Application for Additional Cover

Application for Additional Cover

This application form should be used if you wish to increase your current funeral benefit. To obtain an additional funeral benefit up to a maximum benefit value of $20,000 (excluding any ex gratia payments), you may pay a lump sum or increase your membership fees. Accidental cover only for the first two years. Important information is provided in the Funeral Benefit Cover & Additional Cover Tables. Attached to this application is the Combined Financial Services Guide & Product Disclosure Statement.

You should also read the APS Benefits Group Ltd Privacy Policy which is available here. This sets out key information about why we collect your personal information and how we use, disclose and secure it prior to completing this application.

By completing this application you acknowledge that you have received and read the Combined Financial Services Guide and Product Disclosure Statement.

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