{"id":590,"date":"2025-09-23T12:08:57","date_gmt":"2025-09-23T12:08:57","guid":{"rendered":"https:\/\/www.mcs.co.mz\/en\/?page_id=590"},"modified":"2025-09-23T12:09:27","modified_gmt":"2025-09-23T12:09:27","slug":"family-protection-insurance-claim","status":"publish","type":"page","link":"https:\/\/www.mcs.co.mz\/en\/family-protection-insurance-claim\/","title":{"rendered":"Family-Protection-Insurance-Claim"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-589 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-589\" data-uid=\"69f27e305a653\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-589\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-589 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"589\"\r\n\t\t\t\t\r\n\t\t\t\tdata-design=\"default\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tdata-grid=\"open\"\r\n\t\t\t\tenctype=\"multipart\/form-data\"\r\n\t\t\t\t\r\n\t\t\t\tstyle=\"display: none;\"\r\n\t\t\t\t\r\n\t\t\t\tdata-uid=\"69f27e305a653\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69f27e305a653\" id=\"forminator-field-number-1_69f27e305a653-label\" class=\"forminator-label\">Claim Process Number<\/label><input name=\"number-1\" value=\"\" placeholder=\"E.g. 10\" id=\"forminator-field-number-1_69f27e305a653\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">1. Policy Data<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69f27e305a653\" id=\"forminator-field-number-2_69f27e305a653-label\" class=\"forminator-label\">Policy Number<\/label><input name=\"number-2\" value=\"\" placeholder=\"E.g. 10\" id=\"forminator-field-number-2_69f27e305a653\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69f27e305a653\" id=\"forminator-field-name-1_69f27e305a653-label\" class=\"forminator-label\">Policyholder:<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_69f27e305a653\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69f27e305a653\" id=\"forminator-field-text-1_69f27e305a653-label\" class=\"forminator-label\">Insurance Company<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-1_69f27e305a653\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">2. Insured Person Data<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69f27e305a653\" id=\"forminator-field-name-2_69f27e305a653-label\" class=\"forminator-label\">Full Name<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-2_69f27e305a653\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69f27e305a653\" id=\"forminator-field-address-1-street_address_69f27e305a653-label\" class=\"forminator-label\">Address<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-1-street_address_69f27e305a653\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_69f27e305a653\" id=\"forminator-field-address-2-street_address_69f27e305a653-label\" class=\"forminator-label\">Locality<\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-2-street_address_69f27e305a653\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69f27e305a653\" id=\"forminator-field-text-2_69f27e305a653-label\" class=\"forminator-label\">Relationship to policyholder:<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-2_69f27e305a653\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69f27e305a653\" id=\"forminator-field-phone-2_69f27e305a653-label\" class=\"forminator-label\">Telephone<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"E.g. +258 848191186\" id=\"forminator-field-phone-2_69f27e305a653\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"mz\" data-validation=\"standard\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69f27e305a653\" id=\"forminator-field-phone-1_69f27e305a653-label\" class=\"forminator-label\">Mobile phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +258 848191186\" id=\"forminator-field-phone-1_69f27e305a653\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"mz\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69f27e305a653\" id=\"forminator-field-email-1_69f27e305a653-label\" class=\"forminator-label\">Email<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69f27e305a653\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69f27e305a653\" id=\"forminator-field-text-3_69f27e305a653-label\" class=\"forminator-label\">Identity Card<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-3_69f27e305a653\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_69f27e305a653\" id=\"forminator-field-number-3_69f27e305a653-label\" class=\"forminator-label\">Tax Number<\/label><input name=\"number-3\" value=\"\" placeholder=\"E.g. 10\" id=\"forminator-field-number-3_69f27e305a653\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69f27e305a653\" id=\"forminator-field-text-4_69f27e305a653-label\" class=\"forminator-label\">Profession<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-4_69f27e305a653\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69f27e305a653\" id=\"forminator-field-upload-1_69f27e305a653-label\" class=\"forminator-label\">BIN (Bank Identification Number):<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_69f27e305a653\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_69f27e305a653\" class=\"forminator-input-file forminator-field-upload-1_69f27e305a653-589\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"8000000\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_69f27e305a653\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_69f27e305a653\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">3. Claim Data<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69f27e305a653\" id=\"forminator-field-name-3_69f27e305a653-label\" class=\"forminator-label\">Participant Name:<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-3_69f27e305a653\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69f27e305a653-label\"><span id=\"forminator-radiogroup-69f27e305a653-label\" class=\"forminator-label\">Is this the person who will accompany the process? