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Kpers death benefit form 2026

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  1. Click ‘Get Form’ to open the kpers death benefit form in the editor.
  2. Begin with Part A, where you will enter your Benefit Recipient Information. Fill in your Social Security Number, Name, Telephone Number, and Mailing Address accurately.
  3. Proceed to Part B for Financial Institution Information. Verify the nine-digit routing number with your bank and provide the Financial Institution name, location, telephone number, account type (checking or savings), and your Bank Account Number.
  4. In Part C, complete the Benefit Recipient Authorization section. Ensure that if someone else is signing on your behalf, you attach legal authorization documents.
  5. Review all sections for completeness and accuracy before submitting. Remember that incomplete forms cannot be accepted.

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kpers death benefit form

Designation of Beneficiary

If you are a Board of Regents member and have KPERS service credit, this form designates beneficiaries for KPERS benefits, not your Board of Regents benefits.

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