Croatian Fraternal Union | Notification Form

Notification Form

Complete this form to notify the CFU of a deceased member. Please provide as much information as possible.

Required *

Deceased Member Name: *

You cannot leave the Deceased Member Name field blank

Deceased Member Date of Birth

Insurance/Annuity Certificate Number(s)

Deceased Member Date of Death *

Please give us the date of the Deceased Member's Death

Name of Contact *

You cannot leave the Contact Name field blank

Address

Address (cont'd)

City

State

Zip Code

email *

You cannot leave the email field blank or use improper characters.

Telephone

Relationship to Deceased

Additional Message

Verification *

Type the characters that appear in the box below and press the submit button.

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