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Beneficiary Relationship Birthdate Sex Percentages A. Contingent Beneficiary s - Indicate percentages if naming more than one contingent beneficiary. BEN-001 Rev 09/13 Survivor Benefits Florida Retirement System Pension Plan Active Member Beneficiary Designation Form PO Box 9000 Tallahassee FL 32315-9000 Local Phone 850-907-6500 Toll Free 844-377-1888 Fax 850-410-2010 B7 Member Name Member SSN Mailing Address Daytime Phone Number This form is for currently employed members or terminated...
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The purpose of rev 0913 is to collect and record specific data or details for regulatory or compliance purposes.
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