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CHECKLIST OF REQUIRED DOCUMENTS FOR

DEATH CLAIM
PRIMARY BENEFICIARIES

PENSION
Application for Death Benefit(DDR-1) Should be duly accomplished by the
spouse/guardian of legitimate or illegitimate
dependent children
Filer's Affidavit To be accomplished by the person actually filing
the application
Certified true copy/duplicate of the original Should be duly registered with Local Civil
death certificate of member Registry Office
Digitized ID Spouse/Guardian
Single Savings Account of Claimant Passbook or ATM
Accident Report/Report of Death (BPN-105) , if To be accomplished by the employer
cause of death is work connected
Supporting Documents
If Claimants are spouse and dependent legitimate/illegitimate children
Certified true copy/duplicate of the original Should be duly registered with Local Civil
marriage certificate Registry Office/Parish Church of member
Certified true copy/duplicate of the original Should be duly registered with Local Civil
birth/baptismal certificates of dependent Registry Office/Parish Church of member
children
Proof of Filiation such as record of birth, To be submitted for illegitimate dependent
statement before a court of record or any children
authentic writing/document
Medical Certificate of incapacitated child if any To be accomplished by the child's attending
physician
If legitimate/illegitimate children under a guardian
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
birth/baptismal certificates of dependent Registry Office/Parish Church
children
Proof of Filiation such as record of birth, To be submitted for illegitimate dependent
statement before a court of record or any children
authentic writing/document
Medical Certificate of incapacitated child if any To be accomplished by the child's attending
physician
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of spouse of deceased Registry Office
member, if already deceased
Application for Representative Payee (CLD-15) To be accomplished by the guardian off the
minor children
Guarantor's Form (BPN-107) To be accomplished by a guarantor
Single Savings Account (In-Trust-For) the Passbook
dependent legitimate/illegitimate children
If Claimant is Spouse Only
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
If Spouse is Incapacitated
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
Medical Certificate of spouse To be accomplished by the attending physician
Application for Representative Payee (CLD-15) To be accomplished by the guardian off the
minor children
Guarantor's Form (BPN-107) To be accomplished by a guarantor
Single Savings Account (In-Trust-For) the Passbook
dependent legitimate/illegitimate children
LUMPSUM
Application for Death Benefit (DDR-1) Should be duly accomplished by the claimant
Filer's Affidavit To be accomplished by the person actually filing
the application
Certified true copy/duplicate of the original Should be duly registered with Local Civil
death certificate of member Registry Office
Supporting Documents
If Claimants are spouse and dependent legitimate/illegitimate children
Certified true copy/duplicate of the original Should be duly registered with Local Civil
marriage certificate Registry Office/Parish Church of member
Certified true copy/duplicate of the original Should be duly registered with Local Civil
birth/baptismal certificates of dependent Registry Office/Parish Church of member
children
Proof of Filiation such as record of birth, To be submitted for illegitimate dependent
statement before a court of record or any children
authentic writing/document
Medical Certificate of incapacitated child if any To be accomplished by the child's attending
physician
If legitimate/illegitimate children under a guardian
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
birth/baptismal certificates of dependent Registry Office/Parish Church
children
Proof of Filiation such as record of birth, To be submitted for illegitimate dependent
statement before a court of record or any children
authentic writing/document
Medical Certificate of incapacitated child if any To be accomplished by the child's attending
physician
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of spouse of deceased Registry Office
member, if already deceased
Application for Representative Payee (CLD-15) To be accomplished by the guardian off the
minor children
Guarantor's Form (BPN-107) To be accomplished by a guarantor
Single Savings Account (In-Trust-For) the Passbook
dependent legitimate/illegitimate children
If Claimant is Spouse Only
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
If Spouse is Incapacitated
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
marriage certificate of member Registry Office/Parish Church
Medical Certificate of spouse To be accomplished by the attending physician
Application for Representative Payee (CLD-15) To be accomplished by the guardian off the
minor children
Guarantor's Form (BPN-107) To be accomplished by a guarantor
Single Savings Account (In-Trust-For) the Passbook
dependent legitimate/illegitimate children
SECONDARY BENEFICIARIES
Application for Death Benefit (DDR-1) Should be duly accomplished by the claimant
Filer's Affidavit To be accomplished by the person actually filing
the application
Affidavit for Death Benefit Claim (CLD.3-A) if To be executed by any one of the parents of
claimants are parents deceased member
Joint Affidavit (CLD 1.3), if claimants are other To be executed by two (2) disinterested persons
than the parents of legal age and preferably close relatives of the
deceased member
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death Registry Office
Accident Report/Report of Death (BPN-105), if To be accomplished by the employer
cause of death is work connected and benefit is
payable to parents only
Supporting Documents
If Claimants are parents of Deceased Member (Member Died Single)
Certified true copy/duplicate of the original birth/ Should be duly registered with Local Civil
baptismal certificates of deceased member Registry Office/Parish Church
Certified true copy/duplicate of the original Should be duly registered with Local Civil
marriage certificate of parents Registry Office/Parish Church
Proof of dependency upon the deceased :
Joint Affidavit of two disinterested persons
Any authentic writing/documents
If Claimants are Designated Beneficiaries
Certified true copy/duplicate of the original birth/ Should be duly registered with Local Civil
baptismal certificates of deceased member Registry Office/Parish Church
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of spouse of deceased Registry Office
member, if deceased member is married
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of parents of deceased Registry Office
member
If Claimants are Legal Heirs
Legitimate Children of Legal Age
Certified true copy/duplicate of the original Should be duly registered with Local Civil
birth/baptismal certificates of deceased member Registry Office/Parish Church
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of spouse of deceased member Registry Office
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of parents of deceased Registry Office
member
Certified true copy/duplicate of the original birth/ Should be duly registered with Local Civil
baptismal certificate of children of deceased Registry Office/Parish Church
member (at least two)
Brothers and Sisters of Deceased Member
Certified true copy/duplicate of the original Should be duly registered with Local Civil
birth/baptismal certificates of deceased member Registry Office/Parish Church
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of spouse of deceased member Registry Office
Certified true copy/duplicate copy of the original Should be duly registered with Local Civil
death certificate of parents of deceased Registry Office
member
Certified true copy/duplicate of the original birth/ Should be duly registered with Local Civil
baptismal certificate of children of deceased Registry Office/Parish Church
member (at least two)