Funeral Benefit Disbursement Authorization Letter

Date:

To:

From:

Subject:

Dear Sir/Madam,

I, , hereby authorize the disbursement of the funeral benefit pertaining to the late as follows:

Name of Deceased:

Relationship to Deceased:

Benefit Amount:

Recipient Name:

Recipient Address:

Please process the disbursement accordingly.
Thank you for your prompt attention.

Signature Over Printed Name

Contact Number

Date