What documents are needed to file a death claim?

• • Complete the death claim form, form CL 0586-58 (R-0414)

• • Include:
    • Original policy or statement of loss thereof
    • Original birth or baptism certificate of insured
    • Original death certificate
    • Beneficiary’s photo ID with signature
    • Copy of the beneficiary’s Social Security card

• • If the beneficiary or one of them is a minor:
    • Minor’s original birth certificate
    • Certified copy of the document through which a guardian is appointed for the minor
    • Name and address of the minor’s guardian

• • If death was due to homicide or accident:
    • Final police report
    • Autopsy or toxicology report or authorization to request them

• • If the designated beneficiary died before the insured and there is no designated contingent beneficiary:
    • Beneficiary’s death certificate
    • Original insured’s declaration of heirs

• • After the insured’s death, the beneficiary dies before collecting the insured’s benefit:
    • Beneficiary’s death certificate
    • Original insured’s declaration of heirs

• If the primary beneficiary dies before the insured but there is a contingent beneficiary:
  • Beneficiary’s death certificate