We are committed to transparency and confidentiality relating to your personal information. In order to provide you with
information on our products we are required to share, collect and process your personal information in order to meet your needs
and objectives. For this purpose, your personal information is collected and processed internally by our staff, representatives or
sub-contractors and we make every effort to protect and secure your personal information. By completing this form, you give us
consent to collect, process and share your personal information. You are entitled at any time to request access to the information
Liberty has collected, processed and shared.
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Change of Premium Payment
Pensions Change of Beneficiary Request
Request for Part Surrender
Change of Beneficiary
Long-Form Health Certificate Application
Long-Form Health Certificate for Juveniles
Policy Loan Request
Certificate of Continued Disability Form
Critical Illness Claim Form Form
Confidential Extract from Records Form (PMA) Form
Death Claim Form Form
Disability Claimant’s Statement Form
Employer's Statement Form
Personal Accident Claim Form
Physical Impairment Claim Form
Statement by Police Form
Retirement Benefit Claim Form
Boresha Maisha Claim Form
BM (Boresha Maisha) Individual Pension Plan
BM (Boresha Maisha) Retirement Scheme Claim Form
Proof of Death Claimant Statement Form
Proof of Death Physician Statement Form
How to Claim - quick guidelines to help you.
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P.O. Box 30364 - 00100, Nairobi,
Call Centre No.
+254 (0) 711 076 222
+254 20 286 6000
+254 (0) 711 028 000
+254 20 271 8365
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Liberty Life Assurance Kenya Ltd - Reg. No. C7118 User Agreement