When there is a loss
Download the form
To receive Survivor Benefits, fill out the application and either print and mail it back, or upload the form and all related documents using our secure Message Center.
Everything you need to get started is included in the application, and you must fully complete each section to avoid a delay. It is very important that you provide us with timely notice of the member's death along with the completed Survivor Benefits application. Any retroactive benefit payments that you would otherwise be eligible to receive are limited to the 12-month period prior to the date the Fund receives written notification.
Download Application
1 Survivor Benefits Application
You must attach/include copies (not originals) of all appropriate documents including:
- Copy of the member’s death certificate
- Copy of your birth certificate
- Copy of your marriage certificate
Be sure to sign and date the application to avoid any delay with your benefit.
2 Send Us the Form
Be sure to return the entire completed application.
Message Center:
Mail:
Central States, Southeast and Southwest Areas Pension Fund
P.O. Box 5109
Des Plaines, IL 60017-5109
Fax:
Still need help?
Contact one of our Benefits Specialists for more information on Survivor Benefits.