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This is a link to a beneficiary designation form in PDF format on the MESSA website.
Employees or members who wish to designate beneficiaries for their MESSA benefits are required to file this form.
You can fill out the beneficiary designation form electronically or print it out and fill it in manually.
The purpose of the form is to designate beneficiaries who will receive MESSA benefits in the event of the employee or member's death.
You must report the full name, relationship, and contact information of each designated beneficiary.
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