Get Umwa Death Benefits

This guide aims to assist you in completing the Umwa Death Benefits application online. We will provide a detailed walkthrough of each section to ensure you understand what information is required and how to submit your application correctly.

Follow the steps to complete your application for Umwa Death Benefits.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by selecting the type of benefit you are applying for: Death Benefit or Surviving Spouse Pension. Check the appropriate box on the application.
3. Fill out the Information About the Deceased Mine Worker section. Provide their name, Social Security number, address, date of birth, date of death, and attach the death certificate.
4. Complete the Information About the Applicant section. Include your name, Social Security number or EIN, address, and contact information.
5. If you are the surviving spouse, attach your marriage certificate. Indicate your date of birth, whether you lived with the deceased at the time of death, and your employment status.
6. If the deceased had previous marriages, provide details in the Information About The Deceased’s Marriage(s) section. List spouse’s name, marriage details, and how the marriage ended.
7. In the Information About Surviving Dependents section, list any dependents of the deceased, their relationship to the deceased, and their current status.
8. If you are applying as the Power of Attorney or Legal Guardian, complete that section and attach legal documentation.
9. Review the Applicant’s Certification section. Ensure all information is accurate and sign the application.
10. Once all sections are completed, save your changes and prepare to submit your application through the preferred method: mail or fax.

Complete your Umwa Death Benefits application online today for efficient processing.