Death Reporting And Related Forms
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To report a death, the member's survivors should submit a certified copy of a Certificate of Death. You, the employer, should submit the following form for:
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Reporting an Employee's Work Record in the Event of Death |
Form 253 |
We will send the applicable beneficiaries the appropriate forms, which may be forms for…
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Choosing Tax Treatment for a Payment of Undistributed Contributions Due to a Death |
Form DB228 |
|
Survivor's Benefit: Authorizing Direct Deposit |
Form 170S |
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Survivor's Benefit: Choosing Income Tax Withholding Preferences |
Form 290S |
If the employee's work record meets certain requirements (approximately eligible for retirement at the time of death), a single principle beneficiary may have a choice between two benefits. We will mail the forms to any applicable beneficiary.