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About Zurich in South Africa

About the Zurich Group

Brokers' registration

Brokers' Bulletins

	Accident report form
	Claim forms
	Central processing unit forms
	Inventory form
	Premium credit facility forms
	Proposal forms

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Forms


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Click on the forms below, fill-in electronically and print.
Accident report form
	Public liability accident report form		437 kb

Claim forms
	Injury/illness claim form		444 kb
	Motor personal accident claim form		444 kb
	Motor accident claim form		677 kb
	Motor theft claim form		442 kb
	Non-motor claims under R20 000		438 kb
	Property loss/damage claim form		442 kb
	Yacht and powered craft claim form		440 kb

Central processing unit forms
	Claims maintenance cover sheet – Cape Town		440 kb
	Claims maintenance cover sheet – Durban		440 kb
	Claims maintenance cover sheet – Johannesburg		440 kb
	Motor assessors report request form – Cape Town		443 kb
	Motor assessors report request form – Durban		443 kb
	Motor assessors report request form – Johannesburg		444 kb
	New claims registration cover sheet – Cape Town		444 kb
	New claims registration cover sheet – Durban		444 kb
	New claims registration cover sheet – Johannesburg		444 kb

Inventory form
	Inventory form		451 kb

Premium credit facility forms
	Application for payment of insurance premiums by instalments under the premium credit facility scheme		573 kb
	Request for debit of account		649 kb

Proposal forms
	Commercial hull insurance		583 kb
	Commercial insurance policy proposal		230 kb
	Personal lines internet monthly policy		171 kb
	Proposal for pleasurecraft insurance		478 kb