(031) 764 0580
lara@bottari.co.za
Monday - Friday: 8:00am - 4:30pm Saturday & Sunday: Closed (Emergencies please call 082 359 7244)
GENERAL FORMS
CLAIM FORMS
Franco Bottari & Associates is an Authorised Financial Service Provider. We can assist you with all classes of short-term insurance, commercial and domestic.
HOUSEHOLD CONTENTS INVENTORY FORM Download and use this form to complete an inventory of your household contents. EMERGENCY ASSIST BROCHURE COMMERCIAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for commercial requirements. EMERGENCY ASSIST BROCHURE PERSONAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for your personal requirements. CHANGE OF ADDRESS Use this form to update your address information if you have changed your address. MOTOR ACCIDENT CLAIM FORM Use this form for claims for motor vehicle accidents. INDEPENDENT WITNESS STATEMENT FORM This form should be filled out by an independent witness to the accident. PROPERTY LOSS OR DAMAGE CLAIM FORM Download, print and fill out this form to make a claim for loss of or damage to property. MOTOR THEFT CLAIM FORM Download, print and fill out this form to make a claim for theft of a motor vehicle.
POLICY WORDING
HOLLARD BUSINESS POLICY MUA EXECUTIVE POLICY MUA EXECUTIVE POLICY EXCESS AND LIMIT PAGE MUA ROADSIDE BROCHURE MUA HOME BROCHURE HOLLARD PRIVATE PROTECT POLICY HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY HOLLARD ULTIMATE PROTECT POLICY HOLLARD ULTIMATE PROTECT CLIENT RESPONSIBILITY FBA EMERGENCY ASSIST HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY GEYSER CLAIM FORM Use this form for claims for geyser damage. BROKER APPOINTMENT FORM Broker appointment form AUTHORISATION LETTER Letter of Authorisation PERSONAL MEDICAL CERTIFICATE Personal Medical Certificate DEBIT ORDER FORM Debit Order Form FBA EMERGENCY ROADSIDE ASSIST
GENERAL FORMS
CLAIM FORMS
(031) 764 0580
lara@bottari.co.za
Monday - Friday: 8:00am - 4:30pm Saturday & Sunday: Closed (Emergencies please call 082 359 7244)
Franco Bottari & Associates is an Authorised Financial Service Provider. We can assist you with all classes of short-term insurance, commercial and domestic.
HOUSEHOLD CONTENTS INVENTORY FORM Download and use this form to complete an inventory of your household contents. EMERGENCY ASSIST BROCHURE COMMERCIAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for commercial requirements. EMERGENCY ASSIST BROCHURE PERSONAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for your personal requirements. CHANGE OF ADDRESS Use this form to update your address information if you have changed your address.
POLICY WORDING
HOLLARD BUSINESS POLICY MUA EXECUTIVE POLICY MUA EXECUTIVE POLICY EXCESS AND LIMIT PAGE MUA ROADSIDE BROCHURE MUA HOME BROCHURE HOLLARD PRIVATE PROTECT POLICY HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY HOLLARD ULTIMATE PROTECT POLICY HOLLARD ULTIMATE PROTECT CLIENT RESPONSIBILITY FBA EMERGENCY ROADSIDE ASSIST HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY MOTOR ACCIDENT CLAIM FORM Use this form for claims for motor vehicle accidents. INDEPENDENT WITNESS STATEMENT FORM This form should be filled out by an independent witness to the accident. PROPERTY LOSS OR DAMAGE CLAIM FORM Download, print and fill out this form to make a claim for loss of or damage to property. MOTOR THEFT CLAIM FORM Download, print and fill out this form to make a claim for theft of a motor vehicle. GEYSER CLAIM FORM Use this form for claims for geyser damage. BROKER APPOINTMENT FORM Broker appointment form AUTHORISATION LETTER Letter of Authorisation PERSONAL MEDICAL CERTIFICATE Personal Medical Certificate DEBIT ORDER FORM Debit Order Form FBA EMERGENCY ASSIST
GENERAL FORMS
CLAIM FORMS
Franco Bottari & Associates is an Authorised Financial Service Provider. We can assist you with all classes of short-term insurance, commercial and domestic.
MENU HOUSEHOLD CONTENTS INVENTORY FORM Download and use this form to complete an inventory of your household contents. EMERGENCY ASSIST BROCHURE COMMERCIAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for commercial requirements. EMERGENCY ASSIST BROCHURE PERSONAL Reference brochure to provide you with details regarding the France Bottari & Associates Emergency Assist services for your personal requirements. CHANGE OF ADDRESS Use this form to update your address information if you have changed your address.
POLICY WORDING
HOLLARD BUSINESS POLICY MUA EXECUTIVE POLICY MUA EXECUTIVE POLICY EXCESS AND LIMIT PAGE MUA ROADSIDE BROCHURE MUA HOME BROCHURE HOLLARD PRIVATE PROTECT POLICY HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY HOLLARD ULTIMATE PROTECT POLICY HOLLARD ULTIMATE PROTECT CLIENT RESPONSIBILITY FBA EMERGENCY ROADSIDE ASSIST HOLLARD PRIVATE PROTECT CLIENT RESPONSIBILITY MOTOR ACCIDENT CLAIM FORM Use this form for claims for motor vehicle accidents. INDEPENDENT WITNESS STATEMENT FORM This form should be filled out by an independent witness to the accident. PROPERTY LOSS OR DAMAGE CLAIM FORM Download, print and fill out this form to make a claim for loss of or damage to property. MOTOR THEFT CLAIM FORM Download, print and fill out this form to make a claim for theft of a motor vehicle. GEYSER CLAIM FORM Use this form for claims for geyser damage. BROKER APPOINTMENT FORM Broker appointment form AUTHORISATION LETTER Letter of Authorisation PERSONAL MEDICAL CERTIFICATE Personal Medical Certificate DEBIT ORDER FORM Debit Order Form FBA EMERGENCY ASSIST