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CLAIMANT STATEMENT ANNUITY DEATH CLAIM (Please read all instructions carefully) POLICY NUMBERDECEASED ANNUITANTDATE OF DEATHOther names by which the annuitant may have been known: Type of Plan Unqualified
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How to fill out claimant statement annuity death

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How to fill out claimant statement annuity death

01
To fill out a claimant statement for annuity death, follow these steps:
02
Begin by obtaining the claimant statement form. This form may be available from the insurance company or can be downloaded from their website.
03
Read the instructions on the form carefully to understand the requirements and information needed.
04
Start by providing the name of the deceased annuity holder and their policy number, if available.
05
Include the date of the annuitant's death.
06
Provide your own personal information as the claimant, including your name, address, and contact details.
07
Indicate your relationship to the deceased annuitant, such as spouse, child, or beneficiary.
08
Fill in any additional required details, such as social security numbers or other identification information.
09
Sign and date the claimant statement form.
10
Attach any supporting documentation as specified by the insurance company, such as a death certificate or proof of relationship.
11
Make copies of the completed claimant statement and all accompanying documents for your records.
12
Submit the claimant statement and supporting documents to the insurance company through the designated submission method, which could be online, by mail, or in-person.
13
Keep track of your claim and follow up with the insurance company if necessary.
14
Note: It is recommended to consult with the insurance company or seek legal advice if you have any uncertainties or questions while filling out the claimant statement.

Who needs claimant statement annuity death?

01
A claimant statement for annuity death is needed by individuals who are named beneficiaries or survivors of the deceased annuity holder. These individuals may include spouses, children, or any other designated beneficiaries mentioned in the annuity policy. The claimant statement is required to initiate the process of claiming the death benefits from the annuity policy.
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The claimant statement annuity death is a form provided by the insurance company to be completed by the beneficiary of a deceased annuitant.
The beneficiary of the deceased annuitant is required to file the claimant statement annuity death.
The claimant must fill out the form with accurate information about the deceased annuitant and submit it to the insurance company.
The purpose of the claimant statement annuity death is to notify the insurance company of the annuitant's death and initiate the process of processing the claim.
The claimant must report the annuitant's name, policy number, date of death, and any other relevant details requested on the form.
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