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PROOF OF ACCIDENTAL DEATH CLAIMANTS STATEMENTSChubb Life Insurance Company of Canada 199 Bay Street Suite 2500 P.O. Box 139, Commerce Court Postal Station Toronto, Ontario M5L 1E2 O +1.416.594.2627
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How to fill out proof of accidental death
How to fill out proof of accidental death
01
Obtain a copy of the proof of accidental death form from the relevant authority or insurance company.
02
Fill in the personal details of the deceased, including their full name, date of birth, and social security number.
03
Provide information about the accident, such as the date, time, and location.
04
Mention any witnesses present during the accident and provide their contact information if available.
05
Describe the circumstances of the accident in detail, including how it occurred and the cause of death.
06
Attach any supporting documents, such as police reports, medical records, or witness statements.
07
Review the completed form for accuracy and ensure all necessary sections are filled in.
08
Sign and date the form, acknowledging that the information provided is true and accurate.
09
Submit the filled form to the appropriate authority or insurance company as instructed.
10
Keep copies of the completed form and any attached documents for your records.
Who needs proof of accidental death?
01
Proof of accidental death is typically needed by individuals or entities that will be making claims or seeking compensation related to the accidental death of a person. This may include:
02
- Beneficiaries or heirs of the deceased who are entitled to insurance coverage or death benefits.
03
- Legal representatives handling the estate of the deceased.
04
- Insurance companies processing a claim for accidental death benefits.
05
- Law enforcement or investigative agencies looking into the circumstances surrounding the accidental death.
06
- Government agencies or institutions involved in providing compensation or support to the family of the deceased.
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