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POLICY SERVICES DEPARTMENT 333 WESTCHESTER AVENUE NEW YORK, NY 10604-2910 REQUEST FOR CHANGE OF BENEFICIARY AND/OR CHANGE OF NAME PLEASE TYPE OR PRINT EMPLOYEE SOCIAL SECURITY NO. EMPLOYER/ COMPANY
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How To Fill Out Change of Beneficiary andor:

01
Obtain the necessary forms: Begin by obtaining the change of beneficiary andor forms from the relevant organization or institution. This could be an insurance company, retirement plan administrator, or even a bank. Contact the appropriate party and request the forms required to make changes to the beneficiaries listed on your account.
02
Provide accurate personal information: On the forms, you will be required to provide your personal information, such as your full name, address, social security number, date of birth, and any other specific identification details requested. It is important to ensure that the information you provide is accurate and up to date.
03
Identify the current beneficiaries: The next step is to clearly identify the current beneficiaries listed on the account or policy for which you are seeking to make changes. This may involve providing the names, addresses, and relationship details of the existing beneficiaries. Make sure to double-check this information for accuracy.
04
Indicate the desired changes: Specify the changes you wish to make regarding the beneficiaries. This could involve adding new beneficiaries, removing existing ones, or modifying the percentage of assets each beneficiary is entitled to receive. Clearly state your intentions and provide all necessary details to ensure that your wishes are communicated accurately.
05
Sign and date: Once you have completed all the required sections of the change of beneficiary andor forms, make sure to sign and date the document. Your signature signifies your agreement to the changes you have made. Additionally, ensure that any other required individuals, such as witnesses or a notary public, also sign and date the form if necessary.

Who Needs Change of Beneficiary andor?

01
Individuals with insurance policies: If you have life insurance, health insurance, or any other type of insurance policy with designated beneficiaries, you may need to fill out a change of beneficiary form to update the beneficiaries listed on your policy.
02
Retirement plan participants: If you have a retirement plan, such as a 401(k) or an individual retirement account (IRA), you may need to complete a change of beneficiary form to update the beneficiaries who will receive the assets upon your death.
03
Individuals with investment accounts: Some investment accounts, such as brokerage accounts or mutual funds, allow you to designate beneficiaries. If you wish to make changes to the beneficiaries listed on these accounts, you will need to fill out a change of beneficiary form.
It is important to note that specific policies and procedures may vary depending on the institution or organization providing the form. Therefore, it is always recommended to carefully read and follow the instructions provided with the form, or consult with a professional if you have any questions or concerns.
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Change of beneficiary andor is a form used to update the designated recipient of benefits in case of an event like marriage, divorce, or death.
Any individual who wants to change the beneficiary of their benefits is required to file a change of beneficiary andor form.
You can fill out the change of beneficiary form by providing your personal information, identifying the current beneficiary, and specifying the new beneficiary.
The purpose of change of beneficiary is to ensure that benefits are directed to the intended recipient in case of unforeseen circumstances.
You must report your personal details, the details of the current beneficiary, and the details of the new beneficiary on the change of beneficiary form.
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