SSA-1724 | Claim For Amounts Due In The Case Of Deceased Beneficiary. Please complete this form to help us decide who should receive any payment due. Where to send this form. Send the completed form to your local Social Security office.

Complete the claim form FE-6DEP by downloading the form from this website. Be sure to read the instructions on the form. If you need help, you may contact the Office of Federal Employees' Group Life Insurance (1-800-633-4542).

Please use this form to submit a claim under a policy with one or more of the following Kemper Life companies: United Insurance Company of America, The Reliable Life Insurance Company,

Please complete this Claim for Death Benefits form by following the instructions on the form. Only use this form for the death of a Federal employee, annuitant, or compensationer. If you are filing a claim for a dependent, use form FE-6 DEP. Each claimant/ beneficiary is required to …

I am applying for the lump sum death payment for which I am eligible under Section 202(i) of the Social Security Act, as presently amended, on the named deceased’s Social Security record. This application must be filed within 2 years after the date of death of the wage earner or self- employed person.

We will use the information you provide to determine your eligibility for payment of a Title II underpayment or Medicare premium refund due a deceased beneficiary. We may also share your information for the following purposes, called routine uses: .

Fill out and submit the following form about the deceased to start the claims process. If a benefit is payable following the death of the Owner or Annuitant, a claim packet will be mailed which include an applicable claim form, a letter showing the benefit amount, and options for claiming funds.

2022年7月7日 · If you're filing your claim directly, , download this version: 8283, Claim for Death Benefits (SGLI/VGLI) The form is in PDF format, readable with the Adobe Reader version 7.0 and above. You can download the Adobe Reader for free by following this link to the Adobe Website .

how to complete a claim for death benefits. this form should be used when the deceased had insurance in force under servicemembers’ group life insurance (sgli) or veterans’ group life insurance (vgli). general instructions for both sgli & vgli claims, unless otherwise specified. item 1 provide full name of the deceased service member or ...

Death Benefit Claim Form To help ensure timely processing, please read these instructions carefully. • Submit a CERTIFIED Death Certificate of the deceased insured or annuitant showing the cause and manner of death. • Submit a completed Internal Revenue Service Form W-9 for each payee (beneficiary, assignee, trustee, administrator of estate,