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Get the free Judicial Retirement System Spousal Benefit Coverage Election/Declination Form - pacga

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This form is used by members of the Judicial Retirement System to elect or decline spousal benefit coverage following the guidelines set by OCGA 47-23-105.
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How to fill out judicial retirement system spousal

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How to fill out Judicial Retirement System Spousal Benefit Coverage Election/Declination Form

01
Obtain the Judicial Retirement System Spousal Benefit Coverage Election/Declination Form from the relevant judicial authority or website.
02
Fill out your personal information in the designated sections, including your name, court or agency, and date.
03
Indicate whether you are electing coverage or declining it by checking the appropriate box.
04
If electing coverage, provide your spouse's information as required, including their name and relationship to you.
05
Review the terms and conditions related to spousal benefits on the form to ensure you understand your choices.
06
Sign and date the form to certify the accuracy of the information provided.
07
Submit the completed form to the appropriate department or office as indicated in the instructions.

Who needs Judicial Retirement System Spousal Benefit Coverage Election/Declination Form?

01
Judicial officers or employees who are enrolled in the Judicial Retirement System and wish to elect or decline spousal benefit coverage.
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The Judicial Retirement System Spousal Benefit Coverage Election/Declination Form is a document that allows judges and judicial employees to elect or decline spousal benefits under the Judicial Retirement System.
Judges and judicial employees who are participating in the Judicial Retirement System and wish to elect or decline spousal benefits are required to file this form.
To fill out the form, individuals need to provide their personal information, select whether they wish to elect or decline spousal benefits, and sign the form to indicate their choice.
The purpose of the form is to document the election or declination of spousal benefits, ensuring that the retirement system has accurate records of participants' choices regarding their beneficiaries.
The information that must be reported includes personal identification details, the election or declination of benefits, and the signatures of the judge or judicial employee and their spouse.
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