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Kodak Retired Employees Beneficiary Association (KREBS) Dependent Verification Form see 2nd page for KREBS Contact Information) KREBS Use Only I Deceased's Name Date of Death First Name Last Name
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How to fill out death verification form

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How to Fill out a Death Verification Form:

01
Begin by gathering the necessary information. You will typically need the deceased person's full name, date of birth, date of death, and social security number. Additionally, you may need to provide details about the person filling out the form, such as their name, relationship to the deceased, and contact information.
02
Next, carefully read the instructions on the form to ensure you understand the requirements and any specific documentation that may be needed. This may include a death certificate, medical records, or other supporting documents.
03
Start by providing the required personal information about the deceased. If there are any unknown or uncertain details, avoid guessing and leave those fields blank. It's important to provide accurate and honest information on the form.
04
Fill out any additional sections of the form that require information about the deceased, such as their last known address, occupation, and marital status. Again, if you are unsure about any details, it is advisable to leave them blank rather than provide incorrect information.
05
If the form asks for details about the cause of death or medical history, ensure you have the necessary documents or information to accurately complete these sections. If you are uncertain, reach out to a healthcare professional or relevant authority for assistance.
06
Review the completed form for accuracy and make any necessary corrections. It is crucial to ensure all information is correctly filled out and any required supporting documents are attached.
07
Finally, sign and date the form as required. This may need to be done by the person filling out the form or another authorized individual, depending on the specific instructions.

Who Needs a Death Verification Form:

01
Family members or close relatives of the deceased individual may need a death verification form to file for life insurance claims, close bank accounts, or handle estate matters.
02
Executors or administrators of the deceased person's estate may require a death verification form to obtain necessary legal documentation and administer the estate.
03
Government agencies or institutions, such as the Social Security Administration or Department of Health, may also require a death verification form to update records, process benefit claims, or resolve legal matters.
It is important to note that the specific individuals or organizations that require a death verification form may vary depending on the jurisdiction and the purposes for which the form is being used. It is advisable to consult with relevant authorities or legal professionals to determine who needs a death verification form in a particular situation.
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The death verification form is a document used to officially confirm the passing of an individual.
The next of kin or a legal representative of the deceased individual is required to file the death verification form.
The death verification form can be filled out by providing information about the deceased individual such as their full name, date of birth, date of death, and the cause of death.
The purpose of the death verification form is to notify relevant authorities and organizations of the passing of an individual.
The death verification form must include details about the deceased individual, including their full name, date of birth, date of death, and cause of death.
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