Get Genworth Proof Of Loss Claimant Statement Form

Filing a claim using the Genworth Proof Of Loss Claimant Statement Form is a critical step in requesting life insurance benefit payment. This guide provides clear, step-by-step instructions to help users understand and complete the form accurately online.

Follow the steps to accurately complete your form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the decedent information section. Enter the name of the deceased, including first, middle, and last names, as well as any maiden names or other names they might have been known by. Provide their address at the time of death, date of birth, and manner of death by selecting one of the given options: Natural, Accidental, Suicide, or Homicide. Be sure to indicate whether the deceased used nicotine in the last five years.
3. Proceed to the policy information section. List all policies under which you, the claimant, are making a claim. Include the policy number, amount of insurance, and attach a separate sheet if more space is needed.
4. Complete the beneficiary/claimant information section. Provide your name, Social Security or Tax ID number, address, phone number, date of birth, age, and your relationship to the deceased. If you are not an individual (like a trust), refer to the specific instructions for that capacity.
5. Fill in the payment mailing address if it is different from the claimant information provided. This is where the payment should be sent.
6. If the claimant is a trust, complete the trustee information section with the current trustee names and tax identification number.
7. Choose one of the settlement options provided in the form. Review the options carefully and select the one that best suits your needs, considering consulting with a financial advisor if necessary.
8. Complete the beneficiary designation section, ensuring that each beneficiary's percentage totals 100%. If listing more beneficiaries, attach a separate signed and dated sheet.
9. Sign and date the declaration and signature section. Ensure to select your capacity if you are signing on behalf of a trust or entity.
10. Double-check all entries for accuracy. If any changes are needed, cross through the incorrect information, write the correct entry, and initial the changes. Do not use correction fluid.
11. Once completed, save your changes. You can then download, print, or share the form as needed.

Take the first step by filling out your Genworth Proof Of Loss Claimant Statement Form online today.