Hi, Please collect all proofs from the legal heirs, such as the legal heir certificate, marriage registration certificate, and a 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 organization, passed away on ______ at ______, due to _______. He is survived by his Wife ___, Daughter ___, Father ___, and Mother ___. We are all Late._____ dependents. We hereby request M/s._____ to release all eligible legal dues, including the Gratuity amount, in the following manner, and we have no objection to 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 the Baby's Mother, named "______"
We agree and confirm to you that we shall make no other monetary claim or otherwise of any nature towards any dues from M/s._____.
Date: _________________
(_____)
_____________________
(_______)
_____________________
(________)
In case of a dispute among nominees in sharing the settlement amount, ask them to approach the civil court and come with a court order. The court will examine the background of nominees and advise the % of settlement to be paid to each nominee.