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Form Approved
OMB No. 3220-0052

Your Duties
as
Representative Payee
Representative Payee’s
Record

Railroad Retirement Board
Chicago, Illinois 60611-1275
Visit our website at www.rrb.gov

RB-5 (07-23)

Events Which Must Be Reported to the RRB
A representative payee is responsible for knowing what events will
affect the beneficiary’s continuing right to monthly benefits. The
payee is also responsible for promptly reporting the occurrence of
such events to the Railroad Retirement Board (RRB). The events
are as follows:


The beneficiary marries, remarries, or divorces.



Your address changes.



The beneficiary’s address changes.



The beneficiary is convicted of a felony.



The beneficiary performs any work, including self-employment.



The beneficiary begins to receive a public service pension, or
there is a change in the amount of the pension.



An application for social security benefits is filed for the beneficiary
on any person’s earnings record.



The beneficiary is outside the United States for more than 30
consecutive days.



The beneficiary dies.



A student beneficiary graduates from high school or ceases fulltime attendance.

You have accepted the responsibility of receiving and using
Railroad Retirement Act annuity payments or health insurance
benefi ts for another person.
Payments will be made to you for the beneficiary because it has
been decided that this will best serve the interest of the beneficiary.
When payments are made in this way through a representative
payee, it is generally because they are for a child or an adult who
is incapable of using the benefi ts in his or her own interest.
This booklet discusses your responsibility in handling the
beneficiary’s railroad retirement benefit payments. The nearest
Railroad Retirement Board office will be glad to answer any
questions you have. Railroad Retirement Board offices are open to
the public from 9:00 a.m. to 3:00 p.m., Monday through Friday. If
you need to speak to an RRB representative, call 1-877-772-5772.
Note: If you live outside the United States, you will want to keep
in touch with your nearest U.S. Foreign Embassy.

1. What are my duties as a representative payee?
Your job is to use the railroad retirement benefi ts you receive for
the beneficiary in his or her best interest. To do this you must
keep yourself informed of what the beneficiary needs. This is
particu-larly important when the beneficiary does not live in your
home. You must also report (for the beneficiary) certain events
which can affect the payment of his or her railroad retirement
benefi ts, and, upon request, you must be able to account for what
you did with the benefi ts paid to you on behalf of the beneficiary.

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2. What should I do with the railroad retirement benefits?
Since railroad retirement benefits are intended to replace part of
the income on which most families are dependent and which is
lost because of the disability, retirement, or death of the worker,
the benefits will ordinarily be used to provide for the beneficiary’s
basic needs. First consideration must always be given to using the
benefits for the person’s day-to-day maintenance. This includes
paying the expenses for food, shelter, and clothing, and meeting
personal needs, such as pocket money if the person is able to use
it. Beyond this, benefits may be used to take care of special needs
the person may have, such as school expenses, rehabilitation or
medical expenses, and other purposes that are in the beneficiary’s
best interest.
When you use your own or other money to support the beneficiary,
railroad retirement benefits which are not required for the beneficiary’s current support and needs must either be saved or otherwise
invested. However, the money may sometimes be used for the support of a legally dependent spouse, child, or parent. (See question 6).
If you decide to use your own or other money instead of the railroad retirement benefits for the current support of the beneficiary
and save or invest the benefits for him or her, you cannot ordinarily use the conserved benefits to repay others or yourself later.

3. What should I do if the beneficiary is receiving health care
under the Medicare health insurance program?
When a person having health insurance protection receives medical treatment or care, you should:


Read Booklet RB-12, “Welcome to Medicare.”



Have the person’s health insurance card available.



Keep records of the services received and of the expenses
incurred or paid.

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

See that the proper claims are made for Medicare benefits.

You can get health insurance information at any Railroad Retirement
Board office.

4. How must I account for the railroad retirement benefits?
Your relationship to the beneficiary has become like that of a
trustee now that you have been chosen as a representative payee.
One of your key fiduciary responsibilities in this relationship is
to maintain appropriate records and documentation pertaining to
your use of benefit payments on the beneficiary’s behalf. At the
Railroad Retirement Board’s (RRB) request, you will be expected
to provide the necessary information to account for your use of the
funds. Periodically, you will be asked to complete a representative
payee report which will include the following questions:


How were the railroad retirement benefits available during the
year used for the support of the beneficiary (room, board, clothing, medical and dental care, personal needs, etc.)?



How much of the railroad retirement benefits did you save for
the beneficiary?



How did you invest the savings? (See question 8 of this booklet.)



Where did the annuitant live during the year?



What was the annuitant’s amount of income from other sources
during the year?

In order to complete the questionnaire correctly, you must keep
current records of railroad retirement payments you receive and of
what you do for the beneficiary with the proceeds of the payments.
This booklet contains a representative payee’s record designed to
help you keep accurate records. Additional records may be obtained from any RRB office. You should retain these records for
four years.

