Document

Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy

ICR 201505-0960-015 · OMB 0960-0010 · Object 55757501.

Document Viewer [pdf]

Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-06-20 21:36:15)

Download: Source copy (pdf)

Primary: pdfSource: application/pdf
Loading document viewer…
Document Metadata
File Typeapplication/pdf
File TitleApplication for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy
File Modified2013-06-18
Conversion Statepartial