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Claimants Statement and Notice of Death Blue Shield of California Life & Health Insurance Company 4203 Town Center Blvd., El Dorado Hills, CA, 95762 8888002742 For your protection, California law
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A beneficiary affidavit and assignment is a legal document used to affirm the identity of a beneficiary and assign their rights to benefits or claims, typically in relation to insurance policies or estate distributions.
Typically, the beneficiary who wishes to claim their benefits or rights, as well as any estate representative handling the affairs of a deceased person, is required to file a beneficiary affidavit and assignment.
To fill out a beneficiary affidavit and assignment, you need to provide personal identifying information, details of the assets or benefits being claimed, any relevant policy or account numbers, and the signatures of witnesses if required.
The purpose of a beneficiary affidavit and assignment is to verify the legitimacy of a beneficiary's claim to insurance benefits or estate assets and to formally transfer those rights as needed.
The information typically required includes the beneficiary's full name, address, Social Security number, details of the deceased (if applicable), and specific information about the benefits being claimed.
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