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Notification of Death
Oct 9, 2024
View Answers to FAQ
Report the Death of a CalSTRS Member, Benefit Recipient, Option Beneficiary or Designated Recipient
Follow the guided step-by-step instructions to complete the form below, then select the
Submit
button to report the death of a member to CalSTRS.
Your Information
Your IP Address:
10.101.1.20
*
Name:
First
Middle Initial
Last
*
Relationship To Deceased:
Child
Employer
Friend
Other
Parent
Registered Domestic Partner
Sibling
Spouse
*
Mailing Address:
Street Address 1
Street Address 2
City
State
Zip Code
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
-
*
Primary Phone Number:
(
)
-
*
Email Address:
*
Confirm Email Address:
Alternate Contact
(optional)
Select the
Alternate Contact Information
link if someone other than yourself should be the
Primary Contact
for this notification. Upon selecting the link, complete the section below to continue.
Deceased Information
Deceased Member, Benefit Recipient, Option Beneficiary or Designated Recipient Information
Enter the information of the deceased member, benefit recipient, option beneficiary or designated recipient below. Be sure to enter the information as accurately and completely as possible to expedite processing of this notification.
*
Name:
First
Last
*
Social Security Number:
-
-
Or Client ID:
*
Date Of Birth:
/
/
(MM/DD/YYYY)
*
Date Of Death:
/
/
(MM/DD/YYYY)
*
Confirm Date Of Death:
/
/
(MM/DD/YYYY)
Cause of Death
(optional)
:
Accidental
AIDS
Cancer
Heart Attack
Homicide
Natural Causes/Other
Suicide
Attach a Copy of the Death Certificate
Select the
Browse
button below to locate an electronic copy of the Death Certificate on your personal computer to attach with your Notification of Death. This step is optional.
Attach File:
If you do not have an electronic copy on file, you can submit the death certificate to CalSTRS by U.S. Postal Service, fax or in-person delivery to a CalSTRS local office:
Mailing Address:
CalSTRS
P.O. Box 15275 MS 43
Sacramento, CA 95851-0275
Fax Number:
916-414-5783
Hand-Delivery:
Forms Drop-Off Locations
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