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. We are sorry to hear of your loss. You may wish to find out more about how family members apply for benefits by selecting the following item.

If you are a Federal personnel or payroll officer, select "Continue" (below) to report the death of an individual who was employed by your agency. Please fill in all of the appropriate data on the following three screens. Once completed, the data will be submitted electronically. Form fields which are required will be noted with this icon " " or the message that "This field is required."