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Life Advisers

Everything you need to know about being a Hollard Life Adviser

Watch our video on the benefits of using Holly

Watch our video on the benefits of using Holly

Watch our video on the benefits of using Holly

Forms & downloads

Servicing forms

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Beneficiary Nomination Form
 

Benefit Amendment Form
 

Non-smoker Declaration


Cancellation Form


Policy Servicing Form


Cession Form


Surrender Form


Juristic Entity Addendum


Refund of Credit Form


Debit Order Form


Broker Appointment Form


Future Cover Option Form

Application forms

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Printable & editable applications:
 

Full Application
 

Juristic Entity Addendum
 

Life Insured Application
 

Policyholder Application
 

My Life and More Benefit Amendment
 

Conversion Option Quotation Request Form


Aansoekvorm vir Lewensversekerde
 

Aansoek vir Hollard se Lewenspolis – Versekerde Lewe
 

Aansoek vir Hollard se Lewenspolis - Polishouer



RAR – PPR 19:
 

Replacement Advice Record

Claims forms

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Death Claim Form - Police
 

Business Overhead Expenses Benefit Claim Form
 

Disability Claim Form - Claimant
 

Certificate of Continued Disability Claim Form
 

Disability Claim Form - Employer


Certificate of Existance for a Claim


Disability Claim Form - Medical Attendant
 

Certificate of Income Received


FICA Form


Critical Illness Claim Form - Life Insured


Funeral/Final Expenses Form


Critical Illness Claim Form - Medical Attendant


Indemnity Form for Crisis Waiver Cash Back


Death Claim Form - Claimant


Policyholder Form for Critical Illness and Disability Claims


Death Claim Form - Medical Attendant


Retrenchment Claim Form


Hospital Claim Form


Hospitalisation Claim Form - Medical Attendant


Claims Addendum for Juristic Entities

Stop Order Form

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Stop Order Authorisation

Underwriting forms

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Aerobatics Questionnaire

 

Arthritis Questionnaire

 

Asthma Questionnaire

 

Aviation Questionnaire

 

Back and Neck Questionnaire - Life Insured

 

Chest Pain Questionnaire

 

Declaration of Health

 

Diabetic Questionnaire - Life Insured

 

Diabetic Questionnaire - Medical Attendant

 

Diving Questionnaire

 

Diving Questionnaire - Commercial

 

Doctor's Notification Letter

 

ECG Questionnaire

 

Epilepsy Questionnaire - Life Insured

 

Epilepsy Questionnaire - Medical Attendant

 

Financial Statement - Keyman

 

Financial Statement - Partnership Cover

 

Financial Statement - Personal Needs Cover

 

Financial Statement - Security for a Loan

 

Foreign Travel Questionnaire

 

Gastro Intestinal Questionnaire

 

General Questionnaire

 

Habits Questionnaire - Alcohol

 

Habits Questionnaire - Drugs

 

Heart Chart By Physician Specialist Form

 

Hunting Questionnaire

 

Insolvency Questionnaire

 

Medical Tariff Codes

 

Mental Health Questionnaire - Life Insured

 

Mental Health Questionnaire - Medical Attendant

 

Mining Questionnaire

 

Motor Car Racing Questionnaire

 

Motorcycle Questionnaire

 

Mountaineering Questionnaire

 

Non-smoker Declaration

 

Occupational Questionnaire

 

Pathology Request

 

Porphyria Questionnaire

 

Powerboat Racing Questionnaire

 

PMA - Disease Management

 

PMA Request Form

 

Pulmonary Request

 

Regular Passenger Aviation Questionaire

 

Retest of Blood Pressure

 

Short Medical Report

 

Sky Diving & Parachuting Questionnaire

 

Standard Medical Report

 

Taxi Questionnaire

 

Future Cover Option Form

Download LifeQuote

LifeQuote is Hollard Life’s easy-to-use desktop quoting tool that allows you to generate not only new business quotations for Life cover, Critical illness and Disability (to name a few) but also to print a complete benefits summary pack for your client on the benefits selected, that you can use as part of your record of advice.

In order to download the latest version of LifeQuote, please log in to the LifeZone portal and click on the LifeQuote icon. Once downloaded, extract the zip file contents and open the LifeQuote.exe file. Follow the onscreen prompts to finish the installation.