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This document is an application form for claiming death benefits from the Puget Sound Electrical Workers Trust Funds, requiring details about the deceased member and the beneficiary.
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How to fill out Puget Sound Electrical Workers Trust Funds Application for Death Benefit

01
Obtain the Puget Sound Electrical Workers Trust Funds Application for Death Benefit form.
02
Fill out the deceased worker's personal information, including full name, date of birth, and Social Security number.
03
Provide information regarding the worker's employment history, including the employer's name and dates of employment.
04
Complete the section regarding the surviving beneficiaries, specifying their names, relationships to the deceased, and contact information.
05
Attach any required documentation, such as a death certificate and proof of relationship for beneficiaries.
06
Review the application thoroughly for accuracy and completeness.
07
Sign and date the application form in the designated area.
08
Submit the completed application form and attachments to the address specified on the form.

Who needs Puget Sound Electrical Workers Trust Funds Application for Death Benefit?

01
Surviving family members or beneficiaries of a deceased worker who was a participant in the Puget Sound Electrical Workers Trust Funds.
02
Individuals seeking to claim death benefits from the trust fund as eligible dependents.
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It is a formal application process for beneficiaries to claim death benefits from the Puget Sound Electrical Workers Trust Funds, intended to provide financial assistance to eligible dependents of deceased members.
Beneficiaries or dependents of a deceased member of the Puget Sound Electrical Workers Trust Funds are required to file the application to claim the death benefits.
To fill out the application, beneficiaries must provide personal information about themselves and the deceased member, including names, contact information, and details about the member's employment and membership in the trust funds.
The purpose of the application is to facilitate the distribution of death benefits to eligible beneficiaries, ensuring that the financial needs of dependents are met following the death of a member.
The application must report information such as the deceased member's full name, membership number, date of death, dependent's relationship to the member, and any required documentation to support the claim.
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