Proof of Life Certificate - California

California · Fillable PDF · Free

Annual proof you are alive, for foreign or private pensions. A pension or benefit agency accepts a notarized affidavit of existence. Use the agency's own certificate if it requires one, and confirm its deadline, photo and apostille instructions. Another person cannot sign for the living pensioner.

Download Proof of Life Certificate - California PDF · 3 pages. No account required.

Book a notary for Proof of Life Certificate - California

Apostille Services

Who this form is for

  • Pensioners asked for an annual life certificate.
  • People arranging an in-person notary visit at home or a care facility.

What you'll need

  • The pension agency's instructions and required form, if supplied.
  • Your name, date of birth and reference number exactly as recorded by the pension agency.
  • Acceptable identification, a recent photo if required, and the agency's submission deadline.

How to complete it

  1. Ask the pension agency whether it accepts this affidavit or requires its own certificate.
  2. Fill in your identity, address, pension agency and reference details. Add a photo only if requested.
  3. Save the fillable PDF in your own PDF app and print. The pensioner appears personally and signs under oath before the notary.
  4. Arrange an apostille only if required, then send the certificate as instructed before the deadline and keep copies.

Related California forms

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

Free legal forms by state · Book a mobile notary