Wrongful Death Forms
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Form Packets:
Form packets include all of the required forms to file that particular packet. You may be required to file additional forms in conjunction with the forms within a given packet depending on the various circumstances which may be involved.
LCPC - Wrongful Death Settlement Packet (Forms include: Proposal, 14.0, 14.1, 14.2, 14.3,) 1/1/2015
Individual Forms:
LCPC - Proposal for Wrongful Death Settlement TBD
LCPC - Affidavit in Proof of Service 3/13/2017
SC 14.1 - Waiver and Consent Wrongful Death and Survival Claims 4/1/1997
LCPC14.3A - Report of Distribution of Wrongful Death and Survival Claims 8/25/2015
LCPC 14.4 - Notice of Wrongful Death Claim TBD
LCPC 14.5 - Verfication of Fiduciary TBD
LCPC 45D - Confidential Disclosure of Personal Identifiers 9/1/2011