Get the free Nomination of Beneficiaries *0187I01* - Avon Grove School District - avongrove

Commonwealth of Pennsylvania Public School Employees' Retirement System PO Box 125 Harrisburg PA 17108-0125 Toll-free: 1-888-773-7748 Web Address: www.psers.state.pa.us USERS Health Insurance Program

How to fill out nomination of beneficiaries 0187i01

How to fill out nomination of beneficiaries 0187i01:

1. Start by obtaining the nomination of beneficiaries form 0187i01 from the relevant authority or institution.
2. Fill in your personal details accurately, including your full name, date of birth, and contact information.
3. Provide details about the policy or account for which you are nominating beneficiaries, such as the policy number or account name.
4. List the beneficiaries you want to nominate by providing their full names, relationships to you, and their contact information if available.
5. Indicate the percentage or share of the benefits you wish each beneficiary to receive. Ensure the total percentage adds up to 100%.
6. If you want to specify any conditions or instructions for the distribution of benefits among the beneficiaries, clearly state them in a separate section or add an attachment if necessary.
7. Review the completed form thoroughly to make sure all the information provided is correct and legible.
8. Sign and date the nomination form, acknowledging that the information provided is true and accurate to the best of your knowledge.
9. Submit the nomination of beneficiaries form to the relevant authority or institution as per their instructions.

Who needs nomination of beneficiaries 0187i01:

1. Individuals who have a life insurance policy may need to fill out nomination of beneficiaries form 0187i01 to designate who will receive the insurance proceeds in the event of their death.
2. People with retirement accounts, such as pensions or 401(k) plans, might be required to complete this form to specify the beneficiaries who will receive the account balance after their demise.
3. Individuals who have investment accounts or savings accounts may also need to fill out this form to ensure their beneficiaries receive the assets or funds held in these accounts upon their passing.

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