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Eligible individuals may prepare this form when they wish to receive a lump-sum payment on behalf of a deceased person who has contributed to the Canada Pension Plan (CPP).
This form is used for designating beneficiaries to receive a lump sum death benefit in Arkansas.
This form is used for reporting a supplemental report of a fatal injury in the state of Michigan.
This form is used for notifying the State of Nebraska about a person's death.
This form is used for assigning death benefits of a policy or contract in Oklahoma.
This document is for applying for a one-time death benefit for firefighters in Rhode Island who have lost their lives while on duty.
This Form is used for filing a life insurance claim in South Carolina.
This form is used for acknowledging and waiving the settlement in the case of a work-related death in Ohio. It signifies the final agreement between the parties involved.
You should complete this form if to report the death of a person to a funeral director.
This form is used for waiving survivor or death benefits in the province of Manitoba, Canada.
This document is for claiming funeral benefits in Maryland. It is used to apply for financial assistance specifically for funeral expenses.
This form is used for claiming compensation for line of duty compensation benefits in the state of Missouri when a worker's death occurred on or after August 28, 2018.
This form is used for filing an Affidavit for Death Benefits in New York when the language of the document is Yiddish.
This document confirms the settlement of a death claim in Oklahoma. It provides the details of the settlement and ensures that the claim has been properly resolved.
This form is used for requesting widow benefits in Rhode Island. It is a petition to receive financial assistance following the death of a spouse.
This document is used to apply for a death benefit from the City of Fort Worth, Texas.
This document is for retirees of the City of Fort Worth, Texas who want to specify their beneficiary for the death benefit.
This form is used to apply for death benefits or the remaining balance of an award in the state of Wyoming.
This Form is used for applying for death benefits in the United States.
This document is used for filing an affidavit to claim death benefits in New York. It is available in Arabic language.
This form is used for applying for the county burial allowance in Indiana.
This document is used for applying for burial allowance in New York City for Arabic speakers.
This Form is used for filing an affidavit to claim death benefits in New York. This form is available in the French language.
This form is used for claiming bereavement support payment in the United Kingdom.
This type of document is an agreement used in Delaware to outline compensation for death.
This document is for filing a claim for death benefits in Maryland on behalf of a dependent.
This form is used for applying for the Widowed Parent's Allowance in the United Kingdom.