Create your Death benefit Application Form from scratch

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Here's how it works

01. Start with a blank Death benefit Application Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Death benefit Application Form in seconds via email or a link. You can also download it, export it, or print it out.

Design your Death benefit Application Form in a matter of minutes

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Step 1: Access DocHub to set up your Death benefit Application Form.

Begin by logging into your DocHub account. Try out the advanced DocHub functionality at no cost for 30 days.

Step 2: Go to the dashboard.

Once signed in, go to the DocHub dashboard. This is where you'll build your forms and manage your document workflow.

Step 3: Create the Death benefit Application Form.

Hit New Document and choose Create Blank Document to be redirected to the form builder.

Step 4: Set up the form layout.

Use the DocHub features to add and arrange form fields like text areas, signature boxes, images, and others to your document.

Step 5: Add text and titles.

Add needed text, such as questions or instructions, using the text field to lead the users in your document.

Step 6: Customize field properties.

Alter the properties of each field, such as making them mandatory or arranging them according to the data you plan to collect. Assign recipients if applicable.

Step 7: Review and save.

After you’ve managed to design the Death benefit Application Form, make a final review of your document. Then, save the form within DocHub, export it to your chosen location, or distribute it via a link or email.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Applying for Benefits Contact the personnel office of the Federal agency where the employee worked. You should complete the Application for Death Benefits, Standard Form (SF) 3104 and attach any other forms and/or evidence as the application or circumstances require.
Widows, widowers, and surviving divorced spouses cannot apply online for survivors benefits.
A surviving spouse, surviving divorced spouse, unmarried child, or dependent parent may be eligible for monthly survivor benefits based on the deceased workers earnings. In addition, a one-time lump sum death payment of $255 can be made to a qualifying spouse or child if they meet certain requirements.
This package should be completed if the deceased was an employee under the Federal Employees Retirement System (FERS) at the time of death. All applicable forms in the package should be submitted to the Office of Personnel Management (OPM) with the survivors application, Application for Death Benefits, SF 3104.
Survivors, family, or estate representatives are required to notify OPM in the event of the benefit recipients death. Life Events, such as marriage/divorce, death of spouse or reemployment can affect benefits and must be reported to OPM immediately. We can be contacted by email: retire@opm.gov. Special Notice regarding Death of Annuitants - OPM OPM retirement-center life-events OPM retirement-center life-events
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Related Q&A to Death benefit Application Form

Who can get Survivor benefits. You may qualify if youre the spouse, divorced spouse, child, or dependent parent of someone who worked and paid Social Security taxes before they died. Survivor benefits | SSA Social Security Administration (.gov) survivor Social Security Administration (.gov) survivor
Basic Employee Death Benefit (FERS ONLY) If an employee dies with at least 18 months of creditable service, a current spouse or former spouse (if awarded in a court order) may be entitled to the Basic Employee Death Benefit. Survivor Benefits - OPM OPM retirement-center survivor-ben OPM retirement-center survivor-ben
A surviving spouse, surviving divorced spouse, unmarried child, or dependent parent may be eligible for monthly survivor benefits based on the deceased workers earnings. In addition, a one-time lump sum death payment of $255 can be made to a qualifying spouse or child if they meet certain requirements. Who is eligible to receive Social Security survivors benefits and how SSA.Gov: FAQs - Social Security en-US Topic article SSA.Gov: FAQs - Social Security en-US Topic article

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