Fill in a Valid Alaska 02 1890 Template Get My Document Now

Fill in a Valid Alaska 02 1890 Template

The Alaska 02 1890 form is an essential document for members of the National Guard and Naval Militia seeking retirement benefits within the state. It outlines the application process, defines eligibility, and provides a structured way for applicants to declare their personal data and beneficiary designation. By carefully completing and submitting this form, service members can initiate their journey towards receiving the retirement benefits accorded to them under Section 222 through 228 of the Alaska Statutes governing the Alaska National Guard and Naval Militia Retirement System.

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Overview

Embarking on the journey toward retirement is a significant phase in anyone’s career, especially for members of the Alaska National Guard and Naval Militia. This brings us to the Alaska 02 1890 form, an essential document designed to navigate the intricate waters of applying for retirement benefits within these military sectors. Drafted with a meticulous eye for detail, the form serves as a beacon, guiding applicants through the process of claiming the retirement benefits they are entitled to, as per the Alaska Statutes 26.05, Sections 222 through 228. The form is more than just a piece of paperwork; it embodies the member’s service, personal data, and beneficiaries, ensuring that in the event of their death, the torch of financial security is passed on to their loved ones. The form's deferral election option also offers a unique flexibility, allowing members to postpone the receipt of their benefits to a time that suits them best, provided they reapply. Moreover, the inclusion of specific instructions for different familial and martial scenarios—acknowledging the nuances of individual circumstances—illustrates the document's comprehensive preparation to address every applicant's needs. As such, it becomes a crucial tool not only in planning for the future but also in honoring the service member’s legacy, making understanding each facet of this form an important step in navigating the path to retirement for Alaska National Guard and Naval Militia members.

Form Preview Example

 

 

Application for Retirement Beneits

 

National Guard and Naval Militia Retirement System

 

 

 

FOR OFFICE USE ONLY

 

 

Division of Retirement and Beneits

Juneau: (907) 465-4460

Toll-Free:

(800) 821-2251

P.O. Box 110203

TDD: (907) 465-2805

 

 

 

alaska.gov/drb

Juneau, Alaska 99811-0203

FAX: (907) 465-3086

I hereby apply for retirement beneits to which I may be entitled in accordance with the provisions of Section 222 through 228 of Alaska Statues 26.05 governing the Alaska National Guard and Naval Militia Retirement System. I understand that I may elect to defer receipt of my monthly payments until a later day. If deferred, beneits will not commence until the irst of the month following receipt of new application.

SECTION I. PERSONAL DATA

Member's Name (Last, First, M.I.)

Social Security Number or RIN

DEFERRAL ELECTION

Mailing Address (Street or P.O. Box, City, State, ZIP+4)

r I elect to defer my beneit.

 

 

 

 

 

If deferred, I understand I have

 

Marital Status r Married - Date _______________

r Single

Date of Birth

to reapply before beneits can

 

 

 

 

 

commence.

 

r

Divorced - Date ______________ r Widowed

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Telephone Number

Home Telephone Number

 

 

 

 

 

 

 

SECTION II. BENEFICIARY DESIGNATION

In the event of my death prior to receiving all monthly beneits due me, I understand that the remaining beneit will be paid in a lump sum to my beneiciaries. Place an "X" in the appropriate box to specify whether the beneiciary is primary or contingent. The "primary" beneiciary or beneiciaries will receive beneits if you die. The "contingent" beneiciary or beneiciaries will receive beneits ONLY if the primary is deceased. My beneiciaries are:

 

 

 

 

 

Name (Last, First, M.I.)

Relationship

Date of Birth

Percentage

 

r

Primary

 

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (Street or P.O. Box, City, State, ZIP+4)

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

Check whether the beneiciary is the primary or contingent

 

 

 

 

 

r

Primary

Name (Last, First, M.I.)

Relationship

Date of Birth

Percentage

 

 

 

 

 

 

 

 

 

 

r

Contingent

 

 

 

%

 

Mailing Address (Street or P.O. Box, City, State, ZIP+4)

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

r Primary

Name (Last, First, M.I.)

Relationship

Date of Birth

Percentage

 

 

r

Contingent

 

 

 

%

 

Mailing Address (Street or P.O. Box, City, State, ZIP+4)

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

I hereby certify that the information provided on this form is true and correct to the best of my knowledge. I understand that any deliberate misrepre- sentation for the purpose of obtaining beneits is an offense punishable by law.

Signature

Date

 

 

SECTION III. EMPLOYER USE ONLY Alaska National Guard and Naval Militia Veriication of Service

Records at this headquarters verify the following information in reference to this application:

1.Veriied total years of satisfactory military service: _________________________________________________________________________

2.Type of retirement: r Voluntary r Involuntary (Reason): __________________________________________________________

3.Total Alaska National Guard and Naval Militia service: ____________ and _________ as of (separation date) ________/_______/_________

Years

Months

Month

Day

Year

4.Individual is qualiied for ___________ months of retirement pay at $____________ per month.

