Nm erb form 2026

1. Click ‘Get Form’ to open the nm erb form in the editor.
2. Begin with Section I: Member Information. Fill in your last name, first name, previous name (if applicable), address, social security number, date of birth, employer, and telephone number. Ensure you select your marital status.
3. Proceed to either Section II or III for Beneficiary Information. In Section II, provide details for one beneficiary if you want them to have Option B coverage. Include their name, social security number, relationship, date of birth, address, and telephone number.
4. If opting for a lump sum payment instead of Option B coverage, complete Section III with similar beneficiary details. Remember to indicate percentage allocation if naming multiple beneficiaries.
5. In Section IV: Member Authorization, sign the form and date it. If married and designating someone other than your spouse as a beneficiary, ensure your spouse signs in Section V in front of a Notary Public.

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