Menu Log In / Activate NYCERS ONLINE Report of Death Step 1 - Please provide information about yourself We require information about you, the person reporting the death, so that we can contact you if we have questions in the course of processing a claim for benefits. * Your Name: Relationship to Deceased: * Address: Apt #: * City: * State/Territory: (Select Other Country if outside U.S.) Select One New York Puerto Rico Virgin Islands ---------------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ---------------- Puerto Rico Virgin Islands ---------------- Other country * Zip/Postal Code: * Daytime Telephone #: (Ex: xxx xxx xxxx or xxxxxxxxxx) * Are you the Executor of the Estate ? Yes No *= Required Fields Share this page Share on Facebook +1 on Google Share on LinkedIn Share on Twitter Customer Service Center Mon & Wed 8 am – 6 pm Tues & Thurs 8 am – 5 pm Fri 8 am – 3 pm Mezzanine Level at 340 Jay Street in Downtown Brooklyn. (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY Forms and Correspondence: Mailing Address & Instructions Executive Offices M–F 9AM–5PM 335 Adams Street, Suite 2300 Brooklyn, NY 11201-3724 Email NYCERS’ Executive Director Connect with Us © New York City Employees’ Retirement System Disclaimer & Privacy Policy Sitemap