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PUBLIC EMPLOYEE RETIREMENT ADMINISTRATION COMMISSION FIVE MIDDLESEX AVENUE, SUITE 304 | SOMERVILLE, MA 02145IntroductionBeneficiary Selection Form Option D (If Member Dies Before Retirement) Pursuant
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How to fill out beneficiary selection form

01
Obtain the beneficiary selection form from the appropriate source (employer, financial institution, etc).
02
Fill out your personal information such as name, address, and contact information.
03
Provide the necessary details of the beneficiary including their name, relationship to you, and contact information.
04
Specify the percentage or amount of the benefit you wish to allocate to each beneficiary.
05
Sign and date the form to make it legally binding.
06
Submit the completed beneficiary selection form to the relevant party and keep a copy for your records.

Who needs beneficiary selection form?

01
Anyone who has assets or benefits that they wish to designate to specific individuals or entities in the event of their death or incapacitation.
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Beneficiary selection form is a document used to designate who will receive certain benefits or assets in the event of the filer's death.
Any individual or entity who wants to designate beneficiaries for certain assets or benefits is required to file a beneficiary selection form.
To fill out a beneficiary selection form, the filer must provide their personal information, the name and contact information of the beneficiary, and details of the assets or benefits being designated.
The purpose of beneficiary selection form is to ensure that the filer's assets or benefits are distributed according to their wishes in the event of their death.
The beneficiary selection form must include the filer's personal information, beneficiary's information, and details of the assets or benefits being designated.
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