Call: 0860 103 236

For up to date information about the pandemic visit www.sacoronavirus.co.za

I/We do hereby request the Ombudsman for Long-Term Insurance to investigate and consider the dispute with my/our insurance
company. All relevant correspondence or documentation is attached.

Fields marked with * are required, so please fill them in or the form will not submit successfully.

You can submit your complaint in any of the official languages

Would you kindly set out clearly all the facts which you consider have a bearing upon this complaint; including dates, places and names.
Attach Documents (Maximum Upload 10MB) Extensions Allowed (PDF, Word and scanned documents)

Subscribe to our Newsletter