Use this form to claim bereavement benefits if your husband, wife or civil partner died before 6 April 2017.
PDF, 389KB, 24 pages
PDF, 98.1KB, 24 pages
You may be able to claim Bereavement Support Payment.
You may not have to fill in a form. There are other ways to claim.
1 October 2013
Department for Work and Pensions
Don’t include personal or financial information like your National Insurance number or credit card details.