Qualified Survivors Forms

Qualified Survivors Forms

Find all Qualified Survivor forms here. MyLAFPP is the preferred secure option for sending your documents to LAFPP. To find out more about and to access MyLAFPP, please click here.

Frequently Asked Forms

Change of Address Form

Federal Income Tax Withholding Form

Pension Verification Letter Request Form

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