National western life insurance claim form 2025

1. Click ‘Get Form’ to open the national western life insurance claim form in the editor.
2. Begin by filling in the deceased's full name, date of birth, and any other names they may have been known by. This information is crucial for identification.
3. Next, provide details regarding the deceased's date and place of death, cause of death, and legal residence at the time of death. If applicable, specify if the death was due to suicide, homicide, or an accident.
4. If the policy is assigned to a funeral home or another entity, include their name and address along with the amount of their claim.
5. List all physicians, clinics, or hospitals that treated the deceased during their last illness and for five years prior. This section helps establish medical history.
6. Indicate your preferred mode of settlement—either an immediate lump sum or payment under a specific settlement option from the policy.
7. Finally, complete your personal information as a beneficiary including your signature, birthdate, tax ID or social security number, relationship to the deceased, and address.

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