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YOUNG & RUB ICAM Inc. (Y&R) BENEFICIARY DESIGNATION EMPLOYEE NAME: INSURED SOCIAL SECURITY NUMBER: GROUP POLICY NO. 14529G In accordance with and subject to the terms and provision of Y&R basic/supplemental
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How to fill out your bene des form:
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Begin filling out the form, starting with your personal details such as your name, address, and contact information.
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Proceed to provide your income details, including any sources of income, employment information, or government assistance you may be receiving.
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If applicable, include any dependents or household members that may affect your eligibility for certain benefits. Provide their names, ages, and relationship to you.
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Sign and date the form as required. If necessary, have any required witnesses sign as well.
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Follow the instructions on where and how to submit the form. This may involve mailing it to a specific address or submitting it online through a designated portal.
Who needs your bene des form?
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Individuals who are seeking government benefits or financial assistance may need to fill out a bene des form. These benefits may include unemployment benefits, welfare assistance, disability benefits, or healthcare subsidies.
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