Prior to submitting the Assignment of Insurance Proceeds form, the funeral home will want to verify that the policy is in place and confirm who are the. A person authorized to complete this form (Informant) would be a Joint Tenant with Right of Survivorship, a surviving spouse, or if there is no spouse, an adult.A statement of funeral goods and services selected for the deceased is attached hereto. Beneficiary. (Signature). Please note: If you are completing this claim on behalf of someone else (such as a minor), complete all of Part H with that person's information, and not yours. Irrevocable Funeral Trusts (IFTs), or differently phrased, Irrevocable Funeral Expense Trusts, allow persons to pay for their funeral and burial costs. Philadelphia County Assignment of Mortgage Form. Fill in the blank form formatted to comply with all recording and content requirements.