Get Hq3867.pdf. Certification For Death Claim Payment

Filling out the Hq3867.PDF. Certification For Death Claim Payment is a vital step for individuals seeking to claim death benefits from the U.S. Coast Guard. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering the name of the deceased in the designated field. Ensure that the spelling is correct and matches official documents.
3. Input the service number of the deceased. This information is crucial for identifying the individual's service records.
4. Fill in the rank or rating of the deceased. This should correspond to their official designation in the Coast Guard.
5. Indicate each person listed below as either a designated beneficiary or an undesignated beneficiary. Make sure to include their full names and confirm their status appropriately.
6. For each beneficiary, provide the date, social security number, and the established date of death. This information helps verify the beneficiaries' right to claim unpaid pay and allowances.
7. Next, identify the name of the beneficiary or claimant along with their relationship to the deceased. This section clarifies who is making the claim.
8. Complete the claimant's address accurately to ensure proper delivery of any payments.
9. Lastly, certify that all the information provided is accurate by signing and typing your name and title in the appropriate fields. If necessary, attach any substantiating documents to support the claim.
10. After completing all fields, you can save changes, download, print, or share the form as needed.

Start filling out your documents online to ensure you receive the benefits you are entitled to.