A statement of funeral goods and services selected for the deceased is attached hereto. Beneficiary. (Signature). If multiple beneficiaries are assigning their portions of proceeds, all such beneficiaries must complete and sign the Assignment of.Fill out the information requested, have the policyowner sign the form before a notary, and submit the form to the insurance company. An insurance assignment allows a beneficiary (assignor) to transfer all or a portion of the proceeds to someone else (assignee). How to fill out the Insurance Proceeds Assignment Form for Funeral Services? 1. Enter the insurance company name and policy number. 2. The Assignment is generally a 1 page legal document that is signed and notarize. Here's how it works. How to fill out the Assignment of Policy for Valuable Consideration?