Request for Contingent Annuitant Allowance - PERSI - Idaho 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Deceased Member Information' section. Provide the full name, social security number, and date of death of the deceased member.
3. Next, complete the 'Contingent Annuitant Information' section. Include the contingent annuitant's full name, social security number, mailing address, daytime phone number, and email address.
4. In the 'Benefit Payment Instructions', choose either 'Mail payments' or 'Direct Deposit'. If you select direct deposit, ensure to attach Authorization Form RS448 along with a voided check.
5. Read through the 'Contingent Annuitant Acknowledgment and Certification'. Sign and date this section to confirm your request for payment.
6. Attach a photocopy of the Death Certificate and a photocopy of the contingent annuitant’s social security card.
7. Finally, return the completed form along with all attachments to PERSI at their designated address.

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