Raytech Certifications for Decedent’s Representation

Effective immediately when there has been no administration of a decedent’s estate, the following forms may be used to establish an individual’s authority to act for, bind, and accept payment on behalf of a decedent/injured party and his/her estate and heirs for claims filed with the Bondex, EPI, UNR, Raytech or Keene Trusts.

Law firms and claimants may submit one form or the other with respect to a particular claim; both forms need not be completed. These forms replace the previously accepted Certification and Warranty of Representation. The Trusts will no longer accept the former Certification and Warranty of Representation. For questions regarding use of the forms below, please contact Melanie Impastato at melanie.impastato@cpf-inc.com

Affidavit of Decedent’s Representative

Law Firm Attorney’s Representations Affirming Official Representative's Authority