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Fidelity Life Association, A Legal Reserve Life Insurance Company / The Company Administrative Office: Phone Number: 8700 W. Bryan Mar Avenue, Suite 900S Chicago, IL 60631 ×800× 3693990 Claim Form
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How to fill out decedent information please print:

01
Start by gathering all the necessary information about the deceased individual, such as their full name, date of birth, and date of death.
02
Use block letters or a typewriter to ensure that the information is easily readable and clear.
03
Begin by writing the decedent's full name in the designated space, including any suffixes or titles they may have had (e.g., Sr., Jr., Dr.).
04
Move on to entering their date of birth, including the month, day, and year. Ensure that the date is accurate and matches the official records.
05
Proceed to fill in the date of death, using the same format as the date of birth. Double-check this information for accuracy as well.
06
If applicable, provide any additional details required, such as the decedent's social security number or other identification numbers.
07
Review the filled-out decedent information section to ensure all the entered details are correct and legible.
08
Once you have confirmed the accuracy of the information, print the document using a printer or typewriter to create a clear and professional copy.
09
Submit the printed decedent information form to the appropriate authorities or individuals who require this information.

Who needs decedent information please print?

01
Funeral homes or mortuaries may require decedent information for processing funeral arrangements and other related services.
02
Government agencies, such as the Social Security Administration or Department of Health, may request decedent information for legal purposes or to update official records.
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Legal professionals, such as estate attorneys or executors of a will, may need decedent information in order to settle the deceased individual's estate properly.
04
Insurance companies may require decedent information to process life insurance claims or to update records related to the deceased individual's policies.
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Decedent information includes details about a deceased individual such as their name, date of death, social security number, and any relevant financial information.
The person responsible for handling the deceased individual's estate is typically required to file decedent information.
Decedent information can be filled out by providing all the required details in the designated forms or documents provided by the relevant authorities.
The purpose of decedent information is to inform the relevant authorities about the deceased individual's financial situation and estate details.
Information such as the deceased individual's name, date of death, social security number, assets, liabilities, and beneficiaries must be reported on decedent information.
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