טופס הצהרה על חיים משותפים – בשפה האנגלית להורדה, הדפסה ומילוי מקוון

Form Name: Endorsement of Pensions and Benefits for Families and Commemoration Department Beneficiaries
Purpose: The form is used to update personal details and declare shared life for beneficiaries of pensions and benefits provided by the Bereaved Families, Commemoration, and Heritage Department under the State of Israel Ministry of Defense.

Required Sections for Completion:
1. Personal Details Section:
- First Name and Last Name for Beneficiary 1 and Beneficiary 2
- Israeli ID or Passport Number for Beneficiary 1 and Beneficiary 2
- Street, House Number, Apartment Number
- City, Country
- PO Box, Postal Code
- Telephone Number, Mobile Phone, Fax Number, Email Address
- Family Status options: Parents, Single Parent, Married, Widow/Widower
- Number of Children up to age 30

2. Signature Section:
- Signature of Beneficiary with Date
- Note about notifying immediate changes in particulars

3. Verification Section:
- Details of the person verifying the signature
- Full Name
- Position
- Israeli ID/Passport Number
- State, City
- Israeli Company/Organization
- Date
- Option for digitally certifying the signing of the document

Purpose and Context: The form, titled "Endorsement of Pensions and Benefits for Families and Commemoration Department Beneficiaries," is issued by the Bereaved Families, Commemoration, and Heritage Department within the State of Israel Ministry of Defense. The purpose of the form is to ensure the accurate and up-to-date information of beneficiaries of pensions and benefits provided by the department. The form requires beneficiaries to update their personal details and declare their family status. The form also includes a section for verifying the signature of the beneficiary, either manually or through digital certification. The completed and duly signed form needs to be returned promptly, as it is a condition for the continued receipt of payments.

Contact Information:
- Ministry of Defense, Bereaved Families, Commemoration and Heritage Department
- Address: Yaakov Dori Road, P.O. Box 976, Israel
- Telephone: 972-3-7776700
- Website: www.mishpahot-hantzaha.mod.gov.il

Summary: The "Endorsement of Pensions and Benefits for Families and Commemoration Department Beneficiaries" form serves to update personal details and declare shared life status for beneficiaries of pensions and benefits provided by the Bereaved Families, Commemoration, and Heritage Department under the State of Israel Ministry of Defense. The completed form with verified signatures must be returned to ensure the continuation of payments.