Follow the steps to successfully complete your online claim

1. Press the ‘Get Form’ button to obtain the CL06540 form and open it in the editing interface.
2. In the first section, enter the deceased's information. Provide the claim number, contract number(s), their first name, middle name, last name, social security number, and date of death.
3. Next, fill in your claimant information. Include your own first name, last name, and middle name. Indicate if you are acting on behalf of a trust or estate by providing the name and EIN or TIN. Select your gender, date of birth, social security number or EIN or TIN, mailing address, and contact information.
4. Choose your relationship to the decedent. Select one option from the provided choices such as individual, executor, or representative for a minor child.
5. Select your payment method. Review the options and mark only one. Understand the implications of each choice, especially for lump-sum distributions.
6. Indicate your federal and state tax withholding preferences. You have options for default withholding, specifying a percentage, or opting not to withhold.
7. Fill in the election of beneficiary section. You must have at least one primary beneficiary listed, including details such as name, relationship, percentage, and other relevant personal information.
8. Complete the transaction authorization, where you can authorize the company to act upon instructions received through various means.
9. Carefully read the certification section, ensuring all information you provided is correct, then sign and date the form.
10. Finally, review your completed form for accuracy. Save your changes, then download, print, or share the document as required.

Complete your forms online for a streamlined filing experience.