You are: individual
Please see the sections below to learn more about the claims process and form requirements for specific situations.
Claim Forms
Claimant’s Statement - needed for all claims
Proof of Death Form - this may not be needed - refer to the table with the Proof of Death requirement by claim type
Proof of Heirship Affidavit – AGLC5081 - this is only needed for certain Estate Beneficiaries - see Common Beneficiary Situations
Affidavit Concerning Custody of a Minor - this is only needed for certain Minor Beneficiaries - see Common Beneficiary Situations
Claim Forms
Claimant’s Statement - needed for all claims
Proof of Death Form - this may not be needed - refer to the table with the Proof of Death requirement by claim type
Proof of Heirship Affidavit - this is only needed for certain Estate Beneficiaries - see Common Beneficiary Situations
Affidavit Concerning Custody of a Minor - this is only needed for certain Minor Beneficiaries - see Common Beneficiary Situations
Claim Forms
Claimant’s Statement - needed for all claims
Proof of Death Form this may not be needed - refer to the table with the Proof of Death requirement by claim type
Proof of Heirship Affidavit - this is only needed for certain Estate Beneficiaries - see Common Beneficiary Situations
Affidavit Concerning Custody of a Minor - this is only needed for certain Minor Beneficiaries - see Common Beneficiary Situations
Claim Forms
Claimant’s Statement - needed for all claims
Proof of Death Form this may not be needed - refer to the table with the Proof of Death requirement by claim type
Proof of Heirship Affidavit - this is only needed for certain Estate Beneficiaries - see Common Beneficiary Situations
Affidavit Concerning Custody of a Minor - this is only needed for certain Minor Beneficiaries - see Common Beneficiary Situations
Claimant’s Statement: Required for most claims; not required for expedited processing. Each beneficiary must complete and submit a statement. Provided in claims packet.
Original or copy of the policy (if available): If the policy is not available, please note this on the top of the Claimant’s Statement
Documentation required as Proof of Death: Required for all claims. The document required varies depending on the dollar amount of the benefit payment or circumstances of death, see table below. The required form of proof will be indicated in the claims packet sent to the beneficiary. Note: Only one proof of death is required for the deceased, even when there are multiple claimants and/or policies.
Proof of death requirements by claim type
1 We cannot accept a death certificate where the cause of death is “pending.”
2 For deaths in Florida, the death certificate must be the long version that includes the cause of death.
3 For foreign deaths, certified death certificate from the country where the death occurred, translated into English.