FUNERAL GRANT Claim Checklist

• Claim Form – N.I. 8. This form is completed upon the death of an insured.
• ALL fields must be completed. ALL changes MUST be initialed and / or stamped.


• Section “A” The form MUST be signed and dated by the applicant. All information related to the insured and the applicant MUST be accurately stated.
• Section “B” MUST be completed if the death was due to a job-related injury. The section MUST be signed, dated and stamped by the employer. Documentation to support a job-related injury MUST be submitted e.g. accident report.


• Original & Copy of the Death Certificate of the Deceased Insured. The birth certificate and Affidavit, where applicable, should be provided in instances where verification of the deceased insured is required.
• Original & Copy of the Receipt from a Funeral home.


• The receipt MUST be signed, dated and stamped by the Funeral Home.
• The applicant’s and the Deceased Insured’s name MUST be correctly stated.
• The amount of monies paid, and the balance, if applicable, MUST be clearly stated.


• Identification Card of the Insured
• Identification Card of the Deceased Insured
• National Insurance Card of the Deceased Insured (if available)
• The claim MUST be submitted within three (3) months from the date of death, if not a letter MUST be written with an explanation for the late submission.