Platinum Life Plan Application Form
Education Legacy Plan Application Form
Family Funeral Plan Application Form
Critical Illness Claim Form
Certificate of Continued Disability
Disability Claim Form
Death Claim Form
Education Legacy Plan Death Claim Form
Extract from Records PMA Form
Funeral Claim Form
Physical Impairment Claim Form
Retrenchment Claim Form
Please submit all completed funeral claim forms and follow ups to libertyclaims@liberty.co.ls
Liberty Life Lesotho Limited Maseru Mall - Unit 39 Maseru Lesotho t +266 22 326 820 t +266 22 314 589 t +266 22 314 590