This document certifies that the legal heirs of the late Mr./Mrs. [name] are entitled to receive any outstanding payments due to the deceased. The head of the relevant department has verified the claimants' right and relationship to the deceased and recommends the amount be paid to the listed heirs.

1. 1
LEGAL HEIR CERTIFICATE
Having fully satisfied myself with the right and title of the claimant(s) I recommended that the
amount due to be paid to late Mr./Mrs._____________________ with respect to ………….
may be paid to the person(s) mentioned below who are the only rightful heirs of the
deceased employee.
Relationship with Demised person
Signature Head of the Department/Office
d: _____________ Department of _________________