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Forms

Application Forms

Platinum Life Plan Application Form

Education Legacy Plan Application Form

Family Funeral Plan Application Form

Claim Forms

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 [email protected]

 

Liberty Websites

Investor and Analyst Information
www.libertyholdings.co.za

Investment and Asset Management Solutions
ww2.stanlib.com/lesotho

Contact Us

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

Liberty Life Lesotho Limited – Reg. No. 50966 Privacy Notice | User Agreement