Gap Claim Form

Consolidated Gap Claim Form 2025

Instructions
OTP Validation
Policyholder Details
Payment Instructions
Patient and Event Details
Declaration

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Broker Submission

I am submitting on behalf of the policyholder

Your Full Name (broker submitting on behalf of the policyholder)

First

Last

Please enter your ID, Passport No. or your Gap Policy No. in order for us to find your policy.

Please enter the Policyholders ID, passport No or Kaelo Gap Policy number in order for us to find the Policy

What would you like us to search with?

South African ID Number

Passport Number

Policy Number

South African ID Number

Passport Number

Policy Number

Cellphone No.

Please ensure you enter the cellphone number that is linked to your policy. You will receive a OTP to verify your policy and continue with the online submission for your claim.

If you are human, leave this field blank.

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