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AROUND CONTRIBUTORS SAVINGS & LOAN SOCIETY P O Box 7732, BOOK, National Capital District, pH: (675× 325 7166, Fax: (675× 325 6347 DEATH CLAIM FORM Surnames: Given Name: Date of Birth: CSL Membership
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How to fill out death claim form

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How to fill out a death claim form:

01
Gather necessary information: Start by collecting all the required information, such as the deceased person's full name, date of birth, social security number, and the cause and date of death. You may also need to provide details about the policyholder or the person claiming the death benefit.
02
Contact the insurance company: Reach out to the insurance company that holds the policy and ask for the death claim form. They will guide you further and provide any specific instructions or documents required for the claim.
03
Fill out the personal information section: Begin by filling out the personal information section of the death claim form. Provide accurate details regarding your own personal information, including your name, contact information, and relationship to the deceased, as well as any other requested information.
04
Provide policy details: Next, provide the necessary policy information. This typically includes the policy number, the name of the insured, and the type of policy. Be sure to enter all details accurately and cross-check this information with any policy documents you may have.
05
Document the cause of death: In the form, you will likely be asked to provide details about the cause of death. This might include the date and circumstances surrounding the passing. Make sure to include supporting documents, such as the death certificate, as requested by the insurance company.
06
Complete beneficiary information: If you are the beneficiary, you will need to provide your information, including your full name, contact details, relationship to the deceased, and any other relevant information. If there are multiple beneficiaries, make sure to include their information as well.
07
Review and submit the form: Once you have filled out all the necessary sections of the death claim form, review it carefully to ensure all information is accurate and complete. Additionally, double-check if any additional documents are required to be submitted along with the form. Finally, sign and date the form as required and submit it to the insurance company through the provided channels.

Who needs a death claim form?

01
Beneficiaries: The primary individuals who typically need a death claim form are the beneficiaries named in the life insurance policy. They need to fill out the form to claim the death benefit after the insured person's passing.
02
Family members or legal representatives: In cases where the primary beneficiaries are unable to complete the death claim form, such as if they are also deceased or incapacitated, the responsibility may fall on immediate family members or legal representatives to fill out the form and claim the death benefit on behalf of the beneficiaries.
03
Executors or administrators: If there is no specific beneficiary designated in the policy or if the estate is the beneficiary, the executor or administrator of the deceased person's estate may need to complete the death claim form to claim the death benefit.
It is important to note that the specific requirements and procedures may vary depending on the insurance company and policy terms. It is advisable to contact the insurance company directly for any additional guidance or specific instructions related to filling out a death claim form.
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