Death Claim

Please complete the online form below, once submitted a consultant will make contact with you. Alternatively, you can download the claim form at the bottom of the page, fill it in and email back to us at realclaims@rpassurance.co.za

If the cause of death was an accident, please also download the police form below.

Details of Deceased

Last Name

First Name

Marital Status

Year of birth

Month of birth

Day of birth

ID Number

Occupation

Name of Employer

Employer Contact Person

Spouse full name

Spouse Contact Details

Name of School/College

If deceased is a minor

School/College Contact Person

If deceased is a minor

Details of Death

Year of Death

Month of Death

Day of Death

City/Town of Death

Place of Death

If died in hospital, name and contact number

Exact Cause of Death

Funeral Undertaker

Contact Person

Contact Number

Fax Number

Email Address

Download Claim Form

Police Statement Form

Supporting documentation required:

Death Certificate
Copy of Identity Document of Policyholder
Copy of Identity Document of Deceased
Copy of Identity Document of Beneficiary (If Main Life has passed away)
Proof of banking
DHA 1663
Other documentation may be required at the time of assessing the claim

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086 111 4803

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clientservices@rpassurance.co.za

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Real People Views

12 Esplanade Road,
Quigney
East London
5201

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Real People Group

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We look forward to assisting you with your query.

Real People Life, a division of OPCO 365 (Pty) Ltd, Company Reg. No. 2001/004440/07, FSP Licence No. 9945, NCRCP No. 103.

Underwritten by Old Mutual Alternative Risk Transfer Limited (OMART), a registered Long-Term Insurer.

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