Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. Enter the personal information of the insured person. This includes their last name, first and middle names (underline the name normally used), name at birth, other names used, date of birth, sex, citizenship, place of birth, and date of death, if applicable. Make sure to include the necessary death certificate as indicated.
3. Provide the widow's or widower's details, repeating the same information collection process as in step 2. Ensure their citizenship and place of birth are included.
4. Indicate whether the insured person was covered by the German state pension insurance. If they have an insurance number, ensure this is noted, along with the date of marriage.
5. Detail the persecution periods of the insured person, including whether they were recognized as Jewish and by whom. Include any relevant documentation as requested.
6. Provide information regarding ghetto work, including the ghettos where the insured person stayed and worked, along with the time periods.
7. Detail any periods of residence in Germany post-persecution, including work history within Germany.
8. Indicate insurance contributions paid to any pension agency outside Germany.
9. Include information about any children that the insured person raised and any relevant details concerning their education after the age of 17.
10. Complete the final sections involving income impacting the widow's or widower's pension and confirm any benefits received.
11. Review your entries for accuracy and ensure all required documents are attached.
12. Once completed, you can save your changes, download, print, or share the form as needed.

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