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.
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.
Documents you may need to provide Proof of the worker's death; Birth certificate or other proof of birth; Proof of U.S. citizenship or lawful alien status if you were not born in the United States More Info; U.S. military discharge paper(s) if you had military service before 1968;
If you are a widow (or your ex-spouse died), you may be eligible to receive benefits on your late spouse's, or ex-spouse's, Social Security record. How much you receive will depend on your age, the amount of benefits you may receive on your own record, and whether you have dependent children.
Spouses and ex-spouses Payments start at 71.5% of your spouse's benefit and increase the longer you wait to apply. For example, you might get: Over 75% at age 61.
How do I fill this out? Gather the necessary documents related to the deceased. Fill in your personal details as the applicant. Provide the information about the deceased's residency. List the names of living relatives in the order of kinship. Sign the affidavit in the presence of a notary public.
What is required for an affidavit of heirship? Name, address, and date of death of the decedent. Whether the deceased person was ever married. Names of the surviving heirs. Statement that the deceased did not leave a will. Statement that you are an heir under your state intestacy law.
How to write a general affidavit? Title your affidavit. Don't forget to list any relevant contact or identification information that you may need to include in the heading. Write your statement. Verify that your information is true. Finalize and notarize.
A survivorship affidavit is a legal document that removes the name of a deceased person from title on real property.