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10 East Baltimore Street Baltimore, Maryland 21202-1641. Yes in most states the USCIS Form I864, Affidavit of Support can be enforced in a divorce case.1. The person seeking workers' compensation death benefits should complete this affidavit. All claimants must complete Section A, Section B, and Section 1. If you require assistance with completing these forms, please contact us. An affidavit detailing the time and work the attorney spent on the Claim. 5. Additional Information That Can Be Submitted. Court settlement and distribution order showing distribution of American Club debentures and affidavit of claimant's son is sufficient corrobora-. Settlement conference, and asking counsel and Claimant to respond. If this section is not complete, we are required to withhold taxes on any interest earned on the death claim proceeds.