Reporting a Death

Name of deceased:

Last Name of deceased:

Last 4 digits of Social Security Number (SSN):

Date of Death:

Reporters Information

Name and Last Name of reporter:

Relationship to deceased:

Mailing Address:

Daytime Phone:

Evening Phone:

Mobile/cell:

Your email address:

Additional Information:

The information you provide is used solely by the Federal Benefits Unit of the U.S. Embassy Madrid. In order to process certain types of requests, we may have to ask for your Social Security Number (SSN) or the last 4-digits thereof, your date of birth, or your banking information. You may decline to provide such information, but that could inhibit our ability to answer your questions or assist you with your request. Any information provided on our web form is not retained and is used only in order to process your current request or answer your current questions. The Madrid FBU Office works in accordance with SSA procedures as well as the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) and the Privacy Act of 1974. Read our full privacy statement.

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U.S. Embassy & Consulate
in Spain and Andorra

Reporters Information

U.S. Embassy & Consulate in Spain and Andorra