Report of Death

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Report of Death

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*All fields are required

First and Last Name(Required)

First Last

Year of Birth(Required)

Last 4 digits of Social Security Number(Required)

Date of Death(Required)

Information of the person who is reporting the death of a beneficiary.

Email Address(Required)

Verify Email Address(Required)

Telephone Number(Required)

Cell-phone Number(Required)

Remarks:

This field is not required. (Max 400 characters)

U.S. Embassy & Consulates
in Germany