Family Support Services

Our sincere condolences to you and your family. Please use this form to notify Human Resources of the passing of a Stony Brook University employee. The information provided will help us support surviving family members, review available benefits, and connect you with resources.

Employee Name

First and Last Name

Please enter your contact information

Name of Next of Kin

Enter the name of the individual submitting this request

Phone Number

Email

Mailing Address

The EAP is available to support employees and family members affected by a loss. Services and resources include bereavement support groups, individual grief counseling, and assistance with other related needs. All services are confidential. Please indicate Yes or No in the drop down if you would like to be connected with an EAP Coordinator.

EAP Services Requested

Please indicate if you would like to be connected with our EAP area for assistance

Please use the field below to ask any questions or concerns you may have and a team member will reach out to you to assist.

Questions

Please enter any questions, concerns or comments you may have for Human Resources

Please upload any available supporting documentation related to the employee's passing, such as a death certificate. For State employees, the completed Next of Kin Payroll Affidavit should also be submitted. Supporting documents may be uploaded electronically through this form.

Attachment

File attachments associated with the ticket.

Browse...

Your name

Your email address

Verification Code

Family Support Services

Other Fields