We're sorry for your loss. Please consider the following before sending in an application for a survivor benefit.
- To receive a survivor benefit as a dependent of a PERF member who has passed away, you must be at least 18 years of age.
- Did the deceased member qualify for a pension benefit? If so, please fill out and submit this application. If the member did not qualify for a pension, please complete this application.
Please send the correct application to the mailing address or fax number listed on the form, along with any required documents.
You may wish to read the Retiring from PERF section of the PERF Member Handbook for more information on retirement benefit eligibility.