Sigma-i

Deceased information

Full Name

SSN or ID or DL

Date of birth

Date of death

Country of Death

Country of Burial

Upload/Provide Death Certificate (Required)

Choose file

Has the deceased been diagnosed with a chronic disease in the past 5 years ?
Yes No

Has the deceased been diagnosed with a terminal illness ?
Yes No

Membership number

Street Number

City

State/Province

Zip Code

Claiming As

Claimant Contact Information

Full Name

Date of birth

SSN or ID or DL

Street Address

City

State

Zip Code

Upload/Provide copy of SSN or ID or DL

Choose file

E-mail

Relationship to Deceased

Settlement Options(select only one option)

By Checking this box, I acknowledge that I have read the fraud warning and understand that any information provided may be subject to verification, and that as a result, further supporting documents may be required

Lump sum settlement

Payment of the balance after settlement of the following items:

Administrative procedure and paperwork
Negotiations with the mortuary and funeral home
In case of burial here in USA, we negotiate the acquisition of a piece of land
In case of repatriation of corpse, we process the Air freight modalities

NOTE: need more assistance after burial here in USA, or upon arrival in case of repatriation, please contact us for further arrangements. Together, we challenge your stress .

Fraud Warning ! False information or fraudulent claim for the purpose of collecting membership benefit will be investigated and may result in a

Deceased information

Claiming As

Claimant Contact Information

Settlement Options(select only one option)

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