QPP Direct Rollover Application for Death Benefit
This file provides the application for the QPP direct rollover of a lump-sum death benefit to an inherited IRA. It includes instructions that the designated beneficiary of a TRS member must follow to process the application in a timely manner. Ensure all parts are completed for successful submission.
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How do I fill this out?
To fill out this application, first read the instructions carefully. Provide accurate information about both the deceased TRS member and yourself. Make sure to check all details before submitting to avoid delays.

How to fill out the QPP Direct Rollover Application for Death Benefit?
1
Read the instructions on page 1 thoroughly.
2
Fill out the deceased TRS member's information in Part A.
3
Complete your personal information in Part B.
4
Ensure all fields are filled out completely and correctly.
5
Submit the application along with all required documents.
Who needs the QPP Direct Rollover Application for Death Benefit?
1
Beneficiaries of deceased TRS members who wish to obtain a rollover.
2
Individuals who are designated under the Qualified Pension Plan guidelines.
3
Trusts or organizations representing a deceased TRS member.
4
Heirs looking to manage inherited retirement funds efficiently.
5
Family members of the deceased seeking financial security through an IRA.
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What are the instructions for submitting this form?
To submit this form, send it via mail to the Teachers' Retirement System at 55 Water Street, New York, NY 10041. Alternatively, you may fax it to 1 (888) 8-NYC-TRS. Ensure all required documents are included with your submission to prevent delays.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the QPP Direct Rollover are essential for timely action. For members who died before January 1, 2022, the rollover requests should be processed within the four-year window, ending on the fifth anniversary of the member's death. Ensure to initiate your request at least 3 months prior to the deadline to accommodate processing times.

What is the purpose of this form?
The purpose of the QPP Direct Rollover Application is to enable beneficiaries of deceased TRS members to transfer their lump-sum death benefits into inherited IRAs or Roth IRAs. This seamless process allows individuals to manage their inherited funds effectively while complying with tax regulations. Timely submission and accurate completion of this form are critical for preserving distribution rights and options.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: The first name of the deceased TRS member.
- 2. Last Name: The last name of the deceased TRS member.
- 3. Date of Birth: The date the deceased member was born.
- 4. Social Security Number: Last four digits of the deceased member's Social Security number.
- 5. TRS Membership Number: The unique membership number assigned to the deceased TRS member.
- 6. Date of Death: The date the TRS member passed away.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to access the benefits due to a deceased TRS member. It can lead to financial uncertainty for the beneficiaries and may restrict the options available for managing the death benefits. Proper submission is essential to ensure compliance with TRS policies and timelines.
- Loss of Benefits: Not submitting the form means beneficiaries may miss out on the death benefits.
- Delayed Processing: Submission delays can lead to financial uncertainties for the heirs.
- Compliance Issues: Incomplete or improper submission may violate TRS policies.
How do I know when to use this form?

- 1. Death of a TRS Member: Beneficiaries can file this form upon the death of a designated TRS member.
- 2. Inherited IRA Setup: Use this form to set up an inherited IRA for managing benefits.
- 3. Financial Planning: Aid in financial planning by transferring death benefits to suitable accounts.
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