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Click ‘Get Form’ to open the 1049 form in the editor.
Begin by filling out Part II with your personal information, including your Social Security number, employee number, name, and address. Ensure all details are accurate and clearly printed.
Proceed to Part III to designate your Attorney-In-Fact. Enter their name, Social Security number, address, and relationship to you. This section is crucial as it identifies who will act on your behalf.
In Part IV, read through the agreement carefully. Confirm that you understand its contents before signing and dating the document. This step is essential for legal validity.
Once completed, save your changes and download the document. Remember to keep a copy for your records and send the original LDPOA directly to the Retirement Services Division.
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