SR-GL Life Claimant Statement (CL G012F) ORIGINAL.doc 2026

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  1. Click ‘Get Form’ to open the SR-GL Life Claimant Statement in the editor.
  2. Begin by filling out the Decedent Information section. Provide the name of the deceased, their Social Security number, and any other names they may have been known by.
  3. Next, enter the policy number and details regarding the deceased's date and cause of death. Ensure accuracy as this information is crucial for processing your claim.
  4. Proceed to the Claimant Information section. Fill in your name, address, date of birth, and relationship to the deceased. If you are filing as a trust or estate executor, complete those specific fields accordingly.
  5. Review any settlement options available under the policy. Indicate your preferred option clearly in the designated area.
  6. Finally, ensure all required signatures are provided on the last page before submitting your completed form.

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