4845822929 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Personal Information section. Ensure you print clearly in black ink, providing your Social Security number, name, address, date of birth, and marital status.
  3. Select your investment option under 'Investment of Contributions.' Choose one from the provided Vanguard Target Retirement Funds or create your own portfolio by specifying individual funds and their allocation percentages.
  4. Complete the Beneficiary Designations section. List primary and contingent beneficiaries, ensuring that the total percentage equals 100%. Include their Social Security numbers and dates of birth.
  5. If applicable, complete the Qualified Pre-Retirement Survivor Annuity section. Ensure your spouse's consent is witnessed by a notary public.
  6. Finally, sign and date the application at the bottom before submitting it to the Benefits Office.

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