Forms

Complete our easy fillable forms.

Broker’s Appointment

Complete this form to appoint Darsha Insurance Brokers CC as your broker, entitling us to service your policy.

Letter of Authority

Give consent for your insurer to release full policy schedules and claims history to Darsha Insurance Brokers.

Record of Advice (ROA)

This document records the scope of advice, your needs, the quotations considered, and your final product choices—please review and sign for your records.

Debit Order Authorisation

Authorise secure premium collection via debit order under your insurance agreement; you may cancel this mandate with 30 days’ written notice.

Claim Forms

Bryte Motor Accident Claim Form

Bryte Property Loss Claim Form

Hollard Motor Accident Claim Form

Hollard Property Loss Claim Form

Old Mutual Motor Accident Claim Form

Old Mutual Property Loss Claim Form

Safire Motor Accident Claim Form

Safire Property Loss Claim Form

Western Insurance Motor Accident Claim Form

Western Insurance Property Loss Claim Form

Public Liability

Bryte

Hollard

Old Mutual

Safire

Western Insurance