Certificates

You can find your personalised documents here:

Editable application forms are now available for you to complete digitally. You can navigate through the form by pressing the down arrow. If you can't physically sign a form, you must sign it digitally. We accept digital signatures from these digital signature providers:

  • SigniFlow
  • DocuSign
  • Quickly Sign
  • Hellosign
  • Santamflow
  • Smart Advice signatures
  • Adobe Sign with certificate

  Appeal for out-of-hospital treatment over and above that provided by the Prescribed Minimum Benefits

  Application for out-of-hospital management of a PMB condition

  Application for registration of newborn baby

  Application to add dependant

  Application to join (with underwriting)

  Chronic Illness Benefit application form

  Continuation form

  Dependant Withdrawal form

  Ex gratia

  Health declaration

  HIV PMB Appeal form

  HIVCare Programme application form

  Income verification for special dependants 

  International travel benefits claims 

  Malcor TRA Funeral Cover Beneficiary Nomination Form 

  Member withdrawal form

  Option change form

  Permission to change banking details

  Permission to make certain information available to a third party

 Permission to make certain information available to a third party

  Pre-assessment request form

  Request for additional cover for PMB CDL conditions

  Request for extended supply of medicine

 Request for extended supply of medicine

  Request for pre-exposure prophylaxis

  Reverse claims form

  Settlement agreement

  Transfer from active to individual status

  Transfer from active to retiree status

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