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Click ‘Get Form’ to open the DS-5002 in the editor.
Begin by filling out Section A, which requires your personal information. Type or print your name, date of birth, and Social Security number clearly.
In Section B, designate your beneficiaries. For each beneficiary, provide their full name, address, relationship to you, and the share of the benefit they will receive. Ensure that the total shares add up to 100%.
If you need to cancel a prior designation, simply write 'Cancel Prior Designation' in the designated space for beneficiary names.
Once completed, review all entries for accuracy. Sign the form and have it witnessed as required before submitting it to your agency's Personnel Office.
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A designation of beneficiary is for lump-sum benefit purposes only, and does not affect the right of any person who qualifies to receive survivor annuity benefits. Such benefits are payable either by operations of law or as a result of an election made by a retiring participant.
What happens if I dont designate a beneficiary?
Most life insurance policies have a default order of payment if you do not name a beneficiary. For many individual policies, the death benefit will be paid to the owner of the policy if they are different than the insured person and still alive, otherwise it will be paid to the owners estate.
What is a beneficiary designation for an HSA?
Many people choose the following beneficiaries: A spouse or long-term partner. Adult children. Other family members or close friends. A trust - a legal entity that manages an inheritance on behalf of your heirs and pays out the money over time, which might be an option if you want minor children to receive assets.
What does designation of beneficiary mean?
Provide the following information on the beneficiary designation: The full name of the trust as it shows on the trust document. The date the trust was created. The name of the trustee, followed by the word trustee, or if you cannot provide a trustee, ETF may accept another contact person. The trustees address.
Do I have to fill out a beneficiary designation form?
Forms for Designations We recommend that you designate beneficiaries to receive your life insurance benefits. However, if you are happy with the order of precedence(PDF file), you dont have to do anything.
designated representative
Ds 5002 downloadDS-3060 formDS 4230 telework agreement form
beneficiary designation
DS-5002 Designation of Beneficiary
1. The designation of beneficiary shall be in writing, signed and witnessed, and received in the Department or Agency prior to the death of the participant.
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