Apr 20, 2014 View Answers to FAQs
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: 192.168.200.91 Note: all IP addresses are logged while visiting this site
*Name:
First
Middle Initial
Last
*Relationship To Deceased:
*Mailing Address:
Street Address 1 Street Address 2
 
City  State  Zip Code
  -
*Primary Phone Number:
(  - 
*E-Mail Address:
*Confirm E-Mail 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)
Cause of Death
 (optional):


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 counseling office:


          Mailing Address:
          CalSTRS
          P.O. Box 15275 MS 43
          Sacramento, CA 95851-0275

          Fax Number:
          916-414-5783


          Hand-Delivery:
          Local Counseling Offices