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CHANGE OF BENEFICIARY FORM Member Headquarters Association MEMBER NAME (LAST, FIRST, INITIAL) ACCOUNT # DATE ENROLLED DEATH BENEFITS TO BE PAID TO RELATIONSHIP SIGNATURE OF INSURED DATE SIGNED DATE
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How to fill out change of beneficiary form

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How to fill out change of beneficiary form

01
Obtain the change of beneficiary form from the appropriate institution or insurance company.
02
Read the instructions carefully to understand the requirements and process.
03
Provide your personal information such as name, address, date of birth, and contact details.
04
Fill in the existing beneficiary information, including their name, relationship, and contact information.
05
Clearly indicate the new beneficiary's details, including their full name, relationship to you, and contact information.
06
Double-check all the information filled in for accuracy and completeness.
07
If required, sign and date the form in the designated space.
08
Submit the completed form to the institution or insurance company through the prescribed method (mail, email, etc.).
09
Follow up with the institution or insurance company to ensure the form is received and processed.
10
Keep a copy of the completed form for your records.

Who needs change of beneficiary form?

01
Anyone who already has a beneficiary designated for a particular asset or insurance policy and wishes to replace or update the beneficiary should consider filling out a change of beneficiary form.
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The change of beneficiary form is a document used to designate or modify the individuals or entities entitled to receive benefits from a life insurance policy, retirement plan, or similar financial account.
The policyholder or account owner who wishes to change the beneficiary of a life insurance policy, retirement plan, or other financial arrangements is required to file the change of beneficiary form.
To fill out the change of beneficiary form, the policyholder must provide their personal information, the details of the current beneficiary, the new beneficiary's information, and the signature to authorize the change.
The purpose of the change of beneficiary form is to update the designation of beneficiaries to ensure that the intended individuals or entities receive the benefits upon the policyholder's death or the occurrence of an event specified in the policy.
The information that must be reported includes the policyholder's name and contact information, the name and relationship of the current beneficiary, the name and relationship of the new beneficiary, and the policy or account number.
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