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Customer Service: 1.800.951.6088

Haywood EMC is here to provide affordable, reliable, safe services and open communications. Our office is located in Waynesville, with a district office in Lake Toxaway, North Carolina.






























Deceased Member Claim Form

Please complete form online and mail completed form to:

Haywood EMC
376 Grindstone Road
Waynesville, NC 28785

Immediate Payment At Present Day Value With Assignment
Of The Remainder To Haywood EMC

I/We agree to accept immediate payment of the present day value of all patronage capital credited. Payment in this manner allows the Cooperative to pay both living members and estates on an equal value basis. This will have the effect of "clearing out" the deceased member's account both for the estate administrator and the Cooperative.

In accepting this payment, I/We, the undersigned representative(s) or heir(s) of such decedent's estate hereby irrevocably assign the Cooperative the portion of such credits no so paid to include any patronage capital credited to the decedent as a result of patronage or similar credits being realized by the Cooperative from any cooperative affiliated organization.

Effective January 1, 2001

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