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RETIREMENT BENEFICIARY DESIGNATION/CHANGE FORM Please fill out each section completely and use additional forms if necessary. 1. Employee Information First Name (PLEASE PRINT CLEARLY USING BLACK INK)
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How to fill out retirementbeneficiaryform rev 12-09doc:

01
Begin by gathering all the necessary information. You will need the retiree's full name, Social Security number, date of birth, and contact information.
02
Next, carefully read through the form instructions provided at the top of the document. Make sure you understand the purpose of the form and the information it asks for.
03
On the first section of the form, you will need to enter your personal information. Provide your full name, address, and contact details as requested.
04
Proceed to the second section of the form, where you will need to identify the beneficiary. Enter the beneficiary's full legal name, relationship to the retiree, and their contact information if required.
05
In the third section, you may need to provide additional details about the beneficiary, such as their Social Security number, date of birth, and address. Follow the form instructions carefully to ensure all necessary information is included.
06
The fourth section of the form often asks for alternative or contingent beneficiaries. If applicable, provide the required information for each beneficiary listed.
07
Once you have completed all the necessary sections, review the form to ensure all information is accurate and legible. Double-check that you have signed and dated the form in the appropriate space.
08
Submit the completed retirementbeneficiaryform rev 12-09doc as specified in the form instructions. Make sure to retain a copy for your records.

Who needs retirementbeneficiaryform rev 12-09doc:

01
Individuals who have retirement accounts or pensions and wish to designate beneficiaries to inherit those funds upon their death.
02
Retirees who want to update their previously designated beneficiaries or make changes to their existing retirement plan.
03
Anyone who wants to ensure that their retirement benefits go to specific individuals or organizations according to their wishes.
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