Get Group Accidental Death Insurance Claim Form - Metlife

Filling out the Group Accidental Death Insurance Claim Form from MetLife can be a straightforward process if you follow the right steps. This guide will help you navigate through each section of the form, ensuring you provide all necessary information to facilitate the claim process.

Follow the steps to complete your claim form accurately.

1. Press the ‘Get Form’ button to access the claim form and open it in your document editor.
2. Begin by completing Section 1, which requires information about the beneficiary. Fill out the beneficiary's full name, address, birth date, gender, social security number, and contact numbers. Specify their relationship to the deceased, selecting from options such as ‘child,’ ‘parent,’ ‘spouse,’ or ‘other.’
3. Proceed to Section 2 to provide details about the deceased. Enter the deceased's full name, address, birth date, and social security number.
4. For Section 3, which deals with accident details, answer the following questions: When did the accident occur? Where did it happen? What was the cause of death? When did the symptoms first appear? Provide a full description of how the accident occurred. Additionally, indicate if the death was a result of a motor vehicle accident or required a police report, attaching any relevant documents.
5. Review the fraud warnings provided in the form before signing. Make sure to read any warnings specific to your state.
6. Sign and date the certification portion of the form, confirming the accuracy of the information provided and acknowledging the applicable fraud warnings.
7. If necessary, if you are an authorized representative, indicate your authority and include relevant documentation.
8. Finally, save your changes to the form. You may then download, print, or share the completed form as needed.

Take the next step towards processing your claim by completing the Group Accidental Death Insurance Claim Form online.