When to report a death A funeral home will usually tell us when someone dies, so you may not need to report a death to us.

A deceased beneficiary may have been due a Social Security payment and/or a Medicare Premium refund prior to or at the time of death. A Social Security payment due a deceased beneficiary may be paid to a family member or a legal representative of …

To help us decide who should receive any payment due, please COMPLETE THIS ENTIRE FORM and RETURN it to us in the enclosed envelope. This claim for the amounts due is being made on behalf of the family or the estate of (name of deceased) who died on day of (month) PRINT NAME OF APPLICANT (year)

The FO has jurisdiction on CDB or DWB claims filed after death. Do not prepare a determination for deceased DWB or CDB claims, or for cases in which the application was filed more than 3 months after the worker’s death (see DI 23510.025, Title II Claim Filed After Death (Chart).

RECEIPT FOR YOUR CLAIM Your application for the lump-sum death payment has In the meantime, if you change your mailing address, you been received and will be processed as quickly as should report the change.

If the claimant dies while the disability claim is pending, DDS action depends upon the earliest possible date of disability onset. If there is a possibility that you can establish onset at least five full months before the month of death, then the DDS must continue to develop the case and make a formal determination.

DI 23510.020 Death after Filing – Title II (Chart) Use this chart to determine required disability determination services (DDS) actions regarding Form SSA-831 (Disability Determination and Transmittal), notification, and any special routing instructions.

The deceased worker's date and place of death; Whether the deceased worker ever filed for Social Security benefits, Medicare or Supplemental Security Income (if so, we will also ask for information on whose Social Security record he or she applied);

DI 23510.000 Death CasesDeath Cases - Table of Contents

Documentary evidence of death should be in the form of a death certificate. The medical portions of the death certificate should show the cause leading directly to death and the conditions giving rise to that cause, with the underlying cause stated last.