Follow the steps to successfully complete the USAble Death Claim Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred format.
2. Complete the employer's statement section. Enter USAble Life's group number and the certificate/ID number. Provide the name, date of birth, address, city, state, and zip code of the employee. Include the date employed and the date on which the employee was last actively at work.
3. Indicate the reason the employee stopped working by selecting from the provided options: death, disability, retirement, or termination of employment, and specify the date of death.
4. In the claims section, check all applicable boxes and enter the amounts for basic group term life and supplemental/voluntary group term life.
5. Respond to the questions regarding the circumstances of the deceased's death, such as if the death was due to a motor vehicle accident, ensuring to provide any necessary details.
6. Include the employer's information: name, telephone, title, and address, followed by obtaining the necessary signature and date.
7. Proceed to the authorization to obtain information section, indicating the relationship to the deceased, providing your signature and the date.
8. Complete the beneficiary's statement, ensuring to print the name, date of birth, social security number, relationship to the deceased, address, and daytime telephone number.
9. Finish by reviewing the entire form for accuracy, making any necessary corrections, and ensuring all required parts are filled out.
10. Save your changes, download, print, or share the completed form as needed.

Start completing your USAble Death Claim Form online today for a more efficient claims process.