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Report the Death of a Member

We are sorry for the death of your loved one. Please complete the form below and we will begin processing the claim.

Full Name of Deceased(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Cause of Death
Location of Death

Your Information

Full Name(Required)
Your Address

Funeral Home

Address

Beneficiary Information

Insurance with a DifferenceSM

Royal Neighbors of America® is a nonprofit insurance organization that blends life insurance coverage with the joy of giving back. We call this Insurance with a DifferenceSM.

As part of this promise, we provide all beneficiaries access to Empathy, a complimentary service providing personalized and immediate support for the practical tasks and emotional heartache experienced after loss. This service is provided at no charge to the beneficiary.

To learn more about Empathy, click here.

Additional Information

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