Skip to main content Skip to site navigation
Los Angeles Fire and Police PensionsLos Angeles Fire and Police Pensions

Los Angeles Fire and Police Pensions

LAFPP
  • Members
    • Active
    • DROP
    • Retired
    • Qualified Survivors
    • LAFPP Learning Toolkit
  • Forms & Publications
    • Financial Reports
    • Forms
    • Guides and Handbooks
    • Newsletters
    • Summary Plan Descriptions
  • Investments
    • Portfolio at a Glance
    • Private Equity Specialized Manager Program
    • Investment Policies
    • Investment Reports
  • Newsroom
    • News Archive
  • Board of Commissioners
    • Commissioners
    • Board News
    • Meetings
    • Policies
  • About
    • Inside LAFPP
    • Strategic and Business Plans
    • Requests For Proposals
    • In Memoriam
    • Career Opportunities
    • Contact Us
MyLAFPP
More options

Qualified Survivors Forms

Post August 31, 2018

Find all Qualified Survivor forms here.

DOMESTIC PARTNERSHIPS

Declaration of Domestic Partnership
Notice of Termination of Domestic Partnership

GENERAL

Survivor Benefits Handbook
Change of Address Form
Direct Deposit Form
How to Access CPI Data
California State Income Tax Withholding Form
Federal Income Tax Withholding Form
Overpayment Collection Consent Form
Overpayment Collection Consent Form - Future
Request Information to Purchase Survivor Benefits Form
Surviving Domestic Partner Affidavit Declaration
Surviving Spouse Affidavit Declaration
Survivor Application
Survivor Information Sheet

MEDICAL AND DENTAL BENEFITS

Retired Health Insurance Premium Reimbursement Claim Form
Certification Of Dependent Status Form

This item appears in

Back
This item appears in:
  • QS Plan Details
  • Forms

Share this page

  • Share on Facebook
  • Share on Twitter
  • Share on LinkedIn
Footer link June 27, 2018

About Us

  • Read more
  • Who We Are
  • Board of Fire & Police Pension Commissioners
  • Inside LAFPP
  • Investments
  • Newsroom
  • Privacy Policy
  • Site Disclaimer
Footer link June 27, 2018

Resources

  • Read more
  • Board Meetings
  • In Memoriam
  • Requests for Proposals
  • Community Resource Guide for Immigrant Angelenos
  • Career Opportunities
Footer link June 27, 2018

Contact Us

701 East 3rd Street, Suite 200
Los Angeles, CA 90013
View map
Local: (213) 279-3000
Toll-Free: 844-88-LAFPP
TTY: (213) 628-7713
Email: pensions@lafpp.com
Send message
  • Read more
Footer link June 27, 2018

For Members

  • Read more
  • Forms and Publications
  • Active
  • DROP
  • Retired
  • Qualified Survivors
Social Footer Link June 27, 2018

Linkedin

  • Read more
Social Footer Link June 27, 2018

Youtube

  • Read more
Social Footer Link June 27, 2018

Twitter

  • Read more
Social Footer Link June 27, 2018

Facebook

  • Read more
Social Footer Link June 27, 2018

Instagram

  • Read more

© 2021 Los Angeles Fire and Police Pensions. All rights reserved. lacity.org

Log in

  • Request new password

Commands

  • Support portal
  • Log in