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Submitted URL: http://www.esurecover.com/
Effective URL: https://www.esurecover.com/
Submission: On December 12 via manual from CH — Scanned from CH
Effective URL: https://www.esurecover.com/
Submission: On December 12 via manual from CH — Scanned from CH
Form analysis 2 forms found in the DOM
Name: New Form — POST
<form class="elementor-form" method="post" name="New Form">
<input type="hidden" name="post_id" value="1273">
<input type="hidden" name="form_id" value="3ee976d">
<input type="hidden" name="referer_title" value="eSure Cover">
<input type="hidden" name="queried_id" value="988949">
<div class="elementor-form-fields-wrapper elementor-labels-">
<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-66 elementor-field-required">
<label for="form-field-email" class="elementor-field-label elementor-screen-only"> Subscribe to our Newsletter </label>
<input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Email" required="required" aria-required="true">
</div>
<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-25 e-form__buttons">
<button type="submit" class="elementor-button elementor-size-sm">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">Send</span>
</span>
</button>
</div>
</div>
</form>Name: New Form — POST
<form class="elementor-form" method="post" name="New Form" novalidate="">
<input type="hidden" name="post_id" value="988302">
<input type="hidden" name="form_id" value="48cf7ea">
<input type="hidden" name="referer_title" value="eSure Cover">
<input type="hidden" name="queried_id" value="988949">
<div class="elementor-form-fields-wrapper elementor-labels-above">
<div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_724ad41 elementor-col-100">
<div class="e-field-step elementor-hidden" data-label="A. Policyholder Details" data-previousbutton="Previous" data-nextbutton="Next" data-iconurl="" data-iconlibrary="fas fa-star" data-icon=""></div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e327274 elementor-col-100 elementor-field-required">
<label for="form-field-field_e327274" class="elementor-field-label"> What type of insurance are you claiming for? </label>
<input size="1" type="text" name="form_fields[field_e327274]" id="form-field-field_e327274" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Funeral/Home Contents/Building/Life/Car" required="required"
aria-required="true">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_3281a3f elementor-col-100 elementor-field-required">
<label for="form-field-field_3281a3f" class="elementor-field-label"> Passport/SA ID NO </label>
<input type="number" name="form_fields[field_3281a3f]" id="form-field-field_3281a3f" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
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<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_95624e8 elementor-col-50 elementor-field-required">
<label for="form-field-field_95624e8" class="elementor-field-label"> Title </label>
<input size="1" type="text" name="form_fields[field_95624e8]" id="form-field-field_95624e8" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3d64eb3 elementor-col-50 elementor-field-required">
<label for="form-field-field_3d64eb3" class="elementor-field-label"> Initial </label>
<input size="1" type="text" name="form_fields[field_3d64eb3]" id="form-field-field_3d64eb3" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6c4d778 elementor-col-50 elementor-field-required">
<label for="form-field-field_6c4d778" class="elementor-field-label"> Name </label>
<input size="1" type="text" name="form_fields[field_6c4d778]" id="form-field-field_6c4d778" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a82fc5f elementor-col-50 elementor-field-required">
<label for="form-field-field_a82fc5f" class="elementor-field-label"> Surname </label>
<input size="1" type="text" name="form_fields[field_a82fc5f]" id="form-field-field_a82fc5f" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_688d475 elementor-col-50 elementor-field-required">
<label for="form-field-field_688d475" class="elementor-field-label"> Policyholder No </label>
<input type="number" name="form_fields[field_688d475]" id="form-field-field_688d475" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_42035ea elementor-col-50 elementor-field-required">
<label for="form-field-field_42035ea" class="elementor-field-label"> Cell No </label>
<input type="number" name="form_fields[field_42035ea]" id="form-field-field_42035ea" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_7b95f34 elementor-col-50">
