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Croatian Fraternal Union 100 Delaney Drive Pittsburgh, PA 15235 412-843-0380
Complete this form to notify the CFU of a deceased member. Please provide as much information as possible.
Deceased Member Name (required)
Deceased Member Date of Birth
Insurance/Annuity Certificate Number(s)
Deceased Member Date of Death
Name of Contact (required)
Address
City
State/Province (required)
Zip Code
Email (required)
Phone Number
Contact Preference (required) EmailPhonePostal/Mail
Relationship to Deceased
Message/Comments