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Click ‘Get Form’ to open the Beneficiary Designation—Form 42 in the editor.
In Section I, enter your Member Information. Fill in your Social Security Number, Date of Birth, Last Name, First Name, Previous Name (if applicable), Address, City, State, Zip Code, Telephone Number, Employer, and Marital Status.
Proceed to Section II for Beneficiary Information. Input the Beneficiary's Name, select their Gender, provide their Social Security Number, Relationship to you, Date of Birth, Address, Telephone Number, City, State, and Zip Code.
Review all entered information for accuracy. Ensure that all fields are completed clearly and correctly.
Sign the form in the presence of a notary public as required in Section III. The notary will complete their section after witnessing your signature.
Once completed and notarized, return the form to NMERB at PO Box 26129 Santa Fe, NM 87502.
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