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  • Use This Form Only With Claims For Natural Death Benefits Of $15,000

Get Use This Form Only With Claims For Natural Death Benefits Of $15,000

URAL DEATH BENEFITS OF $15,000.00 OR LESS ON INCONTESTABLE POLICIES To be completed by licensed practicing physician, coroner, or funeral director I certify that , Social Security Number , the insured named in policy died on , . The date of birth is , . This person died at The principal cause of de.

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Completing this form Please complete this Claim for Death Benefits form by following the instructions on the form. Only use this form for the death of. a Federal employee, annuitant, or compensationer. If you are filing a claim for a dependent, use form FE-6 DEP.

A death benefit is a payout to the beneficiary of a life insurance policy, annuity, or pension when the insured person or annuitant dies. With life insurance policies, death benefits are not usually subject to income tax and named beneficiaries typically receive the death benefit as a lump-sum payment.

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.

You can report the death in one of three ways: ONLINE: .opm.gov/ReportDeath. PHONE: Call 1-888-767-6738 (1-88USOPMRET). The phone lines are open from 7:50AM to 5:00PM. ... MAIL: Write to: U.S. Office of Personnel Management. Retirement Operations Center.

Complete an online Report of Death form. Email retire@opm.gov. Call our Retirement Information Office at 888-767-6738 Monday through Friday during the hours of 7:40 am and 5:00 pm EST/EDT.

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.

If the eligible surviving spouse or child is not currently receiving benefits, they must apply for this payment within 2 years of the date of death. For more information about this lump-sum payment, contact your local Social Security office or call 1-800-772-1213 (TTY 1-800-325-0778).

Only the widow, widower or child of a Social Security beneficiary can collect the $255 death benefit, also known as a lump-sum death payment. Priority goes to a surviving spouse if any of the following apply: The widow or widower was living with the deceased at the time of death.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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