click on form image to edit in PDF
Click the button link below to access our Entire Forms Packet
(which includes Affidavits for Lost Policy, Proof of Death, Name Change, and Small Estate).
These versions will also "auto populate" several required fields.
The forms can be filled out online and printed for faxing back to us.
Please FAX back to 817.732.4445 or
email the forms to email@example.com
Send all original paperwork to our offices:
Funeral Financial, L.L.C.
6750 Locke Ave
Fort Worth, Texas 76116
Description of Forms**:
Is used to start the process. The information you provide is essential for us to provide you with a funding decision in a timely manner.
The top portion should be completed by the beneficiary(s) assigning the benefits to you, the funeral home. The bottom portion is completed by your authorized representative. Please NOTE: all signatures need to be notarized.
Standard Life Insurance Claim Form/Authorization to Give Out Information
Should be filled out completely and contain the beneficiary(s) signature(s) in TWO places. This will NOT replace any insurance company specific claim form.
Universal Affidavit for Lost Policy
Most companies will require this form if, the original insurance policy has been destroyed or lost. Some insurance companies may require their own form(s).
Required on all claims.
**other forms may be required by the Insurance Company responsible for reviewing and disbursing the benefits.