U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Breadcrumb

Document Checklist - Deceased Victim Claim

December 9, 2024
Resource type

Change Log:

December 9, 2024: Updates made in support of policy change to allow amendments for deceased claims. Also updated to indicate that NYSLRS now requires an Exhibit B1 Form for spouses and beneficiaries

February 1, 2024: Added replacement services section detailing required documents

June 21, 2023: Updated to include that NYSLRS will only accept original or court certified Letters of Administration.

May 26, 2023: Removed text next to Claim Form Appendix A stating "only required if filing a hard copy claim form".

Updated the document checklist to remove the need for originals, including Exhibit A, and removed Exhibit 1 from the minimally required document list.

November 15, 2022: Notable updates include:

  • Updated information regarding documents to prove presence.
  • Changes related to NYSLRS members and documents to support claims for lost earnings.
  • Removed references to NYCERS/NYSLRS worksheet and Union and Defined Benefit Plan worksheet as these documents are no longer needed for these claims.
  • Added reference to new Lead Personal Representative Form.
  • On Deceased Checklist – added clarifying language re: life insurance.
Associated document(s)