The Premium Bonds Bereavement Form Template UK is provided in multiple formats, including PDF, Word, and Google Docs, featuring editable and printable examples for your convenience.
Premium Bonds Bereavement Form Template UK Editable – PrintableSample
Premium Bonds Bereavement Form Template UK 1. Deceased Information 2. Applicant Information 3. Contact Information 4. Bank Details for Payment 5. Required Documentation 6. Explanation of Premium Bonds 7. Declaration 8. Consent for Processing Personal Data 9. Signature and Date
PDF
WORD
Examples
[Full Name of the Deceased]
[Date of Birth]
[National Insurance Number]
[Address]
[Postcode]
[Full Name of Claimant]
[Relationship to Deceased]
[Claimant’s Address]
[Claimant’s Phone Number]
[Claimant’s Email]
This form is designed to facilitate the process of claiming Premium Bonds upon the death of the holder. Please complete all sections accurately for successful processing.
I, [Name of Claimant], hereby declare that [Name of Deceased] passed away on [Date of Death]. The death certificate is attached in support of this claim.
The deceased held Premium Bonds with the following details: [Bond Number(s)] and [Total Value].
Please indicate how the funds should be distributed:
[Bank Transfer Details or Cheque Request]
[Account Name]
[Account Number]
[Sort Code]
Please include the following documents:
– Copy of the death certificate
– Proof of identity for the claimant (e.g., passport, driving license)
– Completed bereavement form (this form) signed by the claimant.
[Signature of the Claimant]
[Name of the Claimant]
[Full Name of the Deceased]
[Date of Birth]
[National Insurance Number]
[Address]
[Postcode]
[Full Name of Claimant]
[Relationship to Deceased]
[Claimant’s Address]
[Claimant’s Phone Number]
[Claimant’s Email]
This form serves as a notification and claim request for Premium Bonds held by the deceased. All required information must be provided for the processing of this claim.
I, [Claimant’s Name], confirm that [Deceased’s Name] passed away due to [Cause of Death] on [Date of Death]. A certified copy of the death certificate is included with this form.
The deceased held the following Premium Bonds:
– Bond Number(s): [Insert numbers]
– Total Maximum Value Held: [£Value]
Please specify how you would like the proceeds from the Premium Bonds to be distributed:
– [Direct Bank Transfer or Cheque Request]
– [Account Name]
– [Account Number]
– [Sort Code]
Documents required to process the claim include:
– Death certificate (copy)
– Identity proof of claimant (e.g., utility bill, ID)
– Signed bereavement claim form.
[Signature of the Claimant]
[Name of the Claimant]
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