Fill your Group Policy Claim Please enable JavaScript in your browser to complete this form.Claim Request Type *Select Claim Request TypeGroup/AssociationChurchBoafa PaType of policy *Select Type of policyGroup FuneralAlumni PolicyWelfare (Yiedie)Name of Group/Church *Type of claim request *Select Type of claim requestDeathCritical illnessTotal Permanent DisabilityMarriageChildbirthHospitalizationPolicy NumberBoafo Pa Policy NumberName of Policy Holder *FirstLastDeceased DetailsName of deceased/Insured *FirstLastDate of Death/incident *Place of death/incident *Age of deceased/Insured *Relationship to Policyholder *Death Document(s) AttachedPlease selected document available *Letter from the Church/GroupEndorsers' formMortuary ReceiptBurial PermitPolice ReportPost Mortem ReportDeath CertificateMedical Cause of deathMedical/Doctor's reportOtherUpload Document * Click or drag files to this area to upload. You can upload up to 10 files. Payment Options *Select your preferred payment optionMobile Money (Below GH¢5000)Bank TransferMobile Money NumberMobile Money NetworkSelect Mobile NetworkMTNTelecelAirtelTigoSelect BankSelect your bankGhana Commercial Bank (GCB) BankEcobank GhanaAbsa Bank GhanaStandard Chartered Bank GhanaFidelity Bank GhanaCalBankStanbic Bank GhanaZenith Bank GhanaUnited Bank for Africa (UBA) GhanaAccess Bank GhanaFirst National Bank GhanaRepublic Bank Ghana (formerly HFC Bank)Consolidated Bank Ghana (CBG)Prudential Bank GhanaBank of Africa GhanaOmniBSIC Bank Ghana (merged from OmniBank and BSIC)Agricultural Development Bank (ADB)National Investment Bank (NIB)Guaranty Trust Bank (GTBank) GhanaSociété Générale GhanaAccount Holder NameAccount NumberBranch CodeBranch NameName of Scheme Administrator *FirstLastMobile Number *Email AddressSubmit MOtor claims Non-MOtor claims Life Insurance Claim