan Gray
Sanlam
Momentum
Discovery Benefits
Old Mutual
Click on the name to open or share with the quick share buttons.
Death Claims
How to Claim Death Benefits
Education Guardian Benefits Claim
Family Benefits Claim Form
Group Life Employee or Spouse Claim Forms
Disability Claims
How to Claim Tips & Process Form
Disability Benefits Application
Disability Medical Questionnaire
Productivity Report Form
Critical Incidents Claim Form
Critical Incidents Medical Questionnaire
Lifestyle Cover Claim Form
Lifestyle Cover Medical Questionnaire
General
Application for Maternity Leave Benefits
Liberty
Click on the name to open or share with the quick share buttons.
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
Adding a New Member to the Fund
New Entrant Form
Nominating a Beneficiary
Nomination of Beneficiary Form
Identification of Dependants & Nomination of Beneficiary
Identification of Dependants
Unclaimed Benefit Funds
Retirement Notification
Withdrawal Notification
Allan Gray
Click on the name to open or share with the quick share buttons.
Group Umbrella Retirement Fund
Member Exit Instruction
Member Transfer Instruction
Retirement Notification
Change in Details of Nominees for Retirement Funds
Request for Approval of Early Retirement
Employee Admission of Liability & Acknowledgement of Debt
Request to Withhold Member Benefit
Portal Paypoint & Authorised User Instruction
Change in Scheme Details for the Umbrella Fund
SARS Simulation Request Form
Allan Gray Group Retirement Annuity
Group Retirement Annuity Form
Acting on Behalf of the Investor
Group Retirement Annuity Change in Contribution/Employer
Change in Details of Nominees for Retirement Funds
Group Retirement Annuity System Authorised User Application
Employer Registration for the Group Retirement Annuity System
Sanlam
Click on the name to open or share with the quick share buttons.
Employee Benefits Claim Forms
Claim for Group Life Benefit
Claim for Spouse’s Insurance Benefit
Claim for Funeral Insurance Benefit – Immediate Family & Extended Family Members
Claim for Funeral Insurance Benefit – Immediate Family Members Only
Claim for Universal Education Protector Benefit
Claim for Accident Benefit
Statement by Police Official to Whom Death was Reported
Claim for Terminal Illness Benefit
Claim for Sever/Critical Illness Benefit
Top Plan for Executives
Notification of Potential Disability Claim
Claim for Lump Sum Disability Benefit and/or Monthly Disability Income Benefit
Claim for Spouse’s Disability Benefit
Medical Certificate: Proof of Continuation of Disability
IncomeCare Rehabilitation Questionnaire
IncomeCare Sick: Leave Report Employer
Nomination Forms
Nomination of Group Life Insurance
Momentum
There are no forms available at this time.
Discovery Benefits
Click on the name to open or share with the quick share buttons.
Discovery Benefits Forms
Authorised Representative Forms
COBRA Addition of a Dependant Form
COBRA Benefits Termination Form
COBRA Contact Information Change Form
COBRA Medicare Extension Request Form
COBRA Second Qualifying Event Form
COBRA Social Security Disability Extension Form
HSA Blocked Account Verification Form
HSA Transfer Request Form
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

