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  • Download Form - Pdf - The Seafarers International Union - Seafarers

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SEAFARERS DEATH BENEFIT APPLICATION Seafarers Health and Benefits Plan 5201 Auth Way Camp Springs, Maryland 20746-4275 (301) 899-0675 Use This Application Form If The Deceased Was Not A Pensioner.

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How to use or fill out the Download Form - PDF - The Seafarers International Union - Seafarers online

Filling out the Download Form for the Seafarers International Union is an essential step for individuals applying for death benefits. This guide provides clear instructions for each section of the form, ensuring that users can complete it accurately and efficiently.

Follow the steps to successfully fill out the Download Form.

  1. Click ‘Get Form’ button to obtain the form and open it for editing. This action allows you to access the necessary document for your application.
  2. Begin by filling in the name of the deceased participant in the designated field. Ensure the spelling is correct as it is critical for processing the application.
  3. Input the deceased participant's Social Security Number (SSN) in the appropriate space. Be careful to format the SSN correctly with dashes as required.
  4. Provide the date of death of the participant in the corresponding field. This information is vital for determining eligibility for benefits.
  5. Indicate the marital status of the deceased by selecting the corresponding checkbox (married, single, divorced, or widow(er)). This detail affects benefit calculations.
  6. Enter the name of the applicant, which may be a relative or legally designated person applying for the benefits, in the designated area.
  7. Fill in the applicant’s Social Security Number (SSN) and date of birth in the required fields to ensure proper identification and processing.
  8. If the applicant's address is different from that of the deceased, provide the new address, including city, state, and zip code.
  9. Select yes or no to indicate if the funeral bill has been paid. This influences the deduction applicable to the death benefits.
  10. The applicant must sign and date the form in the spaces provided. This signature verifies the accuracy of the information submitted.
  11. Ensure that a union representative verifies the application by signing and printing their name in the specified sections.
  12. Attach the required documents to the form before submission, which include the original death certificate, proof of the applicant's SSN or taxpayer ID, and the funeral bill.
  13. Once all fields are filled and the necessary documents are attached, save the changes made to the document and proceed to print or download the completed form for submission.

Complete your application online today to ensure you receive the benefits you may be entitled to.

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Here's what you'll need: STCW Basic Safety. Proficiency in Survival Craft and Rescue Boats other than Fast Rescue Boats. Valid Transport Canada Marine Medical Examination Fitness Card. Canadian citizenship and valid Canadian Passport OR Permanent residence, valid passport from country of birth and Visa (type C1- Class D)

Find out what the average Seaman salary is The average seaman salary in Canada is $54,039 per year or $27.71 per hour.

NOTICE: In order to work on Canadian ships, seafarers must be legally allowed to work in Canada (through citizenship, permanent residency, or a visa allowing work), and hold either Transport Canda -…

To begin a career at sea you will be required to pass a Seafarer Medical Certificate (visit the Maritime and Coastguard Agency (MCA) website for more info) and complete basic STCW certificates (short course safety training) for each role.

The Seafarers Health and Benefits Plan provides medical, dental, vision and prescription coverage to employees of signatory maritime employers who have collective bargaining agreements with the Seafarers International Union, Atlantic, Gulf, Lakes and Inland Waters or an affiliated Union and their dependent(s).

All must be valid including those that previously had no expiry date. Certificate of Proficiency Able Seafarer (Engine Room) Certificate of Proficiency Watch Rating (Engine Room) Certificate of Proficiency Electro Technical Rating (Engine Room) ENG1 or equivalent Medical.

The Seafarers International Union or SIU is an organization of 12 autonomous labor unions of mariners, fishermen and boatmen working aboard vessels flagged in the United States or Canada. Michael Sacco has been its president since 1988.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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