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69f27e305a653\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69f27e305a653\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69f27e305a653\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69f27e305a653\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_69f27e305a653\" id=\"forminator-field-upload-2_69f27e305a653-label\" class=\"forminator-label\">The participant must attach a copy of the Identity Card to the form. <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-2_69f27e305a653\"><input type=\"file\" name=\"upload-2\" id=\"forminator-field-upload-2_69f27e305a653\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.svgz\"><button id=\"forminator-field-upload-2_69f27e305a653_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-2_69f27e305a653\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f27e305a653\" id=\"forminator-field-textarea-1_69f27e305a653-label\" class=\"forminator-label\">Cause of Claim<\/label><textarea name=\"textarea-1\" placeholder=\"E.g. text placeholder\nYou can add new line\" id=\"forminator-field-textarea-1_69f27e305a653\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69f27e305a653-label\"><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69f27e305a653\" class=\"forminator-radio\" title=\"Death by accident\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69f27e305a653\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Death by accident<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69f27e305a653\" class=\"forminator-radio\" title=\"Natural death or by illness\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69f27e305a653\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Natural death or by illness<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69f27e305a653\" id=\"forminator-field-date-1-picker_69f27e305a653-label\" class=\"forminator-label\">Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69f27e305a653\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"time-1\" class=\"forminator-field-time forminator-col forminator-col-4 \"><label for=\"forminator-field-time-1\" id=\"forminator-field-time-1-label\" class=\"forminator-label\">Time<\/label><div class=\"forminator-timepicker\" ><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"time-1-hours\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><input type=\"number\" name=\"time-1-hours\" min=\"0\" max=\"12\" placeholder=\"\" id=\"forminator-field-time-1-hours_69f27e305a653\" class=\"forminator-input time-hours \" data-field=\"hours\" value=\"\" \/><\/div><\/div><div id=\"time-1-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-1-minutes_69f27e305a653\" id=\"forminator-field-time-1-minutes_69f27e305a653-label\" class=\"forminator-label\">Minutes<\/label><input type=\"number\" min=\"0\" max=\"59\" name=\"time-1-minutes\" placeholder=\"E.g. 00\" id=\"forminator-field-time-1-minutes_69f27e305a653\" class=\"forminator-input time-minutes \" data-field=\"minutes\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><select name=\"time-1-ampm\" id=\"forminator-field-589__field--time-1-ampm_69f27e305a653\" class=\"forminator-select2 time-ampm \" data-field=\"ampm\" data-default-value=\"\"><option value=\"am\" >AM<\/option><option value=\"pm\" >PM<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"address-3\" class=\"forminator-field-address forminator-col forminator-col-4 \"><div class=\"forminator-row\"><div id=\"address-3-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-street_address_69f27e305a653\" id=\"forminator-field-address-3-street_address_69f27e305a653-label\" class=\"forminator-label\">Location:<\/label><input type=\"text\" name=\"address-3-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-3-street_address_69f27e305a653\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f27e305a653\" id=\"forminator-field-textarea-2_69f27e305a653-label\" class=\"forminator-label\">Description of what happened<\/label><textarea name=\"textarea-2\" placeholder=\"E.g. text placeholder\nYou can add new line\" id=\"forminator-field-textarea-2_69f27e305a653\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-69f27e305a653-label\"><span id=\"forminator-checkbox-group-69f27e305a653-label\" class=\"forminator-label\">4. Required Documentation<\/span><label id=\"forminator-field-checkbox-1-1-69f27e305a653-label\" for=\"forminator-field-checkbox-1-1-69f27e305a653\" class=\"forminator-checkbox\" title=\"Copy of death certificate \/ death