Funeral Benefit Complaint

Complainanant

Title*

First Name*

Surname*

ID Number or Passport Number*

Enter your South African ID number or Passport Number

E-mail Address*

Your Phone Number*

Enter your phone number. If outside of South Africa add + before the numbers. Example: +266 123 3345

Alternative Phone Number

Province*

Address Line 1

Address Line 2

City

PostCode

PO Box No

PO Box Suburb

PO Box Postcode

Fund Member First Name*

Fund Member Surname*

Fund Member ID Number or Passport number*

Fund Member Department Employed*

Fund Member Employment Status*

Fund Member GEPF Pension Number

Fund Member Persal Number

Respondent Details*

Other Respondent details

Introduce Yourself*

Detail the Complaint*

What relief do you seek*

Please note that without the required documentation, we are unable to consider your case

Copy of Death Certificate attached (compulsory)?*

Attachments