Get Preference Beneficiary's Statement State Of Georgia - Spa Ga

Filling out the Preference Beneficiary's Statement for the State of Georgia is an essential step in claiming insurance benefits after the passing of an insured individual. This guide will walk you through the process of completing this form online, ensuring that you have all the necessary information and instructions.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the form and download it to fill out online.
2. Provide the legal name of the deceased insured in the designated field. Ensure you fill in the last name, followed by the first name and middle initial.
3. Enter the date of birth of the deceased, using the format Mo/Day/Yr, followed by the date of death.
4. If applicable, list any other names by which the deceased has been known.
5. Include the claim number, which is essential for processing your claim.
6. Fill in your name, address, date of birth, social security number, and daytime telephone number.
7. Select the appropriate box that describes your relationship to the deceased. Follow the instructions based on the relationship selected.
8. If you selected 'child', list all other lawful children of the insured. Include their names and ensure that each child completes a Preference Beneficiary’s Statement.
9. If you selected 'parent', provide the name of the other parent, if applicable.
10. If you are the executor or administrator, ensure you attach a certified copy of the Letters of Administration and enter the estate’s tax identification number in the social security box.
11. Sign and date the form in the designated areas, certifying that all provided information is accurate.
12. Review all the entered information for accuracy before saving, downloading, or printing the completed form for submission.

Complete your documents online today to ensure a smooth claims process.