Date Sent to the Division of Retirement and Beneits

Certifying Oficer Title

 

Date

 

 

 

 

02-1890 (Rev. 03/12)

 

g:/publications/forms/miscellaneous/02-1890.indd

INSTRUCTIONS

Applicants should complete Sections I and II and mail to the:

State of Alaska, Ofice of the Adjutant General

Department of Military and Veterans Affairs

P.O. Box 5800, Camp Denali

Fort Richardson, AK 99505-5800

If you are MARRIED, your spouse is automatically your 100% primary beneiciary unless they consent to another beneiciary, or your spouse is not entitled to beneits under the terms of a Qualiied Domestic Relations Order (QDRO). Your spouse's written consent may

be waived if:

You were not married to your spouse during part of your NGNMRS service;

You have been married for less than one year;

You have been married for less than two years and you have established that you and your spouse are not living together; or

Your spouse cannot be located.

Your spouse may waive entitlement to beneits by completing and signing the "Spouse's Consent" below before a notary public or an authorized plan representative. If another person is entitled to beneits under a QDRO, that person may waive entitlement to beneits

by completing and signing the "QDRO Consent" below before a notary public or an authorized plan representative.

If you are a SINGLE PARENT, there are death beneits that may be payable to your dependent child if you die before retirement. These beneits are only payable to your children if they are your designated beneiciaries. Because beneits cannot be paid di-

rectly to minor children, they will be paid to the children's parent or legal guardian, unless you establish a trust and designate the trust as beneiciary for your children. You should NOT designate another person as beneiciary to receive your children's beneits.

SPOUSE'S CONSENT

I, ______________________________ , am the spouse of _______________________ . I understand that I may be

entitled to the death beneits that will be paid if my spouse dies. I understand that, depending upon the circumstances of my spouse's death, I may be eligible to receive a lump sum beneit.

Signature (Your signature must be witnessed below)

Date

QDRO CONSENT

I, ____________________________ , understand that if ________________________ dies, I am entitled to the death

beneits described in the QDRO case # _____________ signed by the judge on, _____________ which is on ile with

the Division of Retirement and Beneits.

By signing this consent, I agree to waive my rights to those beneits and consent to the naming of another beneiciary.

Signature (Your signature must be witnessed below)

Relationship

Date

Signature Witnessed By a Notary or Postmaster:

NOTARY SEAL OR

POSTMASTER

STAMP

REQURIED

On this ______ day of ___________________ 20______ , _______________________

personally appeared before me whose identity I proved on the basis of satisfactory evidence to be the signer of the participant's signature above, and he/she acknowl- edged that he/she executed it.

Notary Public or Postmaster _______________________________________________

State of _____________________and City (or County) of________________________

Residing at _________________________ Commission Expires _________________

A QDRO (qualiied domestic relations order) is a divorce or dissolution judgment under Alaska Statute 25.24.

Section III. Veriication and Certiication (Employer Use Only). (Please do not write in this section. Employer must complete and sign in this area.) Contact the Division of Retirement and Beneits regarding the following changes or information:

Change of residence (mailing address)

Change of payment address (warrant mailing address)

Change of beneiciary designation

Information regarding your retirement

Form Breakdown

Fact Detail
Form Number and Revision Alaska Form 02-1890, Revision March 2012
Purpose Application for Retirement Benefits under the Alaska National Guard and Naval Militia Retirement System
Governing Law Sections 222 through 228 of Alaska Statutes 26.05
Applicant's Requirements Must provide personal data, beneficiary designation, and certify that the information is accurate
Beneficiary Designation Allows for primary and contingent beneficiaries with the option to specify percentage shares
Special Provisions for Married Applicants or Single Parents Includes automatic beneficiary provisions for spouses, potential waiver options, and specific instructions for single parents about minor children beneficiaries
Contact Information for Division of Retirement and Benefits Includes phone numbers, fax, and mailing address for retirement and benefits inquiries or submission

Instructions on Writing Alaska 02 1890

Filling out the Alaska 02 1890 form is a process that should be approached with careful attention to detail. This document is essential for individuals applying for retirement benefits through the Alaska National Guard and Naval Militia Retirement System. Each step outlined below is designed to ensure that applicants provide all the necessary information accurately and thoroughly to avoid any delays or issues with the processing of their application. Here are the steps to complete the form:

