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02 822 2026

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  1. Click ‘Get Form’ to open the 02 822 document in the editor.
  2. 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.
  3. 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.
  4. 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.
  5. 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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