Join DFS online form – Dichabe Funeral Services

Funeral Cover Terms & Conditions

All application forms must be filled in full, including names, surnames, identity numbers or date of birth, and contact information.

All applicants should submit copies of identity documents or birth certificates.
New members and dependents have to serve a 6-month waiting period.
Re-joining members also have to serve a 6-month waiting period.
Failure to pay premiums for 2 months and 2 weeks will result in the lapse of the policy.
Claims will be paid within 48 hours following the submission of relevant supporting documents. The 48-hour claim period starts every day at 12:00 midday. Documents submitted after this deadline will be processed the next day at 12:00 midday.
A member can replace a deceased member after the burial.
Claims must be submitted within six (6) months from the date of death.
Should a member wish to cancel their membership, they will not be entitled to any form of refund.
Lost membership policy documents are subject to a charge before re-issue.
Duration of cover: This funeral cover membership is part of a whole life group funeral policy, meaning that members and dependents will continue to have coverage as long as premiums are paid.
In the event where two policies have covered one person, only one can make a claim.
All clients must submit full and complete details of extended membership within 7 days after joining.
No waiting period will be applicable in the event of accidental death claims on condition that a member has paid the first premium. Existing members previously insured by another provider must complete the duration of the waiting period still outstanding as stipulated in the grace premium period.
Your cover starts after the receipt of the 1st premium, provided that the insurer has not declined the application within 30 days of applying.
Immediate cover members can only claim for burial after registering with us and claim for money after three months.

Funeral Cover Terms & Conditions

Section A: Personal details of Main Member

NOTE: Please supply a copy of Main Members ID documents or drivers license

Surname

ID No

Work number

Email

Cell

Address

0 /

Package

Silver: Burial Plan (9+1) membersSilver Plus: Burial Plan (9+1) membersGold: Flat Casket Plan Family of 6Platinum: Dome Casket Family of 6

Section B: Personal details of the dependants covered under the main member included in the premium.

NOTE: Please supply a copy of the dependants ID documents or drivers license if it is available.

1

First Name

Surname

ID No

Relationship

2

First Name

Surname

ID No

Relationship

3

First Name

Surname

ID No

Relationship

4

First Name

Surname

ID No

Relationship

5

First Name

Surname

ID No

Relationship

6

First Name

Surname

ID No

Relationship

7

First Name

Surname

ID No

Relationship

8

First Name

Surname

ID No

Relationship

9

First Name

Surname

ID No

Relationship

Section C: Payment details

Debit order date

11525Last day of the month

Debit order account detailsAccount holder, Bank, Account number, Branch Code

0 /

Documentsupload

Upload

Section D: Main Member declaration and signature

I Hereby apply for a membership on the Master Policy held by Dichabe Funeral Services for the cover contained in this document and I declare that I have not withheld any material information. I accept that this application and the declaration shall be the basis of the Membership Contract between Dichabe Funeral Services. Furthermore, I understand and that any inaccurate or untrue statement may render my membership null and void and all premiums paid will be forfeited to Dichabe Funeral Services. The underwriter reserves the right to decline this application within 30 days of signature, I understand that subject to Underwriter approval, the membership will only come into effect after Dichabe Funeral Services has received the 1st premium payable.

By submitting this form, you agree that your submission constitutes a legally binding digital signature.

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