Welcome to Wings for Widows

Your Name *

Your Email*

Your Mobile Phone Number*(By providing your phone number, you agree to receive exclusive updates from Wings for Widows via an autodialer from (612) 445-4906. You also agree to the terms of service (https://www.wingsforwidows.org/terms-of-use/) and privacy policy (https://www.wingsforwidows.org/ privacy-policy-2/). Msg&data rates apply. This agreement isn't a condition of any purchase. Msg frequency varies. Reply STOP to unsubscribe. Reply HELP for more information.)

Location*

Apartment Number*

State*

Zip Code*

Are you a U.S. Citizen?*

Was your spouse/significant other a U.S. Citizen at the time of their death?*

Were you legally married to the decedent at the time of their death?*

Late spouse's or significant other's first name:*

Date of death of late spouse or significant other:*

What is your race/ethnicity?*(We champion diversity, equity and inclusion while working to serve all. This information is required by most grant funding sources.)

Which best describes your employment status?*

How did you learn about Wings for Widows?*

(Other) Please Explain:*

How many months have passed since you lost your spouse or significant other?*

What is your age range?*

What was the age range of your late spouse or significant other when they died?*

Do you have at least one minor child at home (less than 18 years old)?*

Do you have at least one adult child (18 years old or greater)?*

Which of the following professionals are you currently working with (mark all that apply)?*

What is your annual income?*

What areas of care are you struggling with?*(Note: Wings for Widows does not provide financial assistance in the form of loans, grants, or subsistence.)

(Other) Please Explain:*

I am a spouse of a Military Veteran:*(We provide specific assistance for veterans and their families).

What are your biggest concerns?

1. Do you understand what comprises your late spouse's estate?*

2. Do you know how to value your spouse's estate?*

3. Do you know if you need to probate your spouse's estate?*

4. If your late spouse had a personal checking account, have you used this account to pay any bills since their death?*

5. Have you used your personal checking account (if you have one) or the joint checking account to pay your any of your late spouse's bills since their death?*

6. Have you reviewed your and/or your late spouse's credit report since your spouse died?*

7. Have you taken precautions to protect your credit and/or protect yourself from identity theft?*

8. Do you know where your important financial, legal, and other documents are located?*

9. Do you have a good understanding of your current financial situation?*

10. Do you use a budget to track your monthly income and expenses?*

11. Do you have a "cash reserve" - savings set aside in the event of an emergency or other unexpected event?*

12. Do you have enough income to pay your bills each month?*

13. Do you have access to your late spouse's online accounts, passwords, and banking information?*

14. Have you contacted your late spouse's creditors, including credit card companies, to close your spouse's account(s) and update account ownership as necessary?*

15. Did your late spouse have any life insurance policies?*

16. Have you contacted your local Social Security Office to schedule an appointment to determine your benefits?*

17. If your late spouse was employed when they died, have you initiated an employer retirement plan (401(k) for example) "rollover" yet?*

18. If your late spouse was employed when they died, have you contacted their employer to review all possible benefits?*

19. Do you know how to calculate your net worth?*

20. Have you worked with your banker to close and/or consolidate accounts and update account ownership?*

21. Do you understand your investments, especially your retirement investments?*

22. Do you understand the tax returns that must be filed the year of your late spouse's death?*

23. Do you have suitable healthcare insurance or do you have a plan for obtaining adequate coverage in the next few months?*

24. Do you understand how much personal life insurance you have now or will need in the future?*

25. Have you updated the deed to your home?*

26. Have you updated important legal documents like your Will, Power-of-Attorney and Advance Directives?*

27. Have you updated your beneficiaries on banking and retirement accounts, your life insurance policy(ies) and/or annuity(ies)?*

28. How confident are you with your investments?*

29. How confident are you that you have enough money to live on?*

30. How confident are you that you will be able to afford to remain in your current home?*

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