Get Ac 934

The Ac 934 form serves as a Next of Kin Affidavit, providing a necessary declaration for individuals seeking to claim payments due to a decedent from the State of New York. This guide offers clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to fill out the Ac 934 online

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the Employee’s Name, ensuring you use the complete name of the deceased person.
3. Provide the Last 4 Digits of the Employee’s Social Security Number, ensuring this information is accurate.
4. In the section regarding residence, write the affiant's address, including the town, village, city, county, and state.
5. In section 3, indicate if you are the surviving spouse by checking the relevant box and provide the amount owed to the decedent from the State of New York.
6. Identify your relationship to the decedent by checking the appropriate box and filling in the date of death.
7. List the names and addresses of other individuals who are entitled to the funds, including their relationship and social security numbers.
8. Declare in section 5 whether the decedent designated a person for debt payment via written documentation.
9. Complete section 6 by indicating to whom the payment should be directed by checking the appropriate box.
10. At the end of the form, sign and date in the designated area, ensuring all information is correct before submission.

Complete your Ac 934 form online today to ensure that all claims are processed smoothly.