<label for="form-field-field_7b95f34" class="elementor-field-label"> Work No </label>
<input type="number" name="form_fields[field_7b95f34]" id="form-field-field_7b95f34" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" min="" max="">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_b6576b1 elementor-col-50 elementor-field-required">
<label for="form-field-field_b6576b1" class="elementor-field-label"> Home No </label>
<input type="number" name="form_fields[field_b6576b1]" id="form-field-field_b6576b1" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_ede5944 elementor-col-100 elementor-field-required">
<label for="form-field-field_ede5944" class="elementor-field-label"> Email Address </label>
<input size="1" type="email" name="form_fields[field_ede5944]" id="form-field-field_ede5944" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8272ffb elementor-col-100">
<div class="e-field-step elementor-hidden" data-label="B. Payment Instructions" data-previousbutton="" data-nextbutton="" data-iconurl="" data-iconlibrary="fas fa-star" data-icon=""></div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6bf6020 elementor-col-100 elementor-field-required">
<label for="form-field-field_6bf6020" class="elementor-field-label"> Bank Name </label>
<input size="1" type="text" name="form_fields[field_6bf6020]" id="form-field-field_6bf6020" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_88be62c elementor-col-100 elementor-field-required">
<label for="form-field-field_88be62c" class="elementor-field-label"> Account No </label>
<input type="number" name="form_fields[field_88be62c]" id="form-field-field_88be62c" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_23f5bb8 elementor-col-100 elementor-field-required">
<label for="form-field-field_23f5bb8" class="elementor-field-label"> Branch Code </label>
<input type="number" name="form_fields[field_23f5bb8]" id="form-field-field_23f5bb8" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_14c7017 elementor-col-100 elementor-field-type-select-multiple">
<label for="form-field-field_14c7017" class="elementor-field-label"> Account Type </label>
<div class="elementor-field elementor-select-wrapper remove-before ">
<div class="select-caret-down-wrapper">
</div>
<select name="form_fields[field_14c7017][]" id="form-field-field_14c7017" class="elementor-field-textual elementor-size-sm" multiple="">
<option value="Cheque">Cheque</option>
<option value="Transmission">Transmission</option>
<option value="Savings">Savings</option>
</select>
</div>
</div>
<div class="elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_7fc6be9 elementor-col-100">
<div class="e-field-step elementor-hidden" data-label="C. Beneficiary Details" data-previousbutton="" data-nextbutton="" data-iconurl="" data-iconlibrary="fas fa-star" data-icon=""></div>
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b32853b elementor-col-50 elementor-field-required">
<label for="form-field-field_b32853b" class="elementor-field-label"> Title </label>
<input size="1" type="text" name="form_fields[field_b32853b]" id="form-field-field_b32853b" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_154b99b elementor-col-50 elementor-field-required">
<label for="form-field-field_154b99b" class="elementor-field-label"> Initials </label>
<input size="1" type="text" name="form_fields[field_154b99b]" id="form-field-field_154b99b" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d21dace elementor-col-50 elementor-field-required">
<label for="form-field-field_d21dace" class="elementor-field-label"> Name </label>
<input size="1" type="text" name="form_fields[field_d21dace]" id="form-field-field_d21dace" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_639eb54 elementor-col-50 elementor-field-required">
<label for="form-field-field_639eb54" class="elementor-field-label"> Surname </label>
<input size="1" type="text" name="form_fields[field_639eb54]" id="form-field-field_639eb54" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_75209f8 elementor-col-50 elementor-field-required">
<label for="form-field-field_75209f8" class="elementor-field-label"> ID Number </label>
<input size="1" type="text" name="form_fields[field_75209f8]" id="form-field-field_75209f8" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true">
</div>
<div class="elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_c0cdefa elementor-col-50 elementor-field-required">
<label for="form-field-field_c0cdefa" class="elementor-field-label"> Cell Number </label>
<input type="number" name="form_fields[field_c0cdefa]" id="form-field-field_c0cdefa" class="elementor-field elementor-size-sm elementor-field-textual" placeholder="Type Here" required="required" aria-required="true" min="" max="">
