Group Assurance

Disability forms

You have the choice to download the relevant forms (to print, complete and fax to the respective number) or complete and send the relevant forms electronically.

Disability forms that can be downloaded

• Disability benefits (lump sum) form. (202kb pdf)
• Disability benefits (monthly income) form. (202kb pdf)
• Medical Questionnaire. (62kb pdf)

Electronic disability forms

• Disability benefits (lump sum) application form.
• Disability benefits (monthly income) form.
• Medical Questionnaire form.

Frequently Asked Questions

Download our Frequently Asked Questions document if you are unsure about anything.

For Employers

• Download the Instruction to Pay form. (136kb pdf)

Death Claim Form

• Download the Death Claim Form. (69kb pdf)