SF1153

Claim for Unpaid Compensation of Deceased Civilian Employee

Agency
GSA
Revision
Revised August 2011
Fillable fields
73
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill SF1153 online
Page 1 of form SF1153

Standard Form 1153 (SF 1153): Claim for Compensation of Deceased Civilian Employee

Standard Form 1153 (SF 1153), Claim for Compensation of Deceased Civilian Employee, is a U.S. Office of Personnel Management (OPM) form, Revised August 2011, with OMB No. 3206-0234. GSA hosts a copy in its forms library, where it is listed as Claim for Unpaid Compensation of Deceased Civilian Employee.

The form says to complete it and send it to the Federal Government agency that employed the deceased at the time of his/her death. Part A identifies the deceased, and the instructions point each claimant to the parts that fit: designated beneficiaries, a widow or widower, relatives or next of kin, an executor or administrator, or others. Every claimant signs Part G.

OPM estimates an average of 15 minutes per response. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Standard Form 1153 (SF 1153): Claim for Compensation of Deceased Civilian Employee, as printed by GSA

What's on SF 1153

General information and Part A

Where to send the claim, what to do with Government checks, and the deceased's name, Social Security number, last address, date of death and employing agency.

Part B: beneficiaries

Whether a Designation of Beneficiary for Unpaid Compensation (SF 1152) is on file, then each beneficiary's full name or legal entity, Social Security number, age, relationship and address.

Parts C and D: spouse and relatives

A marriage certification for a widow or widower, and a list of surviving children, descendants of deceased children, parents or next of kin, in the order the form sets out.

Parts E and F: estate and funeral

A statement by an appointed executor or administrator, whether one will be appointed, and whether funeral expenses were paid and with whose money.

Part G: signatures and witnesses

Signature, date and address for up to two claimants and two witnesses, below a statement on fines, penalties and forfeitures.

Privacy Act and burden statement

Authority, uses of the information, and OPM's 15 minute burden estimate with OMB number 3206-0234.

How to complete SF 1153

  1. 1

    Complete Part A

    Enter the deceased's name, Social Security number, last address if known, date of death and employing agency.

  2. 2

    Choose your parts

    Follow the instructions after Part A to pick Parts B, C, D, E or F, depending on whether you are a designated beneficiary, widow or widower, relative, executor or other claimant.

  3. 3

    Add a sheet if needed

    For more room in Part B, the form says to write See Attached, put your name, date of birth and Social Security number at the top of a blank sheet, and have the same two people witness both signatures.

  4. 4

    Attach what the form lists

    Government checks in your possession payable to the deceased for unpaid compensation, a receipted funeral bill if funeral expenses were paid, and a court certificate if you claim as executor or administrator.

  5. 5

    Sign Part G before two witnesses

    Sign and date Part G with your address. Two witnesses sign with dates and addresses, except for an executor or administrator.

  6. 6

    Send it to the employing agency

    Send the claim to the Federal Government agency that employed the deceased at the time of death. The form says to contact that agency for help completing it.

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Where it goes, time and privacy

Where it goes

To the Federal Government agency that employed the deceased at the time of his/her death. The OPM address in the burden statement is for comments on the time estimate.

Government checks

Checks drawn to the deceased for unpaid compensation go with the claim. The form says checks for other purposes, such as veterans' benefits, social security benefits or Federal tax refunds, go back to the agency that sent them.

Time to complete

OPM estimates an average of 15 minutes per response, including reviewing instructions, getting the needed data and reviewing the completed form.

Privacy

Solicitation is authorized by the Code of Federal Regulations, Part 178, Subpart B. The information is used to determine the amount, validity and persons entitled to the unpaid compensation, and may be verified through computer matching.

Penalties printed on the form

Part G says fines, penalties and forfeitures are imposed by law for making false or fraudulent claims against the United States or false statements in connection with them.

Related forms

Who completes SF 1153?

  • Designated beneficiaries

    A designated beneficiary of the deceased completes Parts B and G.

  • A widow or widower

    The widow or widower of the deceased completes Parts B, C and G. Part C asks them to certify the marriage was not dissolved before the death.

  • Relatives or next of kin

    A relative or next of kin who is not a designated beneficiary completes Parts D and G.

  • Executors or administrators

    An executor or administrator of the deceased's estate completes Parts E and G. The form says no witnesses are required, but a court certificate of the appointment is submitted.

  • Other claimants

    Anyone who does not meet the other criteria completes Parts F and G. Part F asks about funeral expenses.

  • Two witnesses

    Part G says two witnesses are required, with signature, date and street address for each.

The instructions after Part A say which parts each claimant completes.

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Questions about Form SF1153

Who issues SF 1153?

The form is printed as a U.S. Office of Personnel Management form, OMB No. 3206-0234, Revised August 2011. GSA hosts a copy in its forms library.

Where do I send SF 1153?

The form says to send it to the Federal Government agency that employed the deceased at the time of his/her death, and to contact that agency for help.

Which parts of SF 1153 do I fill in?

Designated beneficiaries complete Parts B and G, a widow or widower Parts B, C and G, other relatives or next of kin Parts D and G, an executor or administrator Parts E and G, and anyone else Parts F and G.

Why does SF 1153 ask about SF 1152?

Part B asks whether a Designation of Beneficiary for Unpaid Compensation (SF 1152) is on file with the agency, with Yes, No and Don't know boxes.

What happens to Government checks made out to the deceased?

The form says checks for unpaid compensation go with the claim, and checks for other purposes, such as veterans' benefits, social security benefits or Federal tax refunds, go back to the agency that sent them.

Are witnesses needed?

Part G says two witnesses are required. Part E says an executor or administrator needs no witnesses but submits a court certificate of appointment.

How long does SF 1153 take?

OPM estimates an average of 15 minutes per response, including the time for reviewing instructions, getting the needed data and reviewing the completed form.