Get Claim For Compensation Of Deceased Civilian Employee Form Approved Omb No - Nifc

Completing the Claim for Compensation of Deceased Civilian Employee form is an important step for those seeking compensation on behalf of a loved one. This guide will provide a detailed, step-by-step approach to filling out this form online, ensuring clarity and support throughout the process.

Follow the steps to complete the form accurately and efficiently.

1. Click the ‘Get Form’ button to access the Claim for Compensation of Deceased Civilian Employee form. This will allow you to acquire the form and open it in the editor for completion.
2. In Part A, provide the necessary details about the deceased, including their name, social security number, last known address, date of death, and the employing agency. Ensure that each entry is accurate to avoid delays.
3. In Part B, answer whether a Designation of Beneficiary for Unpaid Compensation (SF 1152) is on file with the agency. If applicable, provide the full name, social security number, age, relationship to the deceased, and current address of the designated beneficiary.
4. If completing Part C, certify your marital status with the deceased. Select 'Yes' or 'No' to confirm if you were married and if the marriage was not dissolved prior to their death.
5. In Part D, if there is no surviving widow or widower, list the living children of the deceased along with their details (social security number, age, relationship, and address). If no children survive, proceed to list descendants or surviving parents accordingly.
6. If you are the executor or administrator of the estate, complete Part E. Include your appointed status, evidenced by the certificate of appointment that should accompany your submission.
7. In Part F, indicate if funeral expenses have been paid. Attach the receipted bill from the funeral director if applicable, and provide information on whose funds were used for payment.
8. Part G requires you to sign and date the form, acknowledging the penalties for false claims. Two witnesses must also sign and provide their addresses.
9. Finally, once all parts are completed and reviewed, save your changes, download the completed form, and prepare it for submission to the appropriate federal agency. Ensure that all necessary documents are included.

Start filling out your Claim for Compensation of Deceased Civilian Employee form online today to ensure timely processing.