Claim Progress Update
Submitted By
(Required)
Submitted By
Ashira Sackstein
Jay Baum
Makgotso Matsepe
Matthew Arnold
Nkateko Ndou
Nobulumko Colleen Sigabi
Ramulutsi Mogale
Shanice Lawrence
Thandeka Mkhwanazi
William Botha
Claim Number
(Required)
Details
Claim Status
(Required)
Closed
Open
Outcome
(Required)
Outcome
Approved
Repudiated
In review
No claim
Goodwill
Reason
(Required)
Decision date
(Required)
YYYY dash MM dash DD
Goodwill Recoverable from Guardrisk?
(Required)
Yes
No
Partial
Details of Goodwill Recovery
(Required)
Amounts
Claim Amount
(Required)
Please enter a number greater than or equal to
1
.
Refund Amount
(Required)
Please enter a number greater than or equal to
1
.
