F204Power of Attorney sample onlydo not submit - UFT 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Member Number, last 4 digits of your Social Security Number, date of birth, and complete address at the top of the form.
3. In the Guardian Information section, designate a guardian for each minor beneficiary by providing their full name and address. If you have multiple minors, repeat this process for each one.
4. Indicate whether the designation expires at age 18 or age 21 by checking the appropriate box.
5. Sign the form in the designated area and ensure it is notarized. This step is crucial for validation.
6. Review all entries carefully to avoid any erasures or corrections that could invalidate your form before submitting it.

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