Application to claim £10,000 bereavement lump sum

This form is for the Estate of a deceased person who was a member of the Scottish Infected Blood Support Scheme (SIBSS) and passed away after 1st April 2017.

This form allows the Estate of the deceased beneficiary to apply for the Bereavement Lump Sum payment that is available via the scheme. Where the beneficiary died after 1st April 2019 (but before backdated payments were paid in summer 2021), if this form is accepted SIBSS will also confirm if the estate is due additional backdated regular annual payments due to the increases in annual payments agreed (as these payments will be backdated to April 2019).

Please note that if you are a widow, widower, civil partner or long-term cohabiting partner who was living with the deceased person when the deceased person when they died then you should not need to submit an application. If you are already registered with SIBSS, they will automatically arrange this payment for you. However, please contact SIBSS if you have any queries.