Q. What is an IRS 712 form? IRS Form 712 is a gift or estate tax form that may need to be filed with the deceased`s final estate tax return. At the request of the estate administrator/executor, we complete this form to indicate the value of the policy at the time of death. For more information, please contact your lawyer or tax advisor. Q. Will you accept a certified death certificate with a pending cause of death? No. We need a certified death certificate with a final cause of death. Q. Who is the „applicant”? An applicant is the natural or legal person who claims the death benefit under a policy. Each recipient must complete a separate declaration from the applicant.
Accidental death (only when using benefits for policies with an accidental death benefit endorsement) Question: Why do you need a statement of the beneficiary and the transferee accepting the amount claimed by the transferee? To avoid possible disagreements on the amounts to be paid. Declarations of consent, indicating the amount due at the time of the insured`s death, speed up the processing of your claim. Q. What information about trust claims should I include in the applicant`s statement? You must enter the name of the trust under „Applicant`s name”. The name of the trust must include the date of the trust. Under „Applicant`s address,” indicate the address of a trustee to whom the proceeds of death are to be delivered. The date of death is 2 years or more after the date of policy issue or the date of reinstatement of rights Claimant`s statement: Required for most claims; is not necessary for expedited processing. Each beneficiary must complete and submit a declaration. Provided in the claims file. Original or copy of policy (if available): If the policy is not available, please note this at the top of the applicant`s statement. Documents required as proof of death: Required for all claims. The document required depends on the dollar amount of the benefit or death payment, see table below.
The required proof is indicated in the application file sent to the beneficiary. Note: Only proof of death is required for the deceased, even if there are multiple applicants and/or policies. Q. What makes it a certified death certificate? Certified death certificates have either a raised seal or a multicolored signature seal of the county, city, or state that issued the certificate. In addition, the original death certificate must include the signature of an appropriate county, city, or state official. Q. If the Primary Beneficiary has died, is a copy of the Certified Death Certificate acceptable to the Deceased Primary Beneficiary? Yes. We accept a copy of the certified death certificate for each deceased beneficiary. Q. After completing the life insurance form, can I fax it to you? Yes, you can fax the completed and signed application form to 434.948.5783. Please note that a certified original death certificate may be required, which may not be accepted by fax.
Q. Are there any special requirements if the insured person died in a foreign country, that is, outside the United States or its territories? We require a certified original death certificate and, if applicable, a document of the death of a U.S. citizen abroad. A document of death of a U.S. citizen abroad is not an acceptable substitute for an original certified death certificate. In addition, we may request a questionnaire about death abroad, a cancelled passport, a copy of airline tickets, funeral/cremation invoices, transport information/invoices or any other information we deem necessary due to the specific circumstances of your claim. To avoid delays, you should contact us immediately for detailed instructions. Q.
If I sign as a power of attorney for the applicant, what do I need to submit as evidence? Submit a copy of the signed proxy documents that give you the authority to collect the proceeds. You must sign the life insurance form and indicate your status as a „common-law lawyer” for the beneficiary. Example of an appropriate signature: Jane Doe by John W. Doe, common-law attorney under a power of attorney dated MM/DD/YYYY. Q. If the recipient`s name has changed since the recipient was last named, what do I need to specify to confirm the name change? If a beneficiary`s name has changed as a result of a marriage or divorce, we will need a copy of the marriage certificate or divorce decree. If the beneficiary`s name has changed due to personal preferences, we will need a court document indicating the name change from birth name to the requested name. Q. If the assignment of security has already been released, what must be provided? A release from assignment by the assignee.
If the transferee is a bank, we require an officer to sign the release of the guarantee. 1 We cannot accept a death certificate if the cause of death is „pending”. 2 For deaths in Florida, the death certificate must be the long version containing the cause of death. 3 For deaths abroad, certified death certificate of the country in which the death occurred, translated into English. Q. Can the proceeds of police death be allocated to a funeral home? Yes. All designated beneficiaries must complete an appropriate assignment form provided by the funeral home and this form must be presented to us prior to payment of the claim along with a declaration from the claimant for each beneficiary. Q. If I make a mistake, how can I change the information in the applicant`s statement? Put a line with an incorrect answer and insert the correct information.
DO NOT use corrective liquid. The applicant must initiate all corrections. Note: Depending on your situation, some of these forms may not be required. For more information about the claims process and form requirements for specific situations, see the following sections. . Q. Will you accept a copy of the original policy? No. We need the original full policy if available. You can make a copy of the original policy for your records. Q. What is a secure access account? A Secure AccessSM account is an interest-bearing bill of exchange account that is an alternative to receiving the product as a lump sum by check.
If you select this billing option, we will send you a draft book to access your account balance so that you can access all or part of the balance at any time. You can always write a draft to withdraw all the balance, including interest, without fees or penalties. For more information about a Secure Access account, call our Secure Access customer service team at 800.206.4066 from 8:30 a.m. .m .m. to 4:30 p.m. .m .m Eastern Time, Monday through Friday. Q. Can I copy this life insurance form for use by other claimants? Yes.
You can copy the blank form to make it available to other beneficiaries. The death occurred in the United States, Canada or U.S. territories (Puerto Rico, Guam, American Samoa, U.S. Virgin Islands) The Genworth Financial family of companies serves life insurance policies sold by several companies. To make sure you fill out the voucher, please select the name listed at the top of the policy/contract from the list below. If the company name is not listed, please call the Claims Department at 888.325.5433. . If you and your family need us, AIG is here for you. Q. What happens if the original font is lost or unavailable? Simply complete the applicant`s declaration and sign it. By signing the applicant`s declaration, you declare that all original fonts and all duplicates and certificates will be lost or otherwise unavailable unless they are sent with the applicant`s declaration. Proof of applicant`s declaration for the following companies: PDF opens in a new window Q.
What is „capacity”? Capacity is the legal authority that gives you the right to claim the product. If you are making a claim on your own behalf, you are an „individual claimant” and you must indicate your status as an individual. Do not use any other „title” unless you actually claim it as such. For more information, see Special Claims Information and Instructions for Connecting to Capacity. All forms and requirements for your specific claim type and situation are provided in the claims package sent to you. If you would like to view and download all the forms required for your claim, please enter your insurance number below. .