Questionnaire for Deceased Passengers

QUESTIONNAIRE COMPLETED ON BEHALF OF DECEASED VICTIMS

This questionnaire is for a person who is representing an individual who was tragically killed in the event of a crash. It is for the purpose of instruction the lawyers representing the estate of that person in a compensation claim. This questionnaire should be completed by a person who is representing the estate of the deceased passenger.

What is the name of the deceased?*
First Name Last Name
What was the address of the deceased at the time of their death?*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What was the age of the deceased at the time of their death?*
Please enter a number from 0 to 100.
What was the deceased's school level?
Which seat was the deceased passenger seated in on the plane?
Was the deceased passenger travelling with anyone else?
Please include any other comments you would like to make: