DFAS Notification of Death Form (9221) PDF Details

The DFAS Notification Of Death form is a crucial document used when a military retiree passes away. Completing this form accurately and promptly ensures that the Defense Finance and Accounting Service (DFAS) can halt monthly payments immediately, which prevents any overpayments and the potential need for future debt collections from the retiree's estate or survivors. The form is structured to gather comprehensive details about the deceased, including personal information, beneficiary details, and any comments that might assist in processing the form. It outlines specific instructions for each section to ensure correct input, such as names in a specific format, numeric-only social security numbers, and dates in the MM/DD/YYYY format. It also includes guidance on navigating the form electronically, including how to print and submit the completed document. The importance of proper submission is highlighted, emphasizing the impact it has on the timely cessation of payments and the distribution of any entitled benefits to survivors. Additionally, helpful tips like pressing the space bar to clear fields and how to navigate through the form using keyboard shortcuts are provided. For those who may struggle with completing the form or have further questions, contact information for DFAS customer service is readily available, ensuring support is at hand to address any concerns or queries that may arise during this challenging time.

QuestionAnswer
Form Name Dfas Notification Of Death Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names printable dfas 9221 form, dfas form 9221 pdf, dfas fast form 9221, dfas death notice

Form Preview Example

Instructions for DFAS 9221

Notification of Retiree Death

When to use this form:

This form should be used to report the death of a military retiree. Though this is a difficult time, it’s crucial to report the death of a military retiree promptly. Upon notification, DFAS will stop monthly payments to prevent overpayment and future collection of debt. Please follow all instructions carefully. An improperly submitted form could cause overpayment or delay in paying any benefits the retiree’s survivors may be entitled to.

Navigation & Function Keys

You can use your computer mouse or the following keys when completing the form: TAB - moves to the next field.

Shift + TAB - moves the previous field. Space Bar - clears the contents of a field. Print button - prints a paper copy of the form.

Submit button - Sends the form to DFAS for processing.

Accessing the Form

You may be taken to a screen warning that the site’s security certificate is not trusted after you click on the link to the Fast Form. This is because you are using a computer that is not on the DFAS network. Click "proceed anyway” to access the form.

Instructions by Section

Section

Part A

Instruction

Tip

Required - Please enter the

Names must be entered last

deceased retiree’s information.

name, first name, middle

 

initial.

 

Social Security Numbers must

 

be numeric characters only.

 

Dates must be entered in this

 

format: MM/DD/YYYY

 

Zip Codes must be five

 

numeric characters and within

 

the state’s zip code range.

 

Phone numbers, if entered,

 

must be 10 digits.

Part B

Required - Please enter your

Names must be entered last

 

own information.

name, first name, middle

 

 

initial.

 

 

Zip Codes must be five

 

 

numeric characters and within

 

 

the state’s zip code range.

 

 

Phone numbers, if entered,

 

 

must be 10 digits.

Part C

Optional – If available, please

Names must be entered last

 

enter information about the

name, first name, middle

 

spouse of the deceased retiree.

initial.

 

 

Social Security Numbers must

 

 

be numeric characters only.

 

 

Dates must be entered in this

 

 

format: MM/DD/YYYY

 

 

Zip Codes must be five

 

 

numeric characters and within

 

 

the state’s zip code range.

 

 

Phone numbers, if entered,

 

 

must be 10 digits.

Part D

Optional – Please enter

Same as above.

 

information about the family

 

 

and beneficiaries of the

Up to five family members or

 

deceased military retiree.

beneficiaries may be entered.

Part E

Optional – Please enter any

 

 

comments you think will be

 

 

helpful.

 

Submission and Questions

If you need to clear the form and start over, click “Reset.” After filling out the form, please use the “Print” button at the bottom of the page to print a copy for your records. Then, click “Submit” to send the form to DFAS for processing.

Within 7-10 business days after reporting the death to DFAS, you should receive a letter containing claim forms for any money due the retiree or benefits available to survivors.

If you need assistance completing your claim forms, please call our customer service representatives at 800-321-1080.