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
(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)