The pack has notes on how to fill in the form.
Take the completed form to your local Jobcentre Plus or send it to:
Dover Benefit Centre
Post Handling Site B
You can claim Bereavement Payment up to 12 months after your husband, wife or civil partner dies.
Apply by phone
Contact the Bereavement Service to make a claim by phone.
Bereavement Service helpline
Telephone: 0345 606 0265
Welsh language: 0345 606 0275
Textphone: 0345 606 0285
Welsh language: 0345 606 0295
Monday to Friday, 8am to 6pm
How Bereavement Payment is paid
Bereavement Payment is paid into an account, eg your bank account.
Appeal a decision
You can appeal to the Social Security and Child Support Tribunal if you disagree with a decision. You must usually ask for ‘mandatory reconsideration’ before you appeal.