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This document is used by members of the Iowa Department of Public Safety's Peace Officers’ Retirement, Accident and Disability System to declare their optional retirement benefits and designate
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How to fill out ELECTION OF OPTIONAL FORM OF PAYMENT - DESIGNATION OF BENEFICIARY

01
Obtain the ELECTION OF OPTIONAL FORM OF PAYMENT - DESIGNATION OF BENEFICIARY from the appropriate authority.
02
Read the instructions carefully to understand the requirements and implications of your beneficiary designation.
03
Fill out the personal information section, including your name, address, and social security number.
04
Designate your primary beneficiary by providing their full name, relationship to you, and their contact information.
05
If desired, designate a secondary beneficiary by repeating the previous step.
06
Review your choices to ensure accuracy and that they reflect your intentions.
07
Date and sign the form to validate your choices.
08
Submit the completed form to the appropriate office as indicated in the instructions.

Who needs ELECTION OF OPTIONAL FORM OF PAYMENT - DESIGNATION OF BENEFICIARY?

01
Individuals who wish to designate a beneficiary for optional payment upon retirement or death.
02
Employees of organizations that offer such payment options.
03
Individuals who want to ensure their benefits are directed to specific people after their death.
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ELECTION OF OPTIONAL FORM OF PAYMENT - DESIGNATION OF BENEFICIARY is a form used to specify the method of payment a beneficiary will receive and designates individuals who will receive benefits upon the account holder's death.
Individuals who have a retirement account, pension plan, or similar financial asset with the option to designate a beneficiary are required to file this form to ensure their chosen beneficiaries are officially recognized.
To fill out the form, you usually need to provide personal information, such as your name, account number, and the names and details of the beneficiaries you are designating, along with their relationship to you and percentage of benefits they will receive.
The purpose of this form is to ensure that the account holder’s benefits are distributed according to their wishes after their passing, avoiding potential disputes and delays in the delivery of benefits.
The information that must be reported includes the account holder's personal information, account details, and the names, relationships, and allocations for each beneficiary designated.
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