FORMS

Prime Asset Forms are available in pdf format for downloading and printing out. You will require the free Adobe Acrobat Reader to read the pdf files available from Adobe.

Application Form

Rates Form

Income Protection Benefits Form

Claim Form 1 Insured - Injury / Illness

Claim Form 2 Medical Certificate "Income Protection"

Claim Form 3 Hospital Verification - "Hospital Plan"

Agency Application Form

Policy Document - Income Protection

Policy Document - Hospital Plan

Disclosure Document

SECTION 51 MANUAL

FSB Licence

 

 

 

 

Prime Asset Cover TEL: 011 886 3200 FAX: 011 886 7303 E-MAIL primeasset@primeasset.co.za

© Copyright Prime Asset Cover 2006

Registration number: CK1992/026005/23

Category of Licence : Short - Term Insurance Personal Lines

Authorised Financial Services Provider Licence No: 8315

VAT no 4240214348