Get Death And Disability Form - Overseas Workers Welfare Administration

The Death And Disability Form for the Overseas Workers Welfare Administration is essential for individuals seeking benefits due to the untimely events affecting overseas Filipino workers. This guide offers clear instructions to help users easily complete the form online, ensuring every required section is addressed properly.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Provide your personal data, including the name of the overseas Filipino worker (OFW), birthdate, sex, civil status, and contact information. Ensure accuracy in spelling and details.
3. Complete the employment data section by filling in the name of the foreign employer, job site, local agency, position, contract details, and dates of departure and arrival.
4. Indicate whether the claim is for death or disability by checking the appropriate box. For death, fill in the cause, date, and place. For disability, specify the nature, date, and place.
5. Fill out the claimant's details, including their name, address, birthdate, and relationship to the OFW.
6. In the medical evaluation section, detail the nature of the disability or final diagnosis along with the doctor’s signature and license number.
7. Attach required documents based on the claim type, ensuring that each document, such as a death certificate or medical certificate, is included as indicated.
8. Review all sections for completeness and accuracy. Finally, save your changes and download or print the completed form for submission.

Take action today and complete your Death And Disability Form online for a smoother processing experience.