Please complete this form if you are a surviving spouse of a deceased police officer or firefighter member who wishes to make a change of status. Once you have completed the form, mail, email, or fax it to the DCRB Member Services Center. The original form must be mailed to DCRB.

Please note: In accordance with D.C. Code §5-716(e)(1), to remain eligible to receive a surviving spouse benefit, you cannot remarry prior to age 55. See the form for more details.

Surviving Spouse Under a Qualified Domestic Relations Order (QDRO): In accordance with the District of Columbia Spouse Equity Act of 1988, D.C. Code §§1-529.01 et seq., to remain eligible to receive a surviving spouse benefit as a former spouse under a QDRO, you cannot remarry prior to age 55.

You can send the completed form and any required attachments by mail to:

DC Retirement Board
Member Services Center
900 7th Street, NW, Second Floor
Washington, DC 20001

If you have further questions, please contact the DCRB Member Services Center by clicking on the Ask Member Services link, or by phone at (202) 343-3272 Monday – Friday from 8:30 am to 5:00 pm.