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This form is used to request the payment of a PERSI member’s death benefit, select a distribution option for the benefit, and provide information for a rollover distribution if applicable.
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How to fill out Request for Payment of Non-Vested Member’s Death Benefit to Surviving Spouse

01
Obtain the Request for Payment of Non-Vested Member’s Death Benefit form from the appropriate agency or website.
02
Fill out the personal details of the deceased member, including their name, date of birth, and membership number.
03
Provide your details as the surviving spouse, including your name and contact information.
04
Complete the section regarding the death of the member, including the date of death and cause, if known.
05
Attach any required documentation, such as a marriage certificate and death certificate.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form as required.
08
Submit the form and attached documents to the designated office, following the submission guidelines.

Who needs Request for Payment of Non-Vested Member’s Death Benefit to Surviving Spouse?

01
The surviving spouse of a non-vested member who has passed away and is entitled to benefits.
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If a non-dependant beneficiary has not been nominated, the only option will be a lump sum if there is a surviving dependant or someone else who has been nominated.
To apply, you'll need: your National Insurance number. your bank or building society account details. the date your partner died. your partner's National Insurance number.
If you were already receiving spousal benefits on the deceased's work record, Social Security will in most cases switch you automatically to survivor benefits when the death is reported.
There is no time limit for filing for primary survivor benefits, and they will actually grow if you delay claiming them. However, there is a two-year deadline for claiming the $255 lump-sum benefit. For the primary survivor benefit, your age when you apply determines the percentage of the benefit you may receive.
Surviving spouse, at full retirement age or older, generally gets 100% of the worker's basic benefit amount. Surviving spouse, age 60 or older, but younger than full retirement age, gets between 71% and 99% of the worker's basic benefit amount.
You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or 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.
As long as you have been divorced for at least two years, you are age 62 (60 if your ex has passed away or 50 if you are disabled and your ex has passed away), and you can provide to the Social Security Administration (SSA) proof that your marriage lasted at least ten years**, the SSA will determine whether you qualify
Spouses and ex-spouses You may be eligible if you: Are age 60 or older, or age 50–59 if you have a disability, and. Were married for at least 9 months before your spouse's death, and. Didn't remarry before age 60 (age 50 if you have a disability).

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The Request for Payment of Non-Vested Member’s Death Benefit to Surviving Spouse is a formal application submitted by a surviving spouse seeking to claim the death benefits owed to them following the death of a non-vested member of a pension or retirement plan.
The surviving spouse of a deceased non-vested member of a pension or retirement plan is required to file the Request for Payment to claim the applicable death benefits.
To fill out the Request for Payment, the surviving spouse must complete the designated form by providing required personal information, details about the deceased member, and documentation that verifies their relationship and the member's status at the time of death.
The purpose of the Request for Payment is to formally initiate the process for the payment of death benefits to the surviving spouse, ensuring they receive the financial support they are entitled to following the member's death.
The information that must be reported includes the surviving spouse's name, address, relationship to the deceased, the deceased member’s name, date of birth, date of death, and any additional documentation that verifies the member's non-vested status at the time of death.
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