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PUBLIC EMPLOYEE RETIREMENT ADMINISTRATION COMMISSION FIVE MIDDLESEX AVENUE, SUITE 304 | SOMERVILLE, MA 02145IntroductionBeneficiary Selection Form for Refund of Accumulated Deductions (If Member Dies
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How to fill out beneficiary selection form for

01
Obtain the beneficiary selection form from the appropriate institution or organization.
02
Read the instructions carefully to understand the required information.
03
Fill out your personal details accurately including name, contact information, and identification number.
04
Provide the necessary information about the beneficiary such as their name, relationship to you, and contact details.
05
Specify the percentage or amount of the benefit each beneficiary should receive.
06
Review the completed form to ensure all information is correct and sign where required.
07
Submit the form to the designated party within the given deadline.

Who needs beneficiary selection form for?

01
Anyone who wants to designate beneficiaries for their assets or benefits
02
Individuals participating in retirement plans or insurance policies
03
Those looking to ensure their assets are distributed according to their wishes
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The beneficiary selection form is used to designate who will receive the benefits from a specific account or policy.
Any individual who has an account or policy that requires a beneficiary designation is required to file the beneficiary selection form.
To fill out the beneficiary selection form, you will need to provide your personal information, as well as the information of the person you are designating as a beneficiary.
The purpose of the beneficiary selection form is to ensure that the benefits from an account or policy are distributed according to the account holder's wishes.
The beneficiary selection form requires information such as the beneficiary's name, relationship to the account holder, and contact information.
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