bulletin\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-1-1-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Copy of death certificate \/ death bulletin<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69f27e305a653-label\" for=\"forminator-field-checkbox-1-2-69f27e305a653\" class=\"forminator-checkbox\" title=\"Copy of deceased person&#039;s identity card\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-1-2-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Copy of deceased person's identity card<\/span><\/label><label id=\"forminator-field-checkbox-1-3-69f27e305a653-label\" for=\"forminator-field-checkbox-1-3-69f27e305a653\" class=\"forminator-checkbox\" title=\"Copy of beneficiary&#039;s identity document\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Copy-of-beneficiary-identity-document\" id=\"forminator-field-checkbox-1-3-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-1-3-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Copy of beneficiary's identity document<\/span><\/label><label id=\"forminator-field-checkbox-1-4-69f27e305a653-label\" for=\"forminator-field-checkbox-1-4-69f27e305a653\" class=\"forminator-checkbox\" title=\"Copy of medical report\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Copy-of-medical-report\" id=\"forminator-field-checkbox-1-4-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-1-4-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Copy of medical report<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p>All data is confidential and will only be used for the Insurance Company's internal purposes.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_69f27e305a653\" id=\"forminator-field-upload-3_69f27e305a653-label\" class=\"forminator-label\">Attach all necessary documents.<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-3_69f27e305a653\"><input type=\"file\" name=\"upload-3[]\" id=\"forminator-field-upload-3_69f27e305a653\" class=\"forminator-input-file forminator-field-upload-3_69f27e305a653-589\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"8000000\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-3_69f27e305a653\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-3_69f27e305a653\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-69f27e305a653-label\"><span id=\"forminator-checkbox-group-69f27e305a653-label\" class=\"forminator-label\">5. Declaration<\/span><label id=\"forminator-field-checkbox-2-1-69f27e305a653-label\" for=\"forminator-field-checkbox-2-1-69f27e305a653\" class=\"forminator-checkbox\" title=\"1.\tThe information has been provided with accuracy, good faith, truthfulness and I assume full responsibility for it.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-2-1-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1.\tThe information has been provided with accuracy, good faith, truthfulness and I assume full responsibility for it.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69f27e305a653-label\" for=\"forminator-field-checkbox-2-2-69f27e305a653\" class=\"forminator-checkbox\" title=\"2.\tI authorize the Insurance Company to collect additional personal data from public bodies, specialized companies and other economic units, with a view to confirming or supplementing the collected elements necessary for managing the contractual relationship. Omissions, inaccuracies and falsehoods in providing information are the customer&#039;s responsibility. Access to personal data provided, under absolute confidentiality, provided it is compatible with the purpose of collecting the same.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-69f27e305a653\" aria-labelledby=\"forminator-field-checkbox-2-2-69f27e305a653-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2.\tI authorize the Insurance Company to collect additional personal data from public bodies, specialized companies and other economic units, with a view to confirming or supplementing the collected elements necessary for managing the contractual relationship. Omissions, inaccuracies and falsehoods in providing information are the customer's responsibility. Access to personal data provided, under absolute confidentiality, provided it is compatible with the purpose of collecting the same.<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"fac6221215\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/590\" \/><input type=\"hidden\" name=\"form_id\" value=\"589\"><input type=\"hidden\" name=\"page_id\" value=\"590\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.mcs.co.mz\/en\/family-protection-insurance-claim\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-formularios.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-590","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/pages\/590","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/comments?post=590"}],"version-history":[{"count":1,"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/pages\/590\/revisions"}],"predecessor-version":[{"id":591,"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/pages\/590\/revisions\/591"}],"wp:attachment":[{"href":"https:\/\/www.mcs.co.mz\/en\/wp-json\/wp\/v2\/media?parent=590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}