Claim Details of 10
All items with red asterisks  are mandatory
Claimant Information of 10
Must be the same number used for the policy registration. Your claim will be rejected if this number is incorrect.
Image file size must not exceed 10Mb
Allowed image types: "jpeg", "png"
Deceased Information of 10
Please include name of town, location and region
Enter the age of the deceased at time of death
Image file size must not exceed 10Mb
Allowed image types: "jpeg", "png"
Place of Worship of the Deceased of 10
Contact from Religious Body of 10
of 10
Provide one of the following documents
Each document size must not exceed 10Mb
Medical Certificate of cause of Death
Police Report for Accidental Death
Mortuary Document
Other Document 2
Supporting Documents of 10
Provide any of the following documents
Each document size must not exceed 10Mb
Letter of Confirmation/Attestation
Other Document
Other Relative Details of 10
Additional Information on Claimant of 10
Payment Details of 10
Select and fill out details on how the money should be paid if applicable
Please note that , by selecting mobile money as your mode of payment, a 1% E-Levy charge will be applied to your claim amount.

I do hereby declare that all the answers to the above questions are true to the best of my knowledge, that I have not falsified, concealed or withheld any material information; and that I undertake to furnish any documentation which may be required by miLife Insurance Company.

I expressly waive all provisions of law, custom or professional etiquette forbidding any physician or any institution who attended, treated or examined the deceased to disclose any information acquired.

I hereby authorize all such persons or agencies to furnish any information in their possession to miLife Insurance Company.

I, the undersigned client, grant permission and consent for the exchange of my information among life insurance companies for the purpose of preventing fraud.

Upon submission of fraudulent documentation even in genuine claim cases, it may result in the delay of payments or outright rejection of claims.

If after settlement of claim, our investigations prove that there were any falsified documentations presented, miLife reserves the right to prosecute the claimant and publish the act in any national newspaper

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