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Greater Portland Area Chapter Parents Of Murdered Children And Other Survivors Of Homicide Victims 14427 S. Forsythe Road Oregon City, OR 97045 (503) 6568039, www.POMC.com/portland/ March 2013 Volume
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How to fill out and submit Survivor Benefit Claim forms:

01
Obtain the necessary forms: Visit the official website of the relevant government agency or contact their office to get the required forms for filing a Survivor Benefit Claim.
02
Read the instructions carefully: Before filling out the forms, thoroughly read the instructions provided. Understand the eligibility criteria and any supporting documents that may be required.
03
Gather required information: Collect all the necessary information, such as the deceased individual's full name, social security number, date of birth, date of death, and any relevant documentation like death certificates or marriage certificates.
04
Complete the forms accurately: Fill out the forms in a neat and legible manner. Supply all the requested information, ensuring there are no errors or omissions.
05
Provide supporting documentation: Attach any required supporting documents, such as proof of relationship to the deceased, the deceased's financial records, or any other evidence supporting your claim.
06
Review and verify: Carefully review the completed forms and attached documents to ensure everything is accurate and complete.
07
Sign and date: Sign and date the forms as specified.
08
Submit the forms: Send the completed forms and supporting documents to the designated address mentioned in the instructions or submit them online if an electronic submission option is available.
09
Follow up: Keep track of your submission by noting the date sent and any confirmation details. If necessary, follow up with the agency to ensure your claim is being processed.

Who needs Survivor Benefit Claim forms?

01
Spouses or ex-spouses of deceased individuals who were receiving or were eligible to receive social security benefits.
02
Dependent children or stepchildren of deceased individuals who were receiving or were eligible to receive social security benefits.
03
Parents or other dependents who were financially dependent on the deceased individual and meet specific eligibility criteria.
04
In some cases, other individuals who may be eligible based on their relationship to the deceased and certain circumstances.
Remember, it is always recommended to consult the official guidelines and instructions provided by the relevant government agency to ensure accurate and up-to-date information when filling out and submitting Survivor Benefit Claim forms.
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The form is for survivors seeking assistance.
Survivors or their legal representatives are required to file the form.
The form can be filled out online or submitted via mail with all necessary information.
The form is used to request assistance for survivors of a specific event.
Details about the survivor, the event, and the assistance needed must be reported.
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