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Designation of Beneficiary Form Public Agency Retirement Services (PARS)San Bernardino City USD Instructions: 1. Read carefully the rules for designating a beneficiary below, and sign in the spaces
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How to fill out designation of beneficiary form

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How to fill out a designation of beneficiary form:

01
Obtain the form: Contact your insurance provider, financial institution, or employer to request a designation of beneficiary form. They may provide a physical copy or allow you to download it from their website.
02
Personal details: Fill in your personal information, including your full name, address, date of birth, and social security number. Ensure the details are accurate and up to date.
03
Choose primary beneficiary: Indicate the person or organization you want to be the primary beneficiary of the designated benefits. Provide their full name, relationship to you, and contact information.
04
Secondary beneficiary: If you want to designate a secondary beneficiary, provide their full name, relationship, and contact information. The secondary beneficiary will receive the benefits if the primary beneficiary predeceases you or is unable to receive them.
05
Contingent beneficiaries: In some cases, you may want to designate additional contingent beneficiaries. These are individuals or organizations who would receive the benefits if both the primary and secondary beneficiaries are unavailable. Include their full names, relationships, and contact details.
06
Specify percentage or share: Indicate how the benefits should be divided among the designated beneficiaries. You can either specify a percentage or assign a specific share to each beneficiary. Ensure the total adds up to 100% or the desired distribution.
07
Signature and witness: Sign and date the form in the designated areas. Depending on the requirements, you may need to have your signature witnessed or notarized. Follow the instructions provided on the form.

Who needs a designation of beneficiary form?

01
Individuals with life insurance policies: If you have a life insurance policy, it is essential to complete a designation of beneficiary form to specify who should receive the policy's death benefit upon your passing.
02
Retirement account holders: If you have a retirement account, such as a 401(k) or an IRA, you may need to designate a beneficiary to receive the account balance in the event of your passing.
03
Employee benefit recipients: Some employers offer benefits such as group life insurance or pension plans. To ensure the benefits reach the intended recipient(s), individuals should complete a designation of beneficiary form.
04
Legal document requirements: In some jurisdictions, it may be a legal requirement to designate beneficiaries for certain assets, such as insurance policies or retirement accounts. Check local regulations to determine if a designation of beneficiary form is necessary for your specific situation.
Note: It is important to review and update your beneficiary designations periodically, especially after major life events such as marriage, divorce, birth, or the death of a beneficiary.
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A designation of beneficiary form is a legal document that allows an account holder to specify who will receive the assets in the account upon their death.
Any account holder who wants to ensure that their assets are distributed according to their wishes upon their death is required to file a designation of beneficiary form.
To fill out a designation of beneficiary form, the account holder must provide their personal information, the beneficiary's information, and specify the percentage of assets that each beneficiary will receive.
The purpose of a designation of beneficiary form is to ensure that the account holder's assets are distributed according to their wishes and to avoid potential conflicts among beneficiaries.
The designation of beneficiary form must include the account holder's personal information, the beneficiary's information, and the percentage of assets designated for each beneficiary.
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