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  • Application For Death Benefits Omb Number 3206-0172 Federal ...

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Application for Death Benefits Federal Employees Retirement System Form approved: OMB number 3206-0172 This application is for use by persons applying for benefits which may be payable under the Federal.

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Form approved: OMB No. 3206-0172. Documentation and Elections in Support of. Federal...
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the surviving spouse or common-law partner of the deceased, or. the next-of-kin of the deceased.

Log in to the Pension Portal or complete a Death Benefit Nomination form to confirm who you want to be considered to receive a lump sum. This could be a family member, a friend, a charity, or any other organisation or business.

This form is used by employees and annuitants covered under the Federal Employees Retirement System to designate a beneficiary to receive any lump sum due in the event of his/her death. The form was revised to update the Privacy Act Statement.

Duly accomplished Application Form for Funeral Benefit. Death Certificate of member issued by LCR OR PSA. If claimant is not a GSIS member, Birth Certificate issued by LCR or PSA or two valid government issued IDs with date of birth and signature. Death Certificate of legal spouse issued by LCR OR PSA if married.

You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or by visiting your local Social Security office. An appointment is not required, but if you call ahead and schedule one, it may reduce the time you spend waiting to apply.

The basic death benefit is equal to 50 percent of the employee's final salary (or average salary, if higher) plus a lump sum of about $40,300, inflation-indexed annually.

It can take up to a year for a retirement fund death benefit to be paid out, as the trustees must ensure that all financial dependents are provided for.

If you are covered by the Federal Employees Retirement System (FERS), your spouse is entitled to the Basic Employee Death Benefit (BEDB) provided you die as an employee, have at least 18 months of creditable civilian service, and you were married for at least 9 months.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232