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5. How should I use the railroad retirement benefits of a person who is in a nursing home or other institution?
Priority should be given to using benefits for “current maintenance
needs” of a beneficiary who is a patient in a Federal, State, or private
institution because of his or her physical or mental incapacity. “Current maintenance needs” include the usual charges the institution
makes for providing care and maintenance.
You should communicate with an official of the institution or the
designated State officer and arrange, if required, to pay part of the
benefits to meet the charges for the beneficiary’s care and support.
You may not be required to use the benefits to pay maintenance
charges when:


The beneficiary’s total assets are small, or



The beneficiary’s legally dependent spouse or children need to
use part of the benefits for their own support, and maintenance
charges are waived because of the needs of the beneficiary’s
family.

You are not required to use the railroad retirement benefits to pay
maintenance charges when:


The beneficiary is in a veteran’s hospital, or



The beneficiary has insurance or other assets that are being used
to meet the charges.

When arranging to pay a certain amount regularly for the beneficiary’s care and maintenance, you should make sure you will still
have enough money left to pay for some of the things the beneficiary needs that are not customarily provided by the institution.
You can find out about these things by talking or writing to the
hospital superintendent, the doctor in charge, or the social worker.
The following are most often needed by patients in public hospitals and may be paid from railroad retirement benefits to help them
keep up their morale, self-respect, and confidence.

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

Personal clothing which is clean, well fitting, and in good
style.



Supplies and articles necessary for personal grooming and
care.



Other things not supplied by the hospital such as books,
and magazines.



Eyeglasses, false teeth, hearing aids, medical and dental care.



Transportation for trial visits to relatives or to places where the
patient can be helped to recover. A little each month may be
saved to pay the expenses of these visits.



Transportation of a close relative, or the representative payee to
visit the patient in the hospital. Use of benefits for transportation
will be allowed when costs are reasonable and necessary and the
visits are in the beneficiary’s best interest.



Supplies and equipment to help the patient learn a trade or
hobby; such as materials for metal or leather work, needlework,
or furniture making.

6. When may railroad retirement benefits be used to support the
beneficiary’s legally dependent spouse, legally dependent child,
or legally dependent parent?
If the current maintenance needs of a beneficiary are being met, you
may use part of the railroad retirement benefit payments you are
receiving for the beneficiary to support his or her legally dependent
spouse, legally dependent child, or legally dependent parent. If you
are not sure of an expenditure, consult your local RRB office before
using the railroad retirement benefits to support the beneficiary’s
legally dependent spouse, legally dependent child, or legally dependent parent.

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7. May I pay old bills of the person for whom I am receiving
railroad retirement benefits?
Under the Railroad Retirement Act, benefits you are receiving on
behalf of another person generally may not be taken away from you
by someone who is trying to collect old bills. This provision makes
sure that the beneficiary will have benefits available to pay day-today expenses. Therefore, the benefits you are receiving on behalf
of the beneficiary should not ordinarily be used to pay bills owed
by the beneficiary before the first month for which railroad retirement
benefits were payable to you as a representative payee. Railroad retirement benefits may, however, be used to make payments on the beneficiary’s house and to pay his or her taxes and insurance premiums.
If you feel that the beneficiary’s daily needs are being fully met and
payment of an old bill would be in his or her best interest, discuss
the situation with a representative at the nearest RRB office before
paying the bill.

8. How should I invest the railroad retirement benefits I am
receiving on behalf of the beneficiary?
You should invest the amount of the railroad retirement benefits
that will not be needed by the beneficiary in the near future as a
trustee would invest money from an estate. Preferred investments
are U.S. Savings Bonds, but you may also, for example, deposit
money in an insured account in a bank, trust company, or savings
and loan association where it can draw interest. You should not keep
money in your home where it may be lost or stolen. Neither should
you mingle it with your own or other funds. U.S. Savings Bonds
bought for a minor beneficiary should be registered as follows:
“(Name of Beneficiary—His or her Social Security Number) a
minor beneficiary for whom (Your Name) has been designated representative payee by the Railroad Retirement Board.”

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U.S. Savings Bonds bought for an incapacitated adult beneficiary
should be registered as follows:
“(Name of Beneficiary—His or her Social Security Number) an
incapacitated adult beneficiary for whom (Your Name) has been
designated representative payee by the Railroad Retirement Board.”
Because the money you receive as a representative payee belongs
to another person, bank accounts and other accounts should be registered in a way that shows the money in trust for the true owner.
For example:
“(Name of Beneficiary) by (Your Name), representative payee,” and
“(Name of Beneficiary) by (Your Name), trustee.”

9. What should I do with the railroad retirement benefits I have
saved if I cease to be the representative payee for the beneficiary
or if the beneficiary dies?
If you are no longer going to serve as representative payee, you
will generally be required by the RRB to turn over all the railroad
retirement benefits you have saved to a new representative payee
or to the beneficiary. If the beneficiary dies, any of his or her benefits
which you have saved or invested belong to his or her estate, and must
be turned over to the legal representative of the estate for distribution
in accordance with State law or must otherwise be handled in accordance with State law. You should be able to get information about the
State law on this matter from your probate court or attorney.

10. What must I report about changes in the care and guardianship of the beneficiary?
Payments to a representative payee are made on the basis of his or
her current responsibility for the beneficiary or his or her relationship to the beneficiary. The following events which may affect
the basis of the initial selection of a representative payee must be
reported to the Railroad Retirement Board:

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

The beneficiary is restored to competency by a State court.



