This is a generic Affidavit to accompany a Motion to amend or strike alimony provisions of a divorce decree because of the obligor spouse's changed financial condition. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Affidavit Of Surviving Spouse/dependency With Undertaking Sss Death Benefit In Wake
Category:
State:
Multi-State
County:
Wake
Control #:
US-00004BG-I
Format:
Word;
PDF;
Rich Text
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FAQ
Proof of death — either from a funeral home or a death certificate. Your SSN, and the deceased worker's SSN. Your birth certificate. Your marriage certificate if you're a surviving spouse.
Military duty status at time of death is not a factor in determining eligibility. $255 has not changed since its inception and is not indexed for inflation. Application is made by calling 1-800-772-1213. (TTY 1-800-325-0778) or by visiting your local Social Security office.
Usually, you can't get surviving spouse's benefits if you remarry before age 60 (or age 50 if you have a disability). But remarriage after age 60 (or age 50 if you have a disability) won't prevent you from getting benefit payments based on your former spouse's work.
3. Requirements and Documentation SSS Survivor Claim Form (BPN-107) Marriage Certificate (issued by the Philippine Statistics Authority or PSA) Death Certificate of the deceased member (PSA copy) Affidavit of Death Benefit Claim. Two valid government-issued IDs with photo and signature.
Claimant must have an SS Number and registered in the SSS Website to be able to apply for death benefit claim through the My. SSS portal.
NAME OF. DECEDENT: DATE OF. DEATH. Name of Former Spouse Date of Death Date of Divorce Place of Death or Place of Divorce If deceased, were they married to Decedent at time of death? Name of Child. Date of. Birth. Name of Adopted Child. Date of. Adoption. Name of Relative. Relationship. Age. Relative(s) Name. Relationship. Age.
Box indicating your relationship to the decedent. You may select executor administration heir orMoreBox indicating your relationship to the decedent. You may select executor administration heir or survivor. Next enter the full name of the decedent. On this portion mark the appropriate.
How to fill out the Affidavit of Next of Kin for Medical Records? Review the affidavit carefully before starting. Fill in the decedent's name and details including date of death. Specify your relationship to the decedent. Sign and date the affidavit before a notary public. Submit the completed affidavit as required.
Now after you learn if you qualify or not, call social security & report the death of your spouse as soon as possible at 1-800-772-1213 (TTY 1-800-325-0778) from am and pm. Monday - Friday to register and claim benefits as soon as possible.
Box indicating your relationship to the decedent. You may select executor administration heir orMoreBox indicating your relationship to the decedent. You may select executor administration heir or survivor. Next enter the full name of the decedent. On this portion mark the appropriate.