Death forms

Below you will find a listing of our death forms. The most frequently used forms have a corresponding sample form that is completed with guidelines for your reference.

See instructions on how to complete and submit OPB's online forms.

List of Forms:

OPB1004 - Retired Member Information Change (PDF)
(formerly, Pensioner Information Change)

Beneficiary Designation Form (OPB 1015) - you will be directed to e-services to complete your beneficiary designations online

OPB1061 - Member/Former Member Information Change (PDF)
(formerly, Member Information Change)

OPB1062 - Survivor's Contact Information (PDF)

FSCO Form 4 - Waiver of Pre-Retirement Death Benefit(opens in a new tab)