Get the free APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT

This form is to be completed upon the death of a member who did not have a spouse or common-law partner at the time of death. It collects necessary information from the deceased member and the applicant

How to fill out application for a non-spouse

How to fill out APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT

1. Obtain the APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT form from the relevant authority or website.
2. Fill in the personal information section, including full name, address, and contact details of the deceased.
3. Provide the deceased's Social Security number and date of birth.
4. Include details about the relationship to the deceased, such as marital status at the time of death.
5. Document the date of death and any other relevant dates related to the deceased's employment.
6. Sign and date the application form, certifying that the information provided is true and accurate.
7. Submit the completed application along with any required supporting documents, such as a death certificate, to the appropriate agency.

Who needs APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

1. Individuals who were designated as beneficiaries by a deceased non-spouse member of a retirement plan.
2. Survivors of employees who had not yet retired at the time of their death and are eligible for pre-retirement death benefits.
3. Eligible dependents or family members who were financially dependent on the deceased and wish to claim benefits.

People Also Ask about

How do I apply for the 255.00 death benefit?

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 under full retirement age, gets between 71% and 99% of the worker's basic benefit amount.

What documents are needed for Social Security survivor benefits?

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

What is needed to apply for survivor benefits?

Death Certificate duly registered with LCR or issued by the PSA of the following, whichever is applicable: Birth Certificate of the deceased member. Joint Affidavit (CLD-1.3) preferably by the relatives of the deceased member. For legal heirs, birth certificate of at least two (2) legal heirs.

For pdfFiller’s FAQs

What is APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

It is a form that allows eligible survivors of a deceased individual who was not retired yet to claim benefits available due to the individual's untimely death.

Who is required to file APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

Survivors of a deceased employee who was part of a pension plan and who has not yet retired are required to file this application to claim benefits.

How to fill out APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

The application should be completed with accurate personal details of the deceased, survivor's information, and any required documentation proving the relationship to the decedent.

What is the purpose of APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

The purpose is to ensure that the non-spouse survivors receive the death benefits they are entitled to after the untimely death of the employee before retirement.

What information must be reported on APPLICATION FOR A NON-SPOUSE SURVIVOR’S PRE-RETIREMENT DEATH BENEFIT?

Information such as the name of the deceased, their employment details, the survivor's name and relationship, contact information, and any relevant documentation must be reported.