Wayne County Employees' Retirement System - Home Page
Report a Death

This form should be completed only if you are reporting a death of a active, retired or spouse of a retiree.

First Name of Deceased

Last Name of Deceased

Date of Death

Date of Birth of Deceased

Status




Employee/Retiree ID

Last 4 digits of Deceased Social Security Number

Contact Name

Contact Relationship

Contact Address

Contact Email Address

Contact Phone

Enter the numbers from the image:



West Adams Street 28, Detroit, Michigan, 48226, United States
(313) 224-5890
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