Pennsylvania Wrongful Death/Survival Action Approval Letter

Wrongful Death/Survival Action Approval Letter
Wrongful Death/Survival Action Approval Letter (REV-1518)
REV-1518 (EX) MOD 01-20

IMPORTANT INFORMATION FOR FIRMS REQUESTING
A WRONGFUL DEATH/SURVIVAL ACTION APPROVAL
LETTER FROM THE PENNSYLVANIA DEPARTMENT OF
REVENUE
The following information should be supplied with each
request so that the request can be reviewed in a timely
manner. Please allow 30 business days (approximately
4-6 weeks) from the date the department receives all of
the needed documentation.
1. A copy of the petition prepared for the court.
a. The copy provided to the department does not need
to be a finalized copy,
b. The department does not require the verifications to
be signed.
2. Documentation concerning the decedent:
a. Name of the estate,
b. Copy of the letters granted,
c. File number of the estate,
d. Social Security number,
e. Age of the decedent at death, and
f. Educational history.
3. Nature of opening of estate:
a. If testamentary letters were granted, a copy of
the will.
b. If administrative letters were issued, a listing of the
intestate heirs.
4. If applicable, documentation concerning any pain and
suffering incurred by the decedent prior to death.
a. If death was caused by an error of a medical
institution in diagnosing an illness, the length of time
that individual had the illness prior to death.
b. If death was caused by an error in caring directly
for the decedent by a medical institution/nursing
care facility, the length of time from the incident
until death.
5. If applicable, documentation concerning the future
wage loss of the decedent due to death. This material
should include if possible:
a. An economic loss report prepared by an expert in
that field,
b. Annual wage statement for the past three years,
and
c. Any other income being received by the decedent
for the past three years.
www.revenue.pa.gov

Wrongful Death/Survival
Action Approval Letter
6. If applicable, documentation concerning the future
economic loss incurred by the wrongful death
claimant. This should include:
a. Monthly expenses paid by the decedent,
b. Monthly work done by the decedent to supplement
the claimant’s income,
c. Rental expenses, food costs, and utilities paid by
the decedent for the claimant,
d. Claimant educational costs being paid by the
decedent, and
e. Any other information to support the future
economic loss incurred by the claimant.
7. DO NOT PROVIDE:
a. Police report of the accident scene,
b. Autopsy report of the coroner,
c. Medical records,
d. The complaint.
8. Please expect a reasonable amount of time for
processing. The average processing time is
approximately 30 business days (approximately 46 weeks) from the date the department receives all
of the needed documentation.
Cases are reviewed in a first in/first out order
regardless of the size of the claim. Reminder: The two
months with the largest volume of requests for
approvals are August and December as they are the
last months for approval of medical cases paid under
the MCARE Fund for a given calendar year. For
additional information on how to handle
settlements regarding MCARE or Nonresident
Decedents see form REV-1517.
9. If using mail, send all proposals for a wrongful
death/survival action claim response letters to:
PA DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
ATTN: WRONGFUL DEATH/SURVIVAL
ACTION REQUEST
PO BOX 280600
HARRISBURG PA 17128-0600
10. Petitions can be submitted electronically to:
[email protected]
Do not email and mail the same proposal more than one
time as it causes duplication in processing. If the petition is
submitted more than once, we will use the last date
received.
If you have any questions or concern, please call the
department at 717-787-8327.
REV-1518

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