Claim for Bereavement Allowance form (SA366)

Use this form if you are claiming for Bereavement Allowance.

You should read the information you need to know about your claim for Bereavement Allowance before you start your claim.

If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 15 February 2017

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