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- Begin by entering your Member Number, Pension Number, and the last four digits of your SSN in the designated fields at the top of the form.
- Fill in your personal information, including your first name, middle initial, and last name. Ensure all details are accurate for proper identification.
- In the 'Designation of Agent(s)' section, appoint your PRIMARY agent(s) by providing their names and addresses. If you have multiple agents, indicate if they may act separately by initialing the appropriate statement.
- Complete the 'Grant of Authority' section to specify what powers you are granting to your agent. Review this carefully to ensure it aligns with your intentions.
- Sign on page 3 in front of a notary public and have them complete the acknowledgment. Remember that two disinterested witnesses must also sign on page 4.
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