Get Form 24 B Maternity Benefit Death Certificate ...

Filling out the FORM 24 B MATERNITY BENEFIT DEATH CERTIFICATE is an important process for documenting the death of an insured woman and ensuring that related benefits are processed appropriately. This guide will provide you with clear, step-by-step instructions to help you complete the form online with confidence.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. In the first section, fill in the book number and serial number as provided by the issuing authority.
3. Next, add the stamp from the dispensary where the medical officer is associated.
4. Enter the name of the deceased insured woman, clearly indicating whether she is the wife or daughter of the individual listed.
5. Fill in the insurance number associated with the deceased individual.
6. The medical officer will need to certify the date of death. Input the date along with the cause of death in the spaces provided.
7. Specify if the death occurred during confinement or within the weeks following it. This section allows you to clarify any medical context around the timing.
8. If applicable, indicate the date of death for the child and the cause of death as well. This step is vital if the child also passed away.
9. Have the medical officer note the last date they attended the deceased and the child as relevant.
10. Finally, include the date, signature of the medical officer, and their name in block letters. Any additional remarks can be noted in the specified section.
11. Once all fields are completed accurately, save changes, and opt to download, print, or share the form as needed.

Complete your documents online today for a smooth and efficient process.