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APPLICATION FOR SURVIVOR BENEFITS Dependent Fire Police SECTION I: MEMBER INFORMATION Name: Social Security Number: Date of Birth: Date of Death: SECTION II: SURVIVOR INFORMATION Name: Social Security
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An application for survivor benefits is a form that must be completed and submitted to the appropriate government agency in order to receive financial assistance as a survivor of a deceased individual.
The surviving spouse, child, or dependent of the deceased individual is typically required to file an application for survivor benefits.
The application for survivor benefits can usually be completed online or in person at a government office. The applicant will need to provide personal information, documentation of the death, and other relevant details.
The purpose of the application for survivor benefits is to request financial assistance and support for individuals who have lost a loved one and are now facing economic hardship.
Typically, the application for survivor benefits will require information such as the deceased individual's name, Social Security number, date of death, and relationship to the applicant.
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