Disability Claim Form

Please Note that Benefits shall be payable on total, permanent and irreversible disability as arising from accidental cause(s) as assessed by the Insurer.

Econet Life must be notified that a Claim is being made as soon as reasonably possible of confirmation of the disability, but in any event no later than 60 days from date of confirmation of disability.

Econet Life reserves the right to call for any additional documentation as may be required from time-to-time to validate the information provided and the Policy Holder or Beneficiary shall supply in writing at his/her own cost any reasonable information that the Insurer may request.