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Return this completed form to the employer along with a certified copy of the Official. Death Certificate. Complete this form if benefits are legally payable to
C. Person, other than A or B, claiming refund for the decedents estate (see instructions). Also, complete Part II. Part II. Complete this part only if you
Death of Family Member. Complete the claim form FE-6DEP by downloading the form from this website. Be sure to read the instructions on the form. If you need
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