Report Employee Death

This application is used for claim processing by Federal personnel or payroll officers when there is a widow or widower who may be eligible for recurring monthly payments under the Civil Service Retirement System (CSRS) or the Federal Employees Retirement System (FERS). If you are a relative reporting the death of a Federal employee, please contact the personnel office of the agency where your family member was employed. You may wish to find out more about how family members apply for benefits by selecting the following item.How Family Members Apply for Benefits

Notice to Users:

This is an Office of Personnel Management (OPM) computer system for use only by authorized users. OPM computer systems are to be used for official business. Your use of this Government system for whatever purpose is not private or anonymous. While using Government systems, your use may be monitored or recorded. Unauthorized or inappropriate use of a Government system may result in the loss or limitation of your privileges. You may also face criminal penalties or financial liability depending on the severity of the misuse. Examples of unauthorized actions include attempts or acts to access, view, upload, change or delete information on this system, modify this system, deny access to this system, accrue resources for unauthorized use, or otherwise misuse this system are strictly prohibited. Such attempts or acts are subject to action that may result in criminal, civil, or administrative penalties.

All access or use of this system constitutes the user's understanding and acceptance of these terms and constitutes unconditional consent to review, monitor, record, audit, and take action by all authorized government and law enforcement personnel.

You should read the Privacy Act Statement which is posted on the Main Page of Services Online for a description of how the information you provide in this system will be used and shared.

Select "Continue" (below) to accept the terms and conditions.

Please answer all the following questions regarding the employee's type of retirement coverage. Then continue down the page to provide the Agency Contact Information.

Please fill in all the fields on the following two screens. Once completed, the data will be submitted electronically. Form fields which are required will be identified with the red asterisk and the word required (*Required ).


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