Changes to your Policy

Should you wish to make any changes / amendments to your policy, please complete the following form that applies.

  1. Change your contact details






  2. Change in banking details
    Please complete and sign attached debit order form and return to us via fax or email:
    Fax: 086 111 6642
    Email: info@mrabrokers.co.za
    Debit Order Form – ENG
    Debietorder Vorm – AFR
  3. Changes to your policy - Motor amend (add or cancellation)

    If yes...

    If no...






  4. Changes to your policy - Changes to house owners (building)






  5. Changes to your policy - Changes to house holders (content)






  6. Any other changes not mentioned






  7. General Enquiry