Form

Bereavement benefits claim form

Use this form to claim bereavement benefits if your husband, wife or civil partner died before 6 April 2017.

Applies to England, Scotland and Wales

Documents

Bereavement benefits guidance booklet

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

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
  1. English and Welsh claim form documents have been updated. Guidance booklets added in English and Welsh.

  2. First published.