Get Bereavement Application - Liuna Local 506 Trust Administration

This guide provides detailed instructions on how to properly complete the Bereavement Application for LiUNA Local 506 Trust Administration. Whether you have prior experience with similar forms or are new to the process, this guide aims to assist you step-by-step.

Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to access the Bereavement Application and open it.
2. In the 'Member Information' section, please print your last name, first name, and complete your address, including the city, province, postal code, and contact numbers. Make sure to include your Union ID or Social Insurance Number (SIN) and your email address.
3. Indicate your marital status by selecting from the options provided: Married/Common-Law, Single. Next, provide your date of birth and gender. This information is important for the administration of the benefits.
4. In section B, under 'Bereavement', provide the name of the person who passed away and your relationship to them. Clearly specify this information as it determines eligibility for benefits.
5. Complete the details about your absence from work, including the specific dates. Indicate whether you lost wages during this period and that you did not receive reimbursement for the lost wages.
6. In the 'Member Disclosure Authorization' section, attach a photocopy of the death certificate and a letter from your employer on company letterhead. This letter should confirm your last day of work and the days you were absent.
7. Lastly, sign and date the application. Review all your entries for accuracy before submitting it.
8. Once you have completed and signed the application, you can save changes, download, print, or share the form as needed. Submit it by fax or email as instructed.

Complete your Bereavement Application online and ensure all necessary information is provided for a smooth processing of your benefits.