Beneficiary Designation Form Template. This can be an important document to have in order to ensure that your wishes are followed. Fill in the insured’s name of employer, group policy number (found on your certificate) and social security number at the top of the form.
Fillable Beneficiary Form printable pdf download
At the bottom of the form, fill in the name of the insured person or owner (if assigned), the daytime phone number, address, and sign and date the. Web designated beneficiary plan agreement page 3 of 11 3. Member services 15 w scenic pointe dr, ste 100 draper, ut 84020 fax: Standard form 2823, designation of beneficiary (4/01) where do i send my fegli designation of beneficiary form? 801.727.1005 complete this information online under “my profile” in your member portal. Web be sure to name in this form all persons you wish to designate as beneficiaries of any unpaid compensation payable at your death. Web home printable pdf forms beneficiary designation form a beneficiary designation form is a document that allows you to specify who will receive your assets after your death. Web beneficiary designation form is used when you want to designate the people who will inherit the assets. Examples of designations how to designate one beneficiary do not write names as m.e. This can be an important document to have in order to ensure that your wishes are followed.
Fill in the insured’s name of employer, group policy number (found on your certificate) and social security number at the top of the form. Web please mail or fax completed forms to: Request a paper copy of this form from your servicing human resources office. Web beneficiary designation form is used when you want to designate the people who will inherit the assets. Member services 15 w scenic pointe dr, ste 100 draper, ut 84020 fax: Instructions and important information in the event of my death, pay the full value of my account (in equal proportions, in the case of multiple beneficiaries, unless i indicate otherwise) to the primary beneficiary(ies) as designated in the beneficiary designation section below. Examples of designations how to designate one beneficiary do not write names as m.e. Web instructions (pdf file) inter vivos format (pdf file) testamentary format (pdf file) electronic copies: With this form, individuals can fill out their primary and contingent beneficiaries, social security number, percentage allocated to each beneficiary and so on. Web be sure to name in this form all persons you wish to designate as beneficiaries of any unpaid compensation payable at your death. Web this form may be used to designate one or more beneficiaries for an ira or a 403(b)(7) account.
