Checklist (D 1 Spa)

CHECKLIST CHECKLIST
(DEATH CLAIMS) (DEATH CLAIMS)

E.3 Death and Survivorship Benefits Claim D. 1 Special Financial Assistance Folder
Gratuity and Burial-Death Pension-Survivorship Pension (1Set-2 Copies Each Document)
(3 Sets of Folder - 2 Copies Each Document)
 Letter of Intent for SFA Application
 Letter of Intent for Death Claims addressed to Regional  ATM Account Information with signature over printed
Director(for Region Claimant) and name of the claimant (attached colored photocopy of
 ATM Account Information with signature over printed Landbank ATM front only)
name of the claimant (attached colored photocopy of  Latest Personal Data Sheet (PDS) with latest picture
Landbank ATM front only) (original/photocopy)
 Latest Personal Data Sheet (PDS) with latest picture  Death Certificate duly certified by LCR or PSA
(original/photocopy)  Marriage Contract duly certified by Philippine Statistics
 Death Certificate duly certified by LCR or PSA Authority (PSA) if married
 Marriage Contract duly certified by Philippine Statistics  Birth Certificate (of BFP and children- if any) duly certified
Authority (PSA) if married by Philippine Statistics Authority (PSA) – if single
 Birth Certificate (of BFP and children- if any) duly certified  Investigation Report concurred by the Regional Director,
by Philippine Statistics Authority (PSA) – if single Director of Directorates and Chief of Support Services, BFP-
 Investigation Report concurred by the Regional Director, NHQ
Director of Directorates and Chief of Support Services, BFP-  Latest Service Record
NHQ  Original and Latest Appointment
 Latest Service Record  Regional Claims Adjudication Committee (RCAC)
 Original and Latest Appointment Resolution or Claims Adjudication Board (CAB) Resolution
 Regional Claims Adjudication Committee (RCAC)  Bureau Order (Posthumous Retirement/Separation)
Resolution or Claims Adjudication Board (CAB) Resolution
 Bureau Order (Posthumous Retirement/Separation)
5 Years Monthly Pension
= Base Pay x 80% = Monthly Pension
5 Years Monthly Pension
= Base Pay x 80% = Monthly Pension =________ x 80% = ______________
=________ x 80% = ______________
CHECKLIST CHECKLIST
(DEATH CLAIMS) (DEATH CLAIMS)
D. 1 Special Financial Assistance Folder D. 1 Special Financial Assistance Folder
(1Set-2 Copies Each Document) (1Set-2 Copies Each Document)
 Letter of Intent for SFA Application  Letter of Intent for SFA Application
 ATM Account Information with signature over printed  ATM Account Information with signature over printed
name of the claimant (attached colored photocopy of name of the claimant (attached colored photocopy of
Landbank ATM front only) Landbank ATM front only)
 Latest Personal Data Sheet (PDS) with latest picture  Latest Personal Data Sheet (PDS) with latest picture
(original/photocopy) (original/photocopy)
 Death Certificate duly certified by LCR or PSA  Death Certificate duly certified by LCR or PSA
 Marriage Contract duly certified by Philippine Statistics  Marriage Contract duly certified by Philippine Statistics
Authority (PSA) if married Authority (PSA) if married
 Birth Certificate (of BFP and children- if any) duly certified  Birth Certificate (of BFP and children- if any) duly certified
by Philippine Statistics Authority (PSA) – if single by Philippine Statistics Authority (PSA) – if single
 Investigation Report concurred by the Regional Director,  Investigation Report concurred by the Regional Director,
Director of Directorates and Chief of Support Services, BFP- Director of Directorates and Chief of Support Services, BFP-
NHQ NHQ
 Latest Service Record  Latest Service Record
 Original and Latest Appointment  Original and Latest Appointment
 Regional Claims Adjudication Committee (RCAC)  Regional Claims Adjudication Committee (RCAC)
Resolution or Claims Adjudication Board (CAB) Resolution Resolution or Claims Adjudication Board (CAB) Resolution
 Bureau Order (Posthumous Retirement/Separation)  Bureau Order (Posthumous Retirement/Separation)
5 Years Monthly Pension 5 Years Monthly Pension

= Base Pay x 80% = Monthly Pension = Base Pay x 80% = Monthly Pension
=________ x 80% = ______________ =________ x 80% = ______________

Checklist (D 1 Spa)

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Checklist (D 1 Spa)

Uploaded by

Copyright:

Available Formats

CHECKLIST CHECKLIST

(DEATH CLAIMS) (DEATH CLAIMS)

= x 80% = ______

5 Years Monthly Pension 5 Years Monthly Pension

= x 80% = = x 80% = ________

You might also like