Form Library

With Quick Claim Assignment™ our secure online portal provides the fastest claim submission process in the industry! In around a minute, you can send assignment information to C&J for verification and access paperwork for the family to sign. Nothing is faster or easier than Quick Claim! Already a client? Click Sign In and enter your credentials. 

Not a client of C&J yet? Why wait! Click here to request more information or call us at 800.785.0003.

If you need additional forms, feel free to browse our forms library below.

 

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Forms for Download

FAST FUNDING® REQUEST —  This form is used to request consideration for funding a case. This form provides the necessary information with which to start verifying coverage on the particular policy(s). (This form is not needed if the claim is being submitted through the Assignment Funding Management System.)

ASSIGNMENT FORM — The top portion (Assignment) of this form will be filled out and signed by the beneficiary(s) assigning the benefits to the funeral home or cemetery. The bottom portion (Reassignment) of this form will be filled out and signed by an authorized representative of the firm reassigning the benefits to C&J. Both signatures need to be notarized.

CLAIM FORM LIBRARY — C&J’s claim form library consists of hundreds of specific insurance company claimant statements. In most cases, a claim form is not required for funding with C&J. The easiest way to determine if one is needed is to fill out our friendly online assignment application or call us at 800.785.0003. Feel free to use the claim form library to assist families with any insurance claim form they need.

DIRECT FUNERAL HOME ASSIGNMENT – In the event the funeral home is the named beneficiary of the insurance proceeds, the funeral home may simply complete this form in place of the Irrevocable Assignment/Reassignment form. Thttps://d0c3fff8ec7a0e491d9c-8cdd82a5d1f94018ebfd0b041b6974c4.ssl.cf2.rackcdn.com/2022/01/Direct-Assignment-CJF.pdfHIS FORM IS NOT REQUIRED IF YOUR FIRM IS NOT THE NAMED BENEFICIARY IN THE POLICY.

SMALL ESTATE AFFIDAVIT – If the primary beneficiary and contingent beneficiary of the policy are deceased, a small estate affidavit may need to be completed by the next of kin. Each state’s “small estate limit” varies by state, so click here to see the limit in your state for a Small Estate Affidavit to be considered.