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Nationwide annuity beneficiary change form

Beneficiary Change Form - Nationwide Retirement Solutions 2026

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The document is a Beneficiary Change Form that allows participants to designate or change beneficiaries for their benefits, including life insurance. It requires personal information such as Social Security numbers, names, addresses, and percentage splits for each beneficiary. The form emphasizes that the total percentage must equal 100% and provides guidelines for primary and contingent beneficiaries. It also includes instructions for mailing the completed form to Nationwide Retirement Solutions.

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Click ‘Get Form’ to open the Beneficiary Change Form in the editor.
Begin by filling out your Participant Information. Include your Social Security Number, Employer Name, and contact details such as your phone number and email address.
In the Beneficiary Designation section, list the names of your beneficiaries along with their Social Security numbers, addresses, dates of birth, and phone numbers. Ensure that the percentage split totals 100% in whole numbers.
Indicate if this is a change of beneficiary by checking the appropriate box. Remember that any prior designations will be replaced by those listed below.
Complete the Authorization section by signing and dating the form. Make sure to include a witness who is not a named beneficiary.
Once completed, mail the form to Nationwide Retirement Solutions at the provided address.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (106 Votes)
2015	4.2 Satisfied (52 Votes)
2013	4 Satisfied (39 Votes)

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