Bostwana
Kenya
Lesotho
Namibia
Eswatini
South Africa
Zambia
Application forms
Forms that you are able to apply for certain products
Individual Plan Offerings Application Form
Soma Plan Application Form
Kuza Plan Application Form
Claims forms
Complete the necessary claims forms. Please note: submit all completed funeral claim forms and follow ups to funeralclaims@liberty.co.ug
Certificate of Continued Disability Form
Critical Illness Claim Form
Death Claim Form
Disability Claimant’s Statement Form
Confidential Extract from Records Form (PMA)
Funeral Claim Form
Hospital Cash Plan Claim Form
Personal Accident Claim Form
Physical Impairment Claim Form
Retrenchment Claim Form
Statement by Police Form
Health Cover forms
Forms that you are able to apply for certain products