Shareholder Bereavement Assistance Request
Far West, Inc. Section 7(r) Bereavement Policy provides Shareholder's Bereavement Assistance of up to $500 to help defray the cost of funeral expenses for FWI Shareholders of Settlement Common Stock (hereafter, "FWI Shareholder") as a result of the death of a shareholder. Payment is subject to the following:
- This form must be signed by next of kin family representative or court appointed personal representative.
- Payment will be made directly to funeral home or other approved vendor (please attach invoice if available).
- The deadline for filing for bereavement assistance is within thirty (30) days of date of death.