Please note that this form has two sections. The first section is for information about the deceased retiree and the second section has information about the surviving relative.
Below are also instructions regarding the documents you will need to upload when filling out this form. Depending on your relationship to the deceased retiree, you will need to upload the following documents:
Marriage Certificate - for spouses of deceased retirees
Birth Certificate - for children of deceased retirees
Supporting documentation - showing relationship to the deceased - for siblings of the deceased or those who selected "Other"
Regardless of your relationship to the deceased retiree, all survivors will be required to upload the following documents:
Government issued ID, Death Certificate, Notarized Affidavit, IRS W-9 form