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Death benefit nomination form template

Reviewed 29 March 2021

If you provide a life insurance/death in service benefit you can issue a Death Benefit Nomination form for your employee to confirm who they want to be considered to receive any lump sum benefit. This could be a family member, a friend, a charity, a business or any other organisation.

Death benefit nomination

In the event of my death, I would like my lump sum benefit to be paid to the following named beneficiaries, in the proportions shown:

Full name of beneficiary: Relationship: Percentage of benefit:
     
     

To the Trustees and Scheme Administrators

I understand that this request will be used as a guide for the Tr

This is a word-limited preview. The full template will be displayed here in full once you purchase it individually, or when you purchase the management template pack.

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Unlimited downloads of this Death benefit nomination form template, all other Pay and Benefits templates, AND everything else in the Management template pack for 12 months.

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