Get Sib Beneficiary Verification Form - K-reba.com

Completing the SIB Beneficiary Verification Form is a crucial step for beneficiaries to access survivor income benefits. This guide will help you navigate the process effectively and ensure you provide all required information.

Follow the steps to accurately complete the form.

1. Click ‘Get Form’ button to obtain the SIB Beneficiary Verification Form and open it for editing.
2. In the section labeled 'Deceased SIB Participant’s Name (Kodak Retiree)', enter the full name of the deceased participant. Provide their Date of Death and Global ID/Insurance number.
3. Next, fill in the 'Social Security No. (Kodak Retiree)'. This information is essential for verifying the identity of the deceased participant.
4. In the 'Surviving Spouse Information' section, input the first, middle, and last names of the surviving spouse. Include their Social Security number and Date of Birth.
5. Indicate whether the surviving spouse is also a retired Kodak employee by selecting 'YES' or 'NO'. Make sure to provide the telephone number, email address, and physical address of the surviving spouse.
6. If applicable, include the seasonal or secondary address of the surviving spouse in the designated fields.
7. If there are dependent children, list their names, Dates of Birth, relationships to the deceased, and their Social Security numbers.
8. For dependent parents, provide similar information as for dependent children, including names, Dates of Birth, relationships, and Social Security numbers.
9. Attach the required documentation, including a certified copy of the death certificate for the deceased, the birth certificates for the surviving spouse or dependent children, and a marriage certificate if applicable.
10. Once you have completed all sections, provide your signature and date at the bottom of the form to certify the information provided.
11. Finally, save your changes, and you may choose to download, print, or share the completed form as needed.

Complete your SIB Beneficiary Verification Form online today to ensure you receive the benefits you are entitled to.