DescriptionForm approved OMB No. 3206-0142 Civil Service Retirement System Designation of Beneficiary Civil Service Retirement System Date of birth (mm/dd/yyyy) Important: Read all instructions before you use this form. A. Identification Name (last, first, middle) Social Security Number If you are retired, give your claim number. Place an "X" in the block that applies to you. An employee Retired or an applicant for...
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