PROOF OF DEATH - CLAIMANTS STATEMENT 2025

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  1. Click ‘Get Form’ to open the PROOF OF DEATH - CLAIMANTS STATEMENT in our editor.
  2. Begin with SECTION 1, where you will enter the Group or Association Name and Policy Number if applicable. If not, provide the Insurance Policy Number.
  3. In SECTION 2, fill in the Primary Insured's information including their name, birth date, address, marital status, and gender. Ensure all fields are completed accurately.
  4. Move to SECTION 3 to provide details about the deceased. Indicate their relationship to the primary insured and fill in the cause of death and date of death.
  5. In SECTION 4, enter the Beneficiary's information. This includes their name, relationship to the deceased, and contact details. Remember that a signature is required on page 4.
  6. Finally, select your preferred payment method in SECTION 5. Review all options carefully before making your choice.
  7. Sign and date the form as indicated in the checklist at the beginning of the document before submitting it through one of the provided methods.

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A Proof of Death Letter is a certified letter documenting a decedents death. Information included is the name of the decedent, date place of death. This letter does not substitute a Death Certificate.
What are the Documents Required for a Death Certificate in India? Birth certificate, matriculation certificate, PAN Card, or Voter ID Card of the deceased. An affidavit stating the date and time of death. Proof of death like crematorium receipt, hospital letter, etc.
A claimants statement is a formal document submitted to an insurance company to request the disbursement of benefits following the death of a policyholder. It includes details about the deceased, the beneficiary, and relevant claim information.
Documents required for a death claim Certified death certificate: This confirms the policyholders death and is obtainable from a funeral home, medical professional, or vital records office. Policy document: This document includes the policy number, death benefit amount, and beneficiary details.
Each beneficiary must complete and submit a signed claimants statement, which is typically included in the claims packet. Most forms ask for the policy number, basic information about the deceased, the claimants information, and settlement options, which is how a beneficiary wishes to receive the payout.
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