</div>
<div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_31e73f0 elementor-col-100 elementor-field-type-select-multiple">
<label for="form-field-field_31e73f0" class="elementor-field-label"> Relationship to applicant </label>
<div class="elementor-field elementor-select-wrapper remove-before ">
<div class="select-caret-down-wrapper">
</div>
<select name="form_fields[field_31e73f0][]" id="form-field-field_31e73f0" class="elementor-field-textual elementor-size-sm" multiple="">
<option value="Self">Self</option>
<option value="Spouse">Spouse</option>
<option value="Child">Child</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
<button type="submit" class="elementor-button elementor-size-sm">
<span>
<span class=" elementor-button-icon">
</span>
<span class="elementor-button-text">Send</span>
</span>
</button>
</div>
</div>
</form>Text Content
* About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Menu * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Menu * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Client Support Start My Claim Funeral Member Portal * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Menu * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Menu * About * Services * Home * Home Content * Building Insurance * Car * Funeral * Medical Cover * Life Client Support Start My Claim Funeral Member Portal SIMPLE INSURANCE, SOLID SOLUTIONS Welcome to eSure Cover, your trusted partner for comprehensive and hassle-free insurance * Quick Quote: Get an instant quote online or speak to an agent. * Customisable Policies: Tailor your insurance package to your needs. * 24/7 Support: Speak to a friendly agent anytime for assistance. * Secure Online Payments: Conveniently pay your premiums online Find Your Plan * Funeral * Car * Home Contents * Building * Medical Cover * Life Cover Speak to an agent OUR TRUSTED PARTNERS eSure Cover is a Juristic Representative of Royale Crowns Financial Services, an authorised Financial Services Provider (FSP No.: 52845). All insurance products and services are offered under the regulatory framework of Royale Crowns Financial Services APPROVED FINANCIAL PRODUCTS * * CHOOSE YOUR PLAN * CATEGORY ICATEGORY I * Long-Term Insurance subcategory ALong-Term Insurance subcategory A * Short-Term Insurance Personal LinesShort-Term Insurance Personal Lines * Long-Term Insurance subcategory B1Long-Term Insurance subcategory B1 * Long-term insurance subcategory B2Long-term insurance subcategory B2 * Long-term Insurance subcategory B2-ALong-term Insurance subcategory B2-A * Long-term Insurance subcategory B1-ALong-term Insurance subcategory B1-A * Short-Term Insurance Personal Lines A1Short-Term Insurance Personal Lines A1 * Long-Term Insurance subcategory CLong-Term Insurance subcategory C * Retail Penison BenefitsRetail Penison Benefits * Short-Term Insurance Commercial LinesShort-Term Insurance Commercial Lines * Pension Funds BenefitsPension Funds Benefits * Participatory interests in a collective investment schemeParticipatory interests in a collective investment scheme * * * Advice Automated * CATEGORY I * Long-Term Insurance subcategory A * Short-Term Insurance Personal Lines * Long-Term Insurance subcategory B1 * Long-term insurance subcategory B2 * Long-term Insurance subcategory B2-A * Long-term Insurance subcategory B1-A * Short-Term Insurance Personal Lines A1 * Long-Term Insurance subcategory C * Retail Penison Benefits * Short-Term Insurance Commercial Lines * Pension Funds Benefits * Participatory interests in a collective investment scheme * * * Advice Non-automated * CATEGORY I * Long-Term Insurance subcategory A * Short-Term Insurance Personal Lines * Long-Term Insurance subcategory B1 * Long-term insurance subcategory B2 * Long-term Insurance subcategory B2-A * Long-term Insurance subcategory B1-A * Short-Term Insurance Personal Lines A1 * Long-Term Insurance subcategory C * Retail Penison Benefits * Short-Term Insurance Commercial Lines * Pension Funds Benefits * Participatory interests in a collective investment scheme * * * Intermediary Scripted * CATEGORY I * Long-Term Insurance subcategory A * Short-Term Insurance Personal Lines * Long-Term Insurance subcategory B1 * Long-term insurance subcategory B2 * Long-term Insurance subcategory B2-A * Long-term Insurance subcategory B1-A * Short-Term Insurance Personal Lines A1 * Long-Term Insurance subcategory C * Retail Penison Benefits * Short-Term Insurance Commercial Lines * Pension Funds