02 822 2026

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The document is a Beneficiary Designation form for members of various retirement systems in Alaska, including PERS, TRS, JRS, NGRS, and EPORS. It allows active or deferred members to designate beneficiaries who will receive retirement benefits upon their death. The form includes sections for personal data, beneficiary designation (primary and contingent), and consent requirements for spouses and same-sex partners. Members must ensure accurate information and may need to provide additional documentation for same-sex partner designations.

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Click ‘Get Form’ to open the 02 822 document in the editor.
Begin by filling out Section I, Personal Data. Enter your name, Social Security Number, mailing address, work and home phone numbers, marital status, and date of birth. Ensure all information is accurate.
In Section II, Beneficiary Designation, specify your beneficiaries. Indicate whether they are primary or contingent by placing an 'X' in the appropriate box. Fill in their names, addresses, relationships, and Social Security Numbers as required.
If applicable, complete Section III for Spouse's Consent if you are married. Your spouse must sign this section to waive their right to benefits if you choose another beneficiary.
Review all sections for accuracy before signing at the bottom of the form in Section IV. Make sure to date your signature.

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Versions	Form popularity	Fillable & printable
2011	4.9 Satisfied (55 Votes)

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