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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F-01844 03/2017 STATE OF WISCONSIN WISCONSIN NOTIFICATION OF DEATH ACCOUNTING OF ESTATE FUNDS This form is to be used whenever either of the following occurs A deceased member s funds that are being held at a nursing home or by a representative payee of the member are available to send directly to the Wisconsin Department of Health Services DHS Estate Recovery Program. Providers should print retain a copy for their records and mail...

How to fill out notification of death

How to fill out notification of death

1. Gather necessary information such as the deceased person's full name, date of birth, and date of death.
2. Download or obtain a copy of the official notification of death form from the relevant government agency.
3. Fill out the form accurately and completely, providing all requested details about the deceased person.
4. Attach any required supporting documents, such as a death certificate or identification proof.
5. Double-check the completed form for any errors or missing information.
6. Submit the filled-out notification of death form and supporting documents to the appropriate government agency.
7. Follow up with the agency if necessary and provide any additional information or clarification they may require.
8. Keep a copy of the submitted form and supporting documents for your records.

Who needs notification of death?

1. Family members of the deceased person who need to settle legal and financial matters.
2. Funeral directors or providers who are responsible for handling the funeral arrangements.
3. Legal representatives or attorneys who are managing the deceased person's estate.
4. Government agencies or departments that require notification for official record-keeping and documentation purposes.
5. Insurance companies or pension providers who need proof of death for claim processing.
6. Banks or financial institutions where the deceased person held accounts or assets.
7. Employers or former employers who need to update employment records and benefits.
8. Other relevant parties involved in matters related to the deceased person's affairs.

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What is notification of death?

Notification of death is a legal document that informs authorities about the passing of an individual.

Who is required to file notification of death?

The next of kin or a legally appointed representative is usually required to file the notification of death.

How to fill out notification of death?

To fill out a notification of death, you will typically need to provide details about the deceased individual, such as their name, date of birth, date of death, and cause of death.

What is the purpose of notification of death?

The purpose of notification of death is to officially record and document the passing of an individual for legal and administrative purposes.

What information must be reported on notification of death?

Information such as the deceased individual's name, date of birth, date of death, place of death, and cause of death must be reported on the notification of death form.