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Celebrate Life! Relay For Life of Burke County May 13-14, 2011 at 6:00 pm Survivor Registration Form Celebrate Your Strength and Courage You are considered a cancer survivor from the moment of diagnosis.
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How to fill out 2011 survivor form

How to fill out 2011 survivor form?
Gather the required documents:
01
Social Security numbers for both the deceased individual and the survivor
02
Death certificate of the deceased individual
03
Work history and earning statements for the deceased individual
04
Any other relevant documents related to the survivor's eligibility for survivor benefits
Provide personal information:
01
Fill out the survivor's full legal name, date of birth, and Social Security number
02
Include the survivor's contact information, such as address, phone number, and email
Specify the relationship to the deceased:
01
Indicate the survivor's relationship to the deceased individual (e.g., spouse, child, parent)
02
Provide the deceased individual's full legal name, date of birth, and Social Security number
Complete the section on the deceased individual's work history:
01
Provide details about the deceased individual's previous employers, including company names, addresses, and dates of employment
02
Include the deceased individual's job titles and descriptions of their work
Answer questions about the survivor's current marital status:
01
Indicate if the survivor is currently married, divorced, or widowed
02
Provide details regarding any previous marriages and the survivor's current marital status
Provide information on the survivor's current living arrangements:
01
Specify the survivor's address and whether they are living alone or with others
02
Describe any dependencies the survivor might have, such as children or disabled family members
Include relevant financial information:
01
Indicate if the survivor is currently employed and provide details about their income
02
Disclose any other sources of income the survivor may have, such as pensions or investments
Sign and date the form:
01
Review the completed form for accuracy, making sure all sections are filled out correctly
02
Sign and date the form to certify the accuracy of the information provided
Who needs 2011 survivor form?
01
Individuals who have tragically lost a family member or loved one in the year 2011.
02
Survivors who are eligible for Social Security survivor benefits based on the deceased individual's work history and earnings in 2011.
03
Anyone who wants to apply for survivor benefits under the 2011 survivor form to receive financial assistance from the Social Security Administration.
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