Loading
Get Form 17: Claim For Death Benefit - Social Security Commission ...
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Form 17: Claim For Death Benefit - Social Security Commission online
Filling out the Form 17 for claiming death benefits from the Social Security Commission can be straightforward with the right guidance. This document provides step-by-step instructions to help you complete the form accurately and efficiently, ensuring that you understand each component of the process.
Follow the steps to complete the Form 17 online.
- Press the ‘Get Form’ button to access the form and open it in your preferred electronic document editor.
- In the section for particulars of the deceased employee, fill in all required fields in block letters. This includes the social security registration number, surname, first names, date of birth, identity number (if applicable), passport number (if applicable), and date of death.
- In the particulars of the claimant section, provide your surname, first names, identity number, postal address, email address, residential address, and telephone number (home and work). Additionally, indicate your relation to the deceased employee or your capacity.
- Ensure that you attach any necessary documentation. If you are the spouse of the deceased, include a certified copy of the marriage certificate. If you are not the spouse, attach the relevant affidavit as specified in Form 18.
- At the end of the form, certify that the particulars provided are true and correct by signing and dating the form.
- For completion by the employer, include the name of the employer, their social security registration number, and a declaration confirming the deceased employee was in their employ at the time of death. Make sure to attach proof of the latest social security contributions.
- Once all sections are filled out correctly, review the document for accuracy. Save your changes, and if necessary, download, print, or share the completed form as required.
Complete your Form 17: Claim For Death Benefit online today to ensure timely processing of your claim.
To fill out a deceased claim form, begin by collecting all necessary information regarding the deceased and the claimants. Use the Form 17: Claim For Death Benefit, ensuring that you provide complete details about the deceased's Social Security number and other relevant information. Double-check your entries for accuracy before submission.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.