Notice of Death Form for Employers

Name	Purpose
Notice of Death (legal sized)	Employers use this form to report the death of a member to HOOPP.

Spousal waivers are found in the Beneficiary page.

Please print bar-coded forms on the correct size of paper. Legal sized forms should be printed on legal (8½" x 14") paper, and letter sized forms on letter (8½" x 11") paper. Also, please send bar-coded forms to HOOPP by mail. Bar codes can't be scanned correctly if they are printed on the wrong size of paper or are faxed.