Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor

OMB 1530-0004

This form is required to determine who is entitled to funds of a deceased Postal Savings depositor or deceased award holder. The form properly completed with supporting documents enables this office to decide who is legally entitled to payment.

The latest form for Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor expires 2022-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SF 1055 Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor Form and Instruction
1530-0004 Support Stmt_2022.docx Supporting Statement A
PRIVACY ACT NOTICE SF 1055.docx Supplementary Document
Claims Against the U.S. for Amounts Due in Case of a Deceased Creditor Form and Instruction

All Historical Document Collections

202204-1530-001 Approved without change	Extension without change of a currently approved collection	2022-06-01
201812-1530-004 Approved without change	Revision of a currently approved collection	2019-02-22
201510-1530-004 Approved without change	Extension without change of a currently approved collection	2015-10-30
201407-1530-004 Approved without change	Extension without change of a currently approved collection	2014-07-11