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FD-253 Application Renewal of Membership Designation of beneficiary, Special Agents Insurance Fund, 2026
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How to use or fill out FD-253 Application Renewal of Membership Designation of Beneficiary, Special Agents Insurance Fund
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Official Bureau Name at the top of the form. This identifies your affiliation.
- Indicate whether you elect to enroll in the Special Agents Insurance Fund by checking the appropriate box and including the $20 membership fee.
- If you are declining membership, ensure you list your beneficiary(ies) for the Charles S. Ross Fund below, specifying their relationships.
- Fill out the designated beneficiary sections for both the Special Agents Insurance Fund and Charles S. Ross Fund, providing names and relationships accurately.
- Review all entered information for accuracy before signing and dating the form at the bottom.
- Once completed, submit two copies as instructed on the form.
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