Benefits * Participatory interests in a collective investment scheme * * * Intermediary Other * CATEGORY I * Long-Term Insurance subcategory A * Short-Term Insurance Personal Lines * Long-Term Insurance subcategory B1 * Long-term insurance subcategory B2 * Long-term Insurance subcategory B2-A * Long-term Insurance subcategory B1-A * Short-Term Insurance Personal Lines A1 * Long-Term Insurance subcategory C * Retail Penison Benefits * Short-Term Insurance Commercial Lines * Pension Funds Benefits * Participatory interests in a collective investment scheme * LATEST NEWS News THE TRUE COST OF MEDICAL CARE: WHY YOU NEED MEDICAL INSURANCE News UNDERSTANDING FUNERAL INSURANCE: WHY IT’S ESSENTIAL AND HOW IT WORKS News HOME INSURANCE 101: WHAT YOU NEED TO KNOW TO PROTECT YOUR PROPERTY News HOME INSURANCE 101: WHAT YOU NEED TO KNOW TO PROTECT YOUR PROPERTY CLAIMS CENTER Welcome to the eSure Cover Claims Center. We understand that filing a claim can be stressful, so we’ve made the process as simple and straightforward as possible. Start My Claim HAVE ANY QUESTIONS? What types of insurance does eSure offer? eSure provides various insurance options, including car, home contents, building, funeral, life cover, medical aid, and business insurance. How do I make a claim with eSure? You can initiate a claim by contacting our claims department via phone, email, or the online claims portal. When will my funeral insurance policy become active? Your funeral policy is activated after we receive your first premium payment. What is covered under eSure’s home insurance? Our home insurance is split into Building & Home Contents. It covers structural damage, contents protection, fire, theft, and natural disasters. Can I get gap cover with my medical aid? Yes, gap cover is available with medical aid plans but cannot be purchased as a standalone product. Does eSure cover pre-existing medical conditions? Coverage for pre-existing conditions depends on the specific terms of your medical insurance policy. How can I pay my premiums? Premium payments can be made using the link provided in your policy schedule via pay@ or through our member portal for funeral policies, or contact our support team for more information. What support is available if I miss a payment? If you miss a payment, our support team will help you update your payment to avoid policy lapses. How can I update my policy details? You can update policy details by contacting our customer support or logging into the funeral member portal. View more GET IN TOUCH * Live Chat: Click on the chat icon at the bottom right of your screen to connect with a representative instantly. * Call Us: Reach out to our customer support team at 011 234 5678 * Email Us: Send us your queries at support@esurecover.co.za Our goal is to make your experience with eSure Cover as smooth and hassle-free as possible. We’re here to support you every step of the way. Call Us Email Us COMPANY About Services Home Contents Building Insurance Medical Cover Funeral Life Car LEGAL POPI and Privacy Policy Complainant Procedure Communication Cookie Policy Disclaimer Statutory Disclosure Terms and conditions Conflict of Interest SOCIALS Follows us and stay updated Facebook Twitter Instagram Linkedin Client Support Call us at: 010 006 7394 WhatsApp: 068 1488 912 Email Us: support@esurecover.co.za DONT MISS OUT!! Subscribe to our Newsletter Subscribe to our Newsletter Send Disclaimer: eSure Cover is a Juristic Representative of Royale Crowns Financial Services, an authorised Financial Services Provider (FSP No.: 52845). All insurance products are regulated under Royale Crowns Financial Services. top CLAIMS FORM What type of insurance are you claiming for? Passport/SA ID NO Title Initial Name Surname Policyholder No Cell No Work No Home No Email Address Bank Name Account No Branch Code Account Type Cheque Transmission Savings Title Initials Name Surname ID Number Cell Number Relationship to applicant Self Spouse Child Other Send Success Thank you for subscribing to the eSure Cover Newsletter! SIMPLIFYING IT FOR A COMPLEX WORLD. PLATFORM PARTNERSHIPS * AWS * Google Cloud * Microsoft * Salesforce SERVICES BUSINESS CHALLENGES DIGITAL TRANSFORMATION SECURITY AUTOMATION GAINING EFFICIENCY INDUSTRY FOCUS View all Success! Your claim has been successfully submitted. Thank you for providing the necessary information. Our team will review your submission and get back to you shortly with an update. If you have any questions in the meantime, feel free to reach out to us! We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.OkCookie policy