G-131A, Transmittal for Form G-131

UNITED STATES OF AMERICA

RAILROAD RETIREMENT BOARD

< OFFICE ADDRESS>

CURRENT

WWW.RRB.GOV
OFFICE HOURS: 9:00 AM TO 3:30 PM
MONDAY THROUGH FRIDAY EXCEPT FEDERAL HOLIDAYS

TOLL-FREE NUMBER: 1-877-772-5772

In reply refer to

Due to the death of the person named above, you may be eligible to receive a share of the
**ChooseOne** under the Railroad Retirement Act.

Your share of the benefit, which is payable to the following class of beneficiaries of the deceased,
is approximately $.
Children
Parents

Grandchildren
Payers of Burial Expenses

Brothers/Sisters
Estate

If you wish to authorize payment of your share to another eligible person, enter that person's name
and address as well as their relationship to the deceased on the enclosed Form G-131, then sign
the form in the presence of a disinterested witness. The witness must sign, complete the address
information, and date the form.
You are not required to waive any benefits or rights to which you may be entitled. If you do not
desire to waive your share of benefits, you should file an application with the Railroad Retirement
Board for direct payment of your share. If the amount payable is a lump-sum death payment or
annuity payments due but unpaid at death, your application or waiver must be filed within two
years after the date of death.
Please mail or deliver the completed form to the Railroad Retirement Board address shown above.
Most offices are open to the public from 9:00 a.m. to 3:30 p.m., Monday through Friday. Please do
not hesitate to call us if you have any questions or need assistance in completing Form G-131.
Sincerely,
Enclosure
Form G-131
G-131A (06-06)