claims.totalrisksa.co.za
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Submitted URL: https://claims.totalrisksa.co.za/
Effective URL: https://claims.totalrisksa.co.za/online-submission
Submission: On October 26 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://claims.totalrisksa.co.za/online-submission
Submission: On October 26 via automatic, source certstream-suspicious — Scanned from DE
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Text Content
ONLINE CLAIM SUBMISSION SECTION 1: PERSONAL DETAILS Title Initials First Name Last Name Date of Birth Year Month Loading... Day ID Number Contact Number Email Medical Aid Name Membership Number Benefit Option Name Gap Policy Number Postal Address Comments Continue