Agencies are now required to provide a copy of the employee’s death certificate.
Note: The Social Security or Taxpayer Identification number(s) for the estate or the beneficiary of the deceased employee in addition to the address(es) of the recipient(s) must be included on the form.
Form AC 1476-P is to be used for payroll transactions only.
Click here to access AC 1476-P form available on the OSC website. Agencies may contact OSC's Office Services by telephone at 518-474-3438 or by fax at 518-473-4560 to request a supply of the form.