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STATUTORY NOTICE TO POLICY HOLDERS DISCLOSURE NOTICE TO SHORT-TERM INSURANCE POLICYHOLDERS This notice does not form part of the Insurance Contract or any other document. As a short-term insurance policyholder, or prospective policyholder, you have the right to the following information: DISCLOSURE NOTICE INFORMATION 1. ABOUT THE INTERMEDIARY This information must make it clear which entity accepts responsibility for the actions of the representative who has advised you. (a) Name, address and contact details Arma Iuris (Pty) Ltd PO Box 54292 Nina Park, 0146 258 West Street, Pretoria North Tel: 0861 282 282 Fax: 012 546 7382 E-mail: firstname.lastname@example.org (b) Legal status of the intermediary Arma Iuris (Pty) LtdI is an authorized Financial Services Provider with FSP number 21529. All your enquiries relating to this policy must be directed to Arma Iuris on the numbers given above. (c) Whether more than 10% of insurer's shares are held and whether more than 30% of total remuneration was received from the insurer (d) Whether professional indemnity Arma Iuris holds Professional Indemnity insurance cover and a copy insurance is held of this is available on request on the contact details given above. (e) Details of the Intermediary 's The claims handling procedures are available on the website complaints procedure www.armaiuris.co.za or telephonically on the numbers given above. (f) Fees and commissions payable (g) Details of how to submit a claim If you have a claim, kindly contact Arma Iuris on the telephone numbers 0861 282 282 or by fax on the number 012 546 7382 (h) Details of the compliance officer Contact details of our Compliance officer Telephone Facsimile: (i) Type of policy involved Arma Iuris provides short term legal cost insurance (j) Premium obligations assumed by you The amount due, frequency of and mode of payment are contained in the policy schedule 2. OTHER MATTERS OF IMPORTANCE (a) You must be informed of any material changes to the information referred to in paragraphs 1. (b) If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit your complaint to the FAIS Ombudsman, the particulars of whom are given below. (c) The Product Supplier (insurer) must give you written notice of its intention to cancel your policy. (d) You are entitled to a copy of your policy free of charge. 3. WARNING Complete all forms in ink. Keep all documents handed to you. Do not be pressurized into buying the product. 4. PARTICULARS OF FAIS OMBUD Telephone: (012) 470-9080 PO Box 74571 Facsimile: (012)348-3447 Lynwood Ridge Email: email@example.com 0040 Web Site : www.faisombud.co.za 5. PARTICULARS OF SHORT-TERM Telephone: (011)726-8900 INSURANCE OMBUD Facsimile: (011)726-5501 PO Box 32334, Braamfontein, 2017 6. PARTICULARS OF REGISTRAR Telephone (012)428-8000 OF SHORT- TERM INSURANCE Toll Free: 080011 0443 PO Box 35655, Menlo Park, Facsimile: 0800 20 20 87 0102 Web Site: www.fsb.co.za
"STATUTORY NOTICE TO POLICY HOLDERS"