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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
This is to inform you that (Full Name) died on (Month, Date, Year). Please send me the neces sary instructions to complete a claim under policy number(s). I am enclosing a certified copy of the death certificate. I wish to exercise my right as a beneficiary to elect settlement options.
I / We lodge my/our claim for the balances with accrued interest lying to the credit of the above named deceased who died intestate. I / we am / are the legal heirs of the above named deceased and lodge my/our claim for payment as per the bank's rules and discretion.
I the undersigned ________ of Shri/Smt. __________________________________ here by inform you about the death of my_______________. I request you to settle the death claim under his policy no. _________________________________ at the earliest in my favour being the nominee of the above no.
I/We state that, I/We, the undersigned, are the only legal heirs of the above- named deceased Depositor. I/We hereby lodge my/our claim for the settlement of FD amount along with accrued interest lying to the credit of the above-named deceased depositor who died intestate.
Applications for the death benefit may be filed over the counter (OTC) at any SSS branch office. Death Certificate of deceased member duly registered with the Local Civil Registry (LCR) or issued by the Philippine Statistics Authority (PSA), if without settled funeral benefit.