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BENEFICIARY DESIGNATION FORM Life Insurance Company of North America Group Insurance Life Accident Disability The City of Scottsdale Employer Name Employee Social Security # Current Address City State
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How to fill out a beneficiary change form:

01
Locate the beneficiary change form: Start by finding the beneficiary change form, which is typically provided by your financial institution or insurance company. You may need to visit their website or contact their customer service to obtain the form.
02
Read the instructions: Before filling out the form, carefully read any provided instructions or guidance. This will ensure that you understand the requirements and provide accurate information.
03
Personal details: Begin by entering your personal information such as your full name, address, contact number, and any other required details. This will help identify you as the account or policy holder.
04
Current beneficiary details: Provide the current beneficiary's information, including their full name, relationship to you, and any other required details. This is necessary to identify the existing beneficiary you wish to change.
05
Revised beneficiary details: Enter the information of the new beneficiary you wish to designate. This should include their full name, relationship to you, and any other necessary details. If you have multiple beneficiaries, ensure you clearly indicate the percentage or share they will receive.
06
Sign and date: Review the form and make sure all the information provided is accurate. Sign and date the form in the designated area to complete the process.

Who needs a beneficiary change form?

01
Individuals with financial accounts: Anyone who has financial accounts, such as bank accounts, retirement plans, or investment accounts, may need a beneficiary change form. This allows them to update or designate new beneficiaries who will receive the assets upon their death.
02
Insurance policyholders: Those who have life insurance policies, annuities, or other insurance-based accounts may also require a beneficiary change form. This enables them to update or name new beneficiaries who will receive the insurance benefits in the event of their death.
03
Will and estate planning: Individuals who want to ensure their estate or assets are distributed according to their wishes may use a beneficiary change form in their will or estate planning. This allows them to designate specific beneficiaries for certain assets or accounts outside of the probate process.
Note: It is important to consult with a legal or financial advisor to understand the specific requirements and implications of changing beneficiaries.
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Beneficiary change form is used to update the designated beneficiaries on a financial account or insurance policy.
The account holder or policyholder is required to file beneficiary change form in order to update beneficiary information.
To fill out beneficiary change form, the account holder or policyholder must provide current beneficiary information and submit the form to the financial institution or insurance company.
The purpose of beneficiary change form is to ensure that the correct beneficiaries are listed on the account or policy in case of the account holder or policyholder's death.
The beneficiary change form must include the full name, date of birth, relationship to the account holder or policyholder, and contact information of the new beneficiaries.
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