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  • Aetna Affidavit Of Sole Survivors

Get Aetna Affidavit Of Sole Survivors

Mail to SRC an Aetna Company Aetna Affidavit of Sole Survivors Attn Claim Department PO Box 14079 Lexington KY 40512-4079 Fax to 1-859-455-8650 Phone 1-888-772-9682 Instructions This form is for informational purposes only and completion does not constitute a claim for any type of benefits. Please provide information only for those next of kin who survive and those who died AFTER the death of the insured. Please use the reverse side of this form for additional children/siblings and indicate the relationship Print or Type Information Decease s Social Security Number Name of Deceased Next of Kin Husband or Wife All Children Natural or legally adopted. No Step-children Print First Name and Last Name Date of Birth Death Date of Death Social Security Number Policy Number Street Address City State Zip Code Parents Natural Father or Adoptive parents Mother All Brothers Sisters legally adopted. No Step-siblings If none of the above survive provide insured s estate representative information Na....

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How to fill out the Aetna Affidavit Of Sole Survivors online

Filling out the Aetna Affidavit Of Sole Survivors online is a straightforward process designed to support you in accurately reporting the details of the next of kin of a deceased individual. This guide will walk you through each section of the form to ensure you provide the necessary information clearly and completely.

Follow the steps to complete the affidavit online.

  1. Press the ‘Get Form’ button to access the Aetna Affidavit Of Sole Survivors. This will allow you to retrieve the form and open it for completion.
  2. Begin filling in the information required for the deceased individual. Start with their Social Security number, followed by their name.
  3. Move to the next section labeled 'Next of Kin.' Here, provide details for the husband or wife. List all children, ensuring to include only natural or legally adopted children; do not include step-children.
  4. Next, enter the first and last names of each child, along with their dates of birth and dates of death for any who have passed away.
  5. Continue to the section for parents. Fill in the name of the natural father or adoptive parents and the mother, along with the names of all brothers and sisters, again noting only natural or legally adopted siblings.
  6. If none of the above relatives survive, provide the information for the estate representative, including their name, address, and telephone number.
  7. Proceed to the 'Informant Information' section. Here, enter the name, address, and telephone number of the person completing the form.
  8. Finally, sign the affidavit attesting that the information is true and complete. A notary public signature is required on the form, along with the date and details of their commission.
  9. After completing the form, ensure all information is accurate. You can save the changes, download, print, or share the form as needed.

Complete your forms online today to ensure timely processing.

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To claim life insurance benefits, the beneficiary should contact the insurance company's local agent or check the company's website. Some companies ask beneficiaries to start by sending in a form that merely reports the death; they then send the beneficiary a packet of forms and instructions explaining how to proceed.

There is no time limit for beneficiaries to file a life insurance claim. However, the sooner you file a claim for a death benefit, the sooner you will receive your money. Filing as soon as possible makes sense because the insurer could need a month or longer to investigate the claim before paying out.

If you die or have a serious injury, our life and accidental death and personal loss coverages pay cash to your loved ones.

To cancel the deceased car owner's auto policy, you'd still need to contact the insurance company. They might request a death certificate copy and documentation to show that you're the estate executor to prevent fraud.

How to Notify. To notify Aetna of the death of a policyholder, you can call their customer service number at 1-800-US-AETNA (1-800-872-3862). You may also be able to report the death through the employer or group policy holder, who can then notify Aetna on your behalf.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232