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death claim application PART I Please read the instructions at the back of the form before filling-up the application. Print information in capital letters and use black ink only.
Retirement Benefit. Retirement Claim Application. Member’s Claimant’s Photo & Signature Card Form. Affidavit of Separation from Employment/Cessation of Self-Employment with Undertaking. Application for representative payee (CLD 1.5) – In case guardian is other than parent/member. Guarantor’s Bond Form (BPN 107) – In case guardian is ...
AFFIDAVIT FOR DEATH BENEFIT CLAIM. I, ________________, of legal age, single/married and presently residing at _______________________________ having been sworn according to law, depose and say: That I am the __________ of the late ____________________, who died at ____________________________ on _____________________________________.
Death Claim: Beneficiaries of a deceased member must use this form to apply for SSS death benefits. Funeral Claim : This form allows beneficiaries to claim funeral benefits for the costs associated with the member’s passing.
How to File an SSS Death Claim as a Non-Primary Beneficiary; Get to Know the SSS Survivor’s Benefit: Financial Support for Dependents of Deceased; How to Change and Update SSS Beneficiary using SSS Form E-4; SSS Death Claim Without a Beneficiary
Letter of explanation from the person whose name appears in the Official Receipt as to why such claimant is claiming the funeral benefit. TO EXPEDITE SETTLEMENT PLEASE FILE YOUR CLAIM AT THE BRANCH OR REPRESENTATIVE OFFICE NEAREST THE MEMBER’S PLACE OF DEATH.
Here are the Basic Forms/Documents that a claimant needs to prepare when filing for a Funeral Grant: Funeral Claim Application Form. Download here. SS Card or two valid ID cards/documents of claimant, both with signature and at least one photo.
