Survivor Change of Status Forms
The following forms are used in the case of a change of status of a survivor. Please note that there are specific forms for changing the status of a child of a survivor and the spouse of a survivor. There are also separate forms to be used depending on which group the spouse or parent of the survivor was a member. You should complete the appropriate form below and mail, email, or fax it to the DCRB Member Services Center.
- Surviving Child Change of Status - Teachers' Plan
- Surviving Child Change of Status - Police Officers' and Firefighters' Plan
- Surviving Spouse Change of Status - Teachers' Plan
- Surviving Spouse Change of Status - Police Officers' and Firefighters' Plan
If you have further questions, please contact DCRB Member Services at the number below or call the Member Services toll-free number at 1(866) 456-3272.
Member Services Center