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Bereavement benefits claim form (14 June 2022)
Form
Bereavement benefits claim form
- English
- Cymraeg
Use this form to claim bereavement benefits if your husband, wife or civil partner died before 6 April 2017.
- From:
- Department for Work and Pensions
- Published
- 1 October 2013
- Last updated
- 14 June 2022 — See all updates
Applies to England, Scotland and Wales
Documents
Bereavement benefits claim form you can print and fill in with a pen
Ref: BB1-printPDF, 188 KB, 16 pages
Bereavement benefits guidance booklet
PDF, 137 KB, 8 pages
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Details
If your husband, wife or civil partner died on or after 6 April 2017
You may be able to claim Bereavement Support Payment.
You may not have to fill in a form. There are other ways to claim.
Published 1 October 2013
Last updated 14 June 2022 + show all updates