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Lodgement Funeral Claims Check List

The document provides instructions for submitting a funeral claims checklist, including mandatory documents needed: [1] copy of birth certificate/ID of deceased, [2] copy of ID of family member claiming expenses, [3] affidavit describing accident and relationship to deceased, [4] medical records if deceased died in hospital, [5] death certificate, [6] post mortem report, and [7] accident report or affidavits. The funeral parlour invoice must include date, number, deceased's name, and travel kilometers. Finally, the bank indemnity form must be completed and signed by the claimant and bank.

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Mfundo Dlamini
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48 views

Lodgement Funeral Claims Check List

The document provides instructions for submitting a funeral claims checklist, including mandatory documents needed: [1] copy of birth certificate/ID of deceased, [2] copy of ID of family member claiming expenses, [3] affidavit describing accident and relationship to deceased, [4] medical records if deceased died in hospital, [5] death certificate, [6] post mortem report, and [7] accident report or affidavits. The funeral parlour invoice must include date, number, deceased's name, and travel kilometers. Finally, the bank indemnity form must be completed and signed by the claimant and bank.

Uploaded by

Mfundo Dlamini
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LODGEMENT FUNERAL CLAIMS CHECK LIST

1. You need to attach the following MANDATORY DOCUMENTS

Copy of Birth Certificate/ ID /passport of the deceased.

Copy of the ID of the family member claiming for the funeral expenses.

Affidavit attested to by the family member stating how the accident occurred and
stating his/her relationship with the deceased.

Medical Records if the deceased died in hospital.

Death Certificate

BI (Body Identification)/ Post Mortem

Embalming Certificate (If applicable)

Copy of OAR (Accident Report) reflecting the names of the deceased – Witness
statements
Affidavit by the investigating Officer where the name of the deceased does not
appear on the OAR

2. The Invoice from the Parlour must include the following details:

Invoice Date

Invoice number

Name of the deceased

Stamped by the Parlour

Signed by the Director of the Parlour

Travelled kilometers must include place of accident and place of burial

3. Bank Indemnity form must be completed ensure that all these steps are completed

Bank indemnity must be completed and signed by the claimant and signed and
stamped by the bank
WHICH FORM MUST BE COMPLETED? Yes No

1. A Blue RAF 1 Claim Form

WHICH PARAGRAPHS MUST BE COMPLETED? Yes No

1. PAR 1 – Personal Details of the Claimant

2. PAR 2 – Details of Person claiming on behalf of someone else e.g.


child
3. PAR 3 – Bank Details of the Claimant
4. PAR 4 – Bank Details of the Claimant’s Attorney(s) – if Attorneys
used
5. PAR 5 – Accident Details
6. PAR 6 – Passenger/Pedestrian/Cyclists Section

7. PAR 7 – Details of the Car/Motorcyclist the Deceased was driving

8. PAR 8 – Details of the other vehicle involved


9. PAR 9_ Particulars of the deceased
10. PAR 11 – Details of COIDA – if Deceased was killed while on
duty

11. PAR 12 – Details of any Witnesses

12. PAR 19 – Compensation/Damages/Money to be claimed


13. PAR 21 _ Declaration of Consent must be signed by
14. PAR 22 – Completion of Report by Dr. – if Deceased died later/at
hospital

The RAF covers the following funeral expenses:

Transportation Cost *Limited to rate per km in cession


Casket/ Coffin Reasonable amount
Lowering device
Body preparation
Body Storage
Embalming *Embalming certificate must be
produced
Grave Fee As per Municipality Rate

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