Current CLAIMS DETAILS Complete 1 of 2 Please ensure that you fill in all the required fields in the below form Policy number I, the undersigned hereby give notice to Botswana Life Insurance Limited that has died and that he/she was the same person whose life was assured by the said company and in proof of claim thereunder I answe Cause of death Occupation of deceased Date of birth Date of death Did the death arise as a result of bodily injury or ill-Health which arose of and in the course of military Service rendered outside the republic of Botswana? Was the cause of death the result of service rendered on any aircraft, on naval, military, or air force service? Names and addresses of all doctors who attended or prescribed for the Deceased during the two years preceding death Did the deceased die as a result of violation of any law or commit suicide? In what capacity or by what title do you claim the amount due under this policy? If Executor, Administrator or Guardian, certified copy of appointment must be furnished. Address of claimant(s) Claimant(s) Tel /Cell no Payment details - None -EFTLiferewardsCheque Bank Name Branch Name Account Number CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.