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The City of New York Department of Citywide Administrative Services DESIGNATION OF BENEFICIARY (For all employees) Name (Print) Firstly Nettle Correction OfficerSocial Security Number Agency NYC Dept
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How to fill out designation of beneficiary for

01
To fill out the designation of beneficiary form, follow these steps:
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Obtain the designation of beneficiary form from the appropriate institution or organization.
03
Provide your personal details, including your name, address, and contact information.
04
Indicate the type of account or policy for which you are designating a beneficiary.
05
Specify the name of the beneficiary or beneficiaries. Include their full name, relationship to you, and their contact information if required.
06
Decide on the percentage or portion of the account or policy that each beneficiary will receive.
07
If necessary, indicate any contingent beneficiaries who will receive the benefits in case the primary beneficiary is unable to receive them.
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Review the form for accuracy and completeness.
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Sign and date the form.
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Submit the form to the designated institution or organization, following their instructions.
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Keep a copy of the completed form for your records.

Who needs designation of beneficiary for?

01
Designation of beneficiary forms are necessary for individuals who have accounts, policies, or assets that allow them to appoint beneficiaries to receive the benefits after their death.
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The following individuals may need a designation of beneficiary form:
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- Life insurance policyholders
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- Retirement account owners (e.g., 401(k), IRA)
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- Pension plan participants
06
- Annuity holders
07
- Trust creators
08
- Will makers
09
- Owners of payable-on-death bank accounts
10
- Individuals with investment accounts or assets subject to beneficiary designation
11
Having a designation of beneficiary form ensures that your wishes regarding the distribution of your benefits or assets are accurately reflected and followed after your passing.
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The designation of beneficiary form is used to specify who will receive certain benefits or assets in the event of the policyholder's death.
Any individual or entity who has a life insurance policy, retirement account, or other assets that require a beneficiary designation is required to file a designation of beneficiary.
To fill out a designation of beneficiary form, the individual must provide their personal information as well as the information of the beneficiary they wish to designate.
The purpose of the designation of beneficiary form is to ensure that the policyholder's assets are distributed according to their wishes after their death.
The designation of beneficiary form typically requires information such as the beneficiary's name, relationship to the policyholder, and contact information.
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