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Apply for Bereavement Benefits

You may be able to get a one-off payment or regular payments for 52 weeks if you have been bereaved.

How to use this service

Use the links below to download and complete a claim form or contact the SSA for a claim form.

Claim Online

You cannot claim Bereavement Benefit online.

Download a form

Bereavement Benefit forms:

You make a claim by printing out a claim form and filling it in. When you have filled in the form you can either:

Important: The date the claim form is received in a Social Security Agency office is the date we can consider payment from - not the date you downloaded the claim form.

Ask for a form

You can get Bereavement Benefit forms from the Social Security Agency.  Contact one of their offices.

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