You are discharged as the legal guardian.



A legal guardian is appointed or guardianship changes.



You are no longer responsible for the beneficiary’s care
and welfare.



The beneficiary leaves your custody.

11. Where can I get additional information?
When you are uncertain if the proposed use of a benefit is proper,
write, phone, or visit the nearest Railroad Retirement Board
office. Railroad Retirement Board offices are open to the public
from 9:00 a.m. to 3:00 p.m., Monday through Friday. To speak to
an RRB representative, call 1-877-772-5772.

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Representative Payee’s Record
for the Period
From:
Through:
Purpose of This Account Record

You have accepted the responsibility of receiving and using railroad retirement benefits for another person. Periodically the Railroad Retirement Board (RRB) will ask you to report:


The amount of railroad retirement benefits you receive on behalf
of the beneficiary; and



How you use the money in the interest of the beneficiary.
(Note: You also will be asked the amount of the beneficiary’s
income other than railroad retirement benefits, but you will not
be asked how you spent these other funds.)

You must keep a record showing the beneficiary’s total income, how
much in railroad retirement benefits you receive on his or her behalf,
and how these benefits are used. You may already have a method
of keeping track of it; if not, this booklet may help you. By using
the next few pages to keep track, you will be able to complete your
report promptly when you are asked to do so.
The RRB will let you know when your report is needed and how to
make it. (Note: Since this account record is for your convenience,
do not send it in with your payee report.)
If you find that this booklet is useful, you can get additional copies
from our website at www.rrb.gov or the nearest RRB office. In addition, the people there will be glad to answer any questions you have
about your responsibilities as a representative payee.
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1. Information about Beneficiary
If the beneficiary does not live with you during any part
of the report period, complete the following:
Name and address of each person or institution
where beneficiary lived when not with you

Dates not with you

From
1

To
From

2

To
From

3

To
From

4

To
From

5

To
From

6

To
From

7

To
From

8

10

To

2. Total Income Received
During Accounting Period
for Beneficiary’s Use
Month
and
Year

Amount of
Railroad
Retirement
Benefits

Other Income
Name of Agency or
Other Source

Amount
Received

Totals

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3. Total Expenditures for Months Beneficiary Lives with You

Date

Amount

Clothing
Date

Amount

Spending Money

Date

Amount

Date

Amount

Purpose

Other Purposes (Insurance, Taxes, School
Medical and Dental Care Needs, Hobbies, etc.)
Specify each Amount and Purpose

Complete the following if beneficiary lives with you during part of the accounting period. (Under “Medical and Dental Care,” include
health insurance premiums and any medical expenses not reimbursed by insurance.)

Amount

Room and Board
Date

Total

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13

Total

Date

Amount

Care and Maintenance
(or Room and Board)
Date

Amount

Clothing

Date

Amount

Date

Amount

Date

Amount

Purpose

Other Purposes (Life insurance, taxes, travel
Personal Needs (Spendcosts for you to visit beneficiary or benefiMedical and Dental Care ing money, canteen or
ciary to visit home, etc.)
commissary funds, etc.).
Specify each Amount and Purpose

Complete the following if beneficiary does not live with you during part of the accounting period.

4. Total Expenditures for Months Beneficiary Does Not Live with You

5. Summary of Railroad Retirement
Funds Received and Spent
During the Accounting Period
A. Railroad retirement funds on hand at beginning of period (Include cash, checking and savings accounts,
bonds, etc.)

B. Add total railroad retirement benefits received during
period.

$
+$
=$

C. Total railroad retirement funds available.
D. Subtract total amount used during the accounting

-$

period.

$

E. Balance remaining at end of period.
(This amount will be shown as the total amount of
railroad retirement benefits you have on hand at the
beginning of the next accounting period.)

Show below how the balance from “E” is held, saved, or invested:
Manner in which held,
saved, or invested
Checking account:
Bank name:
Address:
Insured savings account:
Bank name:
Address:
U.S. Savings Bonds
(Face value)

Other—Specify

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Amount

How title or ownership
is shown

NOTES
You may wish to use this space to add figures or write down reminders. If the beneficiary does not live with you during some
months, you may wish to jot down information which shows how
you know about his or her needs during those months (such as
names of persons giving you this information, dates you visit the
beneficiary, or dates you get in touch with the hospital or person
caring for him or her).

Nondiscrimination on the Basis
of Disability
Under Section 504 of the Rehabilitation Act of 1973 and
Railroad Retirement Board (RRB) regulations, no qualified person may be discriminated against on the basis
of disability. The RRB’s programs and activities
must be accessible to all qualified applicants and beneficiaries, including those with impaired vision or hearing.
Disabled persons needing assistance should contact the
nearest RRB office. Complaints of alleged discrimination by the RRB on the basis of disability must be filed
within 90 days in writing with the Director of Administration, Railroad Retirement Board, 844 North Rush
Street, Chicago, Illinois 60611-1275. Questions about
individual rights under this regulation may be directed
to the RRB’s Director of Equal Opportunity at the same
address.