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ATION SYMBOL AND TITLE 4. PAID BY 5. NAME AND ADDRESS OF PAYEE (Number and Street, City, State and ZIP Code) 6. SERVICE MEMBER (Last name - First name - Middle initial) 7. SOCIAL SECURITY NO. 9. PLACE OF DEATH 10. DATE OF DEATH 8. GRADE 11. DUE PAYEE 12. CERTIFICATE OF PAYEE (Place an "X" in one of the following boxes, according to your relationship to the decedent) I certify that I have not received gratuity pay; that I am: a. HIS WIDOW HER WIDOWER. (Complete only Block 14a and have Bl.

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The Department of Veterans Affairs (VA) pays a benefit called Dependency and Indemnity Compensation (DIC) to your surviving spouse and dependent children if you die of service-connected causes.

The death gratuity program provides for a special tax free payment of $100,000 to eligible survivors of members of the Armed Forces, who die while on active duty or while serving in certain reserve statuses. The death gratuity is the same regardless of the cause of death.

Death Gratuity Payment Military services provide payment, called a death gratuity, in the amount of $100,000 to the next of kin of Servicemembers who die while on active duty (including those who die within 120 days of separation) as a result of service-connected injury or illness.

The Survivor Benefit Plan is a Department of Defense sponsored and subsidized program that provides up to 55 percent of a service member's retired pay to an eligible beneficiary upon the death of the member.

The death gratuity program provides for a special tax free payment of $100,000 to eligible survivors of members of the Armed Forces, who die while on active duty or while serving in certain reserve statuses. The death gratuity is the same regardless of the cause of death.

Survivors of deceased military members and veterans are entitled to several forms of compensation. These include Dependent Indemnity Compensation, a Death Gratuity payment and Tricare benefits. In addition, many states offer special benefits for survivors of those who served.

DD Form 397, " Claim Certification and Voucher for Death Gratuity Payment "

military personnel That person contacts the family in person immediately following the soldier's death. The military casualty assistance officer will help the family to make arrangements for the funeral and the honor guard, and to apply for all military benefits at the appropriate time.

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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