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DEATH CLAIM FORM DOCTOR STATEMENT — Certificate No. New ERIC No. Certificate No. Old ERIC/Birth Certificate/ Passport No. Certificate No. Name of Deceased Certificate No. The above name is covered
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How to fill out death claim form

How to fill out a death claim form:
01
Gather necessary documents: Start by collecting all the required documents, such as the deceased person's death certificate, identification proof, policy details, and any other relevant paperwork.
02
Contact the insurance company: Reach out to the insurance company or visit their website to obtain the death claim form. You may need to provide the policy number and any additional information they require.
03
Read and understand the form: Carefully go through the death claim form and familiarize yourself with the sections and details you need to provide. Make sure to understand the instructions and requirements.
04
Personal information: Fill in your personal details, including your full name, address, contact information, and relationship to the deceased. Double-check the accuracy of the provided information.
05
Policy details: Enter the policyholder's information, including their name, policy number, and any other relevant policy details. This information helps the insurance company identify the policy and process the claim accordingly.
06
Death details: Provide the date, time, and cause of death of the insured person as stated in the death certificate. Ensure you have the official documentation to support these details.
07
Beneficiary information: If you are the beneficiary, provide your details along with any supporting documents to confirm your relationship with the deceased. Include your full name, address, and contact information.
08
Additional documentation: Some insurance companies may require additional documents, such as a copy of the deceased's will, proof of relationship, or any other supporting paperwork. Attach these documents along with the claim form.
09
Submit the form: Once you have filled out the death claim form accurately, review it thoroughly to ensure all information is correct. Sign and date the form before submitting it to the insurance company. Keep a copy of the completed form for your records.
Who needs a death claim form:
01
Beneficiaries: The primary individuals who require a death claim form are the beneficiaries named in the life insurance policy. They need to complete the form to initiate the claim process and receive the insurance proceeds.
02
Legal representatives: In cases where beneficiaries are minors or unable to handle the claim process, legal representatives, such as guardians or trustees, may need to fill out the death claim form on their behalf.
03
Estate administrators: If the deceased person did not nominate any beneficiaries or if the policy is assigned to the estate, the estate administrator or executor may need to complete the death claim form to claim the insurance benefits.
Remember, the specific individuals who need to fill out the death claim form may vary depending on the policy terms, beneficiary designations, and legal requirements. It is advisable to check with the insurance company to determine who needs to complete the form in your particular situation.
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