Close Window  

Pension Services Notification of Death Form

(* Indicates required fields)
Please complete the form below and verify your responses. After verification, you will be prompted to print the completed form and mail it to Pension Services.
Please enter Pension Account Information:
Pension Account No.
 (6 digit account number)
ComTRAC Account No.
 (10 digit account number)
Account Name:
Participant Information:
First Name:
Middle Initial:
Last Name:
Social Security Number:
- -
Re-enter Social Security Number:
- -
Date of Death:
/ /  (mm/dd/yyyy)
Date of Last Payment:
 /  /   (mm/dd/yyyy)
Amount of Monthly Benefit $:
Amount to Recover $:
Joint & Survivor Option Type:
Please enter Payment Recovery Information:
We (Company) will Recover Outstanding Payments - OK to Set-up Surviving Spouse/Beneficiary 
Effective Date:
/ /  (mm/dd/yyyy)
Note: Please complete the Pension Services New/Change Retiree Set-Up Form with the surviving spouse/beneficiary.
Please Recover Outstanding Payments Before Set-up of Surviving Spouse/Beneficiary 
Number of Returned Check(s) to Comerica 
Number of Checks:
Any additional comments?

Comerica BankEqual Opportunity LenderMember FDICEqual Housing Lender