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SAVE PRINT CLEAR CLUB FOUNDATION NOTICE REDESIGNATION OF PERSONAL PHYSICIAN In the event you sustain an injury or illness related to your employment, you may be treated for such injury or illness
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How to fill out csub foundation notice predesignation

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How to fill out CSUB Foundation Notice Predesignation:

01
Start by obtaining the CSUB Foundation Notice Predesignation form. This form can typically be found on the CSUB Foundation website or by contacting their office directly.
02
On the form, provide your personal information such as your full name, date of birth, and contact information. This is important for identifying and tracking your predesignation.
03
Indicate the beneficiary or beneficiaries whom you want to designate to receive any funds in the event of your passing. Write down their full names and relationship to you.
04
Specify the percentage or amount of funds you wish to allocate to each beneficiary. You may choose to divide the funds equally among multiple beneficiaries or allocate different percentages to each.
05
Consider including a contingent beneficiary who will receive the funds if the primary beneficiary predeceases you.
06
Review the form carefully to ensure all information is accurate and complete.
07
Sign and date the form, and make a copy for your personal records.
08
Submit the completed form to the CSUB Foundation office as instructed. They may require you to mail it or provide it in person.
09
Keep a record of the submission, whether by making note of the date sent or obtaining a receipt if provided.

Who needs CSUB Foundation Notice Predesignation:

01
Current employees of California State University, Bakersfield (CSUB) who are enrolled in the university's retirement plan should consider filling out the CSUB Foundation Notice Predesignation form.
02
Individuals who want to ensure that certain beneficiaries receive funds from their retirement account or other financial assets upon their passing.
03
Those who wish to have control over the distribution of their funds and want to make sure the CSUB Foundation is aware of their predesignation choices.
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The CSUB Foundation Notice Predesignation is a form that allows employees to designate a personal physician or medical group to handle any work-related injuries or illnesses.
All employees are required to file the CSUB Foundation Notice Predesignation form with their employer.
The form must be completed with the employee's personal physician or medical group information and submitted to the employer.
The purpose of the CSUB Foundation Notice Predesignation is to ensure that employees receive prompt and appropriate medical treatment for work-related injuries or illnesses.
The form must include the employee's personal physician or medical group name, address, telephone number, and signature.
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