State Form 55761 Claim for State Employee Line of Duty Death Benefit for a Spouse, or Dependent Child as Beneficiary - Indiana

What Is State Form 55761?

This is a legal form that was released by the Indiana Public Retirement System - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on September 1, 2022;
• The latest edition provided by the Indiana Public Retirement System;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of State Form 55761 by clicking the link below or browse more documents and templates provided by the Indiana Public Retirement System.