New york notice death 2025

1. Click ‘Get Form’ to open the New York Notice of Death in the editor.
2. Begin by filling in the 'To' section with the title and name of the officer responsible for receiving this notice.
3. In Section 1, provide the full name of the volunteer firefighter, including first name, middle initial, and last name.
4. Section 2 requires you to enter the fire company and political subdivision liable for benefits. Ensure accuracy here as it determines liability.
5. For Section 5, input the address and community where the injury occurred. This is crucial for record-keeping.
6. In Section 6, detail the dates of injury and death along with the place of death. Be precise with times if applicable.
7. Finally, describe fully the nature and cause of injury or death in Section 7. This information is vital for processing any claims.
8. Sign and date at the bottom. If applicable, have a dependent or representative sign on behalf of the deceased.

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