AA-12 Notice of Death and Statement of Compensation

Employer Reporting

OMB: 3220-0005

IC ID: 45663

Documents and Forms

Document Name Document Type
Form AA-12 (01-19) AA-12 Notice of Death and Statement of Compensation Form
AA-12 (01-19) Notice of Death and Request for Service Needed for Eligibility Form AA-12 (01-19).pdf www.rrb.gov/sites/default/files/2019-01/AA-12%20(01-19).pdf Form