Hi,
Please collect all proof from the legal heir like legal heir certificate, Marriage registration certificate, joint photograph of the deceased (employee) with the spouse. You may use the following format but this is only a supporting document
We, ______(Father), ________(Mother), _____ (wife) and _____ (Daughter/ Son) of Late.____ respectively, hereby declare that Late.____ who had worked in your Organisation had passed away on ______ at ______, due to _______. He is survived by his Wife ___, Daughter ___, Father____ N and Mother _____. We all are Late._____ dependents. We, hereby request M/s._____ to release all eligible legal dues including Gratuity amount in the following manner and we have no objection towards the following distribution:
1. Father’s share Rs.___ in the name of Father “____ “
2. Mother’s share Rs.___ in the name of Mother “ ___ “
3. Wife’s share Rs.___ in the name of Wife “ ___ “
4. Baby’s share Rs.____in the name of Baby’s Mother name “______”
We hereby agree and confirm to you that we shall make no other claim monetary or otherwise of any nature towards any dues whatsoever in this regard from M/s._____
Date: _____________________
(_____)
______________________
(_______)
______________________
(________)
In case of dispute of among nominees in sharing the settlement amount ask them to approach civil court and come with a court order. Court will examine the background of nominees and will advise the % of settlement to be paid to each nominee.