*Mandatory fields
Additional details needed for processing the death:
Please specify the persons entitled to claim.
If so, please specify the persons entitled to claim.
Please note: Only of relevance if the marriage or the registered partnership with the deceased lasted longer than 10 years.
To simplify matters, please attach the documents you already have.
Documents required, depending on the situation:
Documents attached:
You can upload the documents as a file here.
Please provide a contact person from the circle of the survivors for further information.
{{currentItem.label}}
{{currentItem.value}}
Protected by Google reCAPTCHA
Download PDF form
You can download a blank form in PDF format via the following link:
Download blank form
or:
Download current interim status of the online form as PDF
Error during the generation of the intermediate status. Please try again.