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Ons A, B, C, D, E For unapproved benefits complete sections A, B, C, E For funeral claims complete sections A, B, C, E A - Scheme details Scheme name Scheme no. Employer name Employer branch name or no. Is this benefit approved unapproved B - Member s details Initials Member Title First name/s Surname RSA ID Date of birth D D ID/Passport No. No Yes - M M - Y Y Y Member ref. no.: Y Wage/paysheet no.: *Revenue office: *Income tax number: Marital status Married Divorced.

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Death Certificate of member issued by LCR or PSA. Marriage Contract of member issued by LCR or PSA. Birth Certificate issued by LCR or PSA or valid passport or two (2) valid government issued IDs with date of birth and signature, if parents are not GSIS member/ pensioner.

Only the widow, widower or child of a Social Security beneficiary can collect the $255 death benefit, also known as a lump-sum death payment. Priority goes to a surviving spouse if any of the following apply: The widow or widower was living with the deceased at the time of death.

A standard death claim may be finalised within three months, but the process could take longer where further investigation is required by the Trustees.

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Send sss death claim application form via email, link, or fax....You can also download it, export it or print it out. Edit your death claim application sss online. ... Sign it in a few clicks. ... Share your form with others.

Duly accomplished Application Form for Funeral Benefit. Death Certificate of member issued by LCR OR PSA. If claimant is not a GSIS member, Birth Certificate issued by LCR or PSA or two valid government issued IDs with date of birth and signature. Death Certificate of legal spouse issued by LCR OR PSA if married.

REQUIRED DOCUMENTS Death Certificate of Deceased Member. Marriage Certificate of Deceased Member. Birth/Baptismal Certificate of Dependent Children. Single Savings Account (Passbook or ATM)

If the eligible surviving spouse or child is not currently receiving benefits, they must apply for this payment within 2 years of the date of death. For more information about this lump-sum payment, contact your local Social Security office or call 1-800-772-1213 (TTY 1-800-325-0778).

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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