Application form - Stichting Sjoa

Are you possibly an heir of a person on our list of Jewish war victims with a life insurance policy that was likely not paid out to the rightful beneficiaries? You can submit a request for investigation using the form below. We will then check whether the policy is indeed still payable and whether you are entitled to a payout.

If you have specific information about a life insurance policy with a Jewish policyholder or insured person from the war that is not on our list, we can also investigate that. For this, we need at least the name of the insurer at that time.

Your name(Required)

Street address

Address line 2

City

State / Province

ZIP Code / Postal Code

Country

Email(Required)

Phone(Required)

Insured person

Name(Required)

Date of birth(Required)

How are you related to the insured?

Policy details

Only required for persons not mentioned on our list of Jewish war victims with a life insurance policy that was likely not paid out to the rightful beneficiaries.

Authorization(Required)

I hereby authorize Stichting Sjoa to access and review relevant information about the individual in question.

Phone

This field is for validation purposes and should be left unchanged.