Lodge a Complaint

Lodge
a complaint

Click here to read some important information about Feedback and Complaints.

<p style="text-align: center;"><section class="sds-life-calculator reclamation lodge_complaint">     <div class="sds-life-calculator__wrapper">         <form action="/api/lodge_complaint" id="lodge_complaint" method="POST" role="form">             <input type="hidden" name="lang" class="form-control" value="en">             <input type="hidden" name="http_referer" class="form-control" value="self-service/lodge-a-complaint">             <div class="sds-life-calculator-screen-1">                 <small>Fields marked with an <font color="red">*</font> are required</small>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="first_name">                                     First Name <font color="red">*</font>                                 </label>                                 <input required type="text" name="first_name" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="last_name">                                     Last Name <font color="red">*</font>                                 </label>                                 <input required type="text" name="LAST_NAME" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="phone">                                     Phone <font color="red">*</font>                                 </label>                                 <input required type="text" name="phone" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="email">                                     Email                                 </label>                                 <input type="email" name="email" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="policy_numbers">                                     Policy Number(s)                                 </label>                                 <input type="text" name="policy_numbers" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="nature_of_complaint">                                     Nature of complaint                                 </label>                                 <input type="nature_of_complaint" name="nature_of_complaint" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__field-container">                     <div class="sds-life-calculator-screen-1__field-column-one">                         <div class="sds-life-calculator-screen-1__field-row">                             <div class="sd-textfield__container sd-textfield__container--full-width">                                 <label class="sd-textfield__label" for="description_of_complaint">                                     Description of complaint <font color="red">*</font>                                 </label>                                 <input required type="description_of_complaint" name="description_of_complaint" class="sd-textfield">                             </div>                         </div>                     </div>                 </div>                 <div class="sds-life-calculator-screen-1__button-row">                     <button type="submit" class="sd-button sds-life-calculator-screen-1__quote-button">                         <span class="sd-button__container">Submit</span>                     </button>                 </div>             </div>         </form>     </div> </section></p>

Fields marked with an * are required

First Name *

Last Name *

Phone *

Policy Number(s)

Nature of complaint

Description of complaint *

Lodge
a complaint

Sanlam supports you on a daily basis

Contact our advisors

Sanlam supports you on a daily basis

Contact our advisors

Lodge
a complaint