Sample Thank You Acknowledgements. Many thanks for everything.And may God create many more. Purchase acknowledgement cards, register books, memorial folders, etc. •Someone talking or writing about death, dying, or suicide, when these actions are out of the ordinary for the person. 1. Notify Us. Complete our Beneficiary Statement form and have the beneficiary sign it. Below Are A Few Example of Acknowledgement Notes That You Can Use. These are the official forms for use in Surrogate's Court proceedings. You will also need to provide a signed beneficiary statement in addition to any other requirements stated in your Nassau Claims Packet. 3. If you are blind or seriously visually impaired and need this application in an alternative.