  1. Start with Section I. Personal Data. Write your name (last, first, middle initial) in the space provided.
  2. Enter your Social Security Number or RIN next to your name.
  3. Make a selection regarding your Deferral Election. If you wish to defer your benefit, check the corresponding box and understand that you will need to reapply before benefits can commence.
  4. Fill in your mailing address, including street or P.O. Box, city, state, and ZIP+4.
  5. Indicate your marital status by checking the appropriate box and provide the date where applicable.
  6. Enter both your work and home telephone numbers.
  7. Move to Section II. Beneficiary Designation. In the event of your death before receiving all monthly benefits, this section designates who will receive the remaining benefits.
  8. List the name(s) of your primary and/or contingent beneficiary(ies), their relationships to you, their dates of birth, and what percentage of the benefit they should receive.
  9. For each beneficiary, provide their mailing address, including street or P.O. Box, city, state, and ZIP+4. Also, mark whether each beneficiary is primary or contingent by checking the appropriate box.
  10. Sign and date the form at the bottom, thereby certifying that the information provided is true and correct to the best of your knowledge.
  11. Read the instructions at the bottom regarding If Married, Single Parent details, Spouse's Consent, and QDRO Consent. These parts may require action depending on your personal situation. However, do not fill in these sections unless they directly apply to you as they are typically handled outside of this form.
  12. Remember, Section III. Verification and Certification (Employer Use Only) should not be filled out by the applicant. This section is reserved for employer verification and certification.
  13. After completing Sections I and II, mail the form to the State of Alaska, Office of the Adjutant General Department of Military and Veterans Affairs P.O. Box 5800, Camp Denali Fort Richardson, AK 99505-5800.

Once the form is submitted, the processing of your retirement benefits will begin. It is essential to ensure all information is accurate and complete to prevent any possible delays. If there are any changes to your information or if you need to inquire about your retirement, you should contact the Division of Retirement and Benefits directly.

Common Questions

What is the purpose of the Alaska 02 1890 form?

The Alaska 02 1890 form is designed for members of the Alaska National Guard and Naval Militia who are applying for retirement benefits. It allows individuals to formally request retirement benefits they are entitled to under the provisions of Section 222 through 228 of the Alaska Statutes 26.05, governing the Alaska National Guard and Naval Militia Retirement System.

Who needs to complete the Alaska 02 1890 form?

Members of the Alaska National Guard and Naval Militia seeking to apply for their retirement benefits must complete the Alaska 02 1890 form. It's crucial for individuals nearing retirement or considering retirement to complete the application to initiate the process of receiving retirement benefits.

Can I defer my retirement benefits using this form?

Yes, you have the option to defer the receipt of your retirement benefits. If you choose to defer, you must indicate this decision in the Deferral Election section of the form. It's important to note that benefits will not commence until the first of the month following a new application to start receiving benefits if you decide to defer.

How do I designate a beneficiary on the Alaska 02 1890 form?

To designate a beneficiary, fill out Section II of the form with the names, relationships, dates of birth, and percentages for each beneficiary. Specify whether each beneficiary is primary or contingent. Primary beneficiaries receive benefits if you die before all monthly benefits are paid out, while contingent beneficiaries are next in line if the primary beneficiary(ies) predeceases you.

What happens if I’m married? Is my spouse automatically considered my primary beneficiary?

If you're married, your spouse is automatically considered your 100% primary beneficiary unless they consent to the designation of another beneficiary, or they are not entitled to benefits under the terms of a Qualified Domestic Relations Order (QDRO). Arrangements can vary based on specific circumstances, including the duration of your marriage and your living situation.

As a single parent, how can I ensure my children receive benefits if I pass away before retirement?

If you're a single parent, death benefits may be payable to your dependent children. To ensure your children receive any entitled benefits, designate them as your beneficiaries. Since minors cannot directly receive benefits, payments will be made to the parent or legal guardian unless a trust is established and designated as the beneficiary.

What should I do if my personal information or beneficiary designation changes after submitting the 02 1890 form?

If there's a change in your personal information or if you wish to change your beneficiary designation after submitting the form, you should contact the Division of Retirement and Benefits directly. They will guide you on how to update your information or beneficiary designation to ensure your records are accurate.

Is there a section for employer verification on the form?

Yes, there is a section for employer verification (Section III), which is to be completed solely by the employer. This section requires the employer to verify the applicant's service records, retirement type, and eligibility for retirement pay. It's vital that this section is filled out accurately to ensure the application is processed correctly.

What is the significance of signing the Alaska 02 1890 form?

By signing the Alaska 02 1890 form, you certify that all the information provided is true and correct to the best of your knowledge. It's a declaration of your intent to apply for retirement benefits and an acknowledgment that any deliberate misrepresentation for the purpose of obtaining benefits is punishable by law.

Where do I submit the completed Alaska 02 1890 form?

The completed Alaska 02 1890 form should be mailed to the State of Alaska, Office of the Adjutant General, Department of Military and Veterans Affairs at the provided address. Ensuring the form is correctly filled and submitted to the right address is crucial for the processing of your retirement benefits application.

Common mistakes

  1. One common mistake is failing to provide the complete Social Security Number. This critical piece of identification must be included in its entirety for the application to be processed accurately.

  2. Applicants often miss checking the box in the DEFERRAL ELECTION section. Deciding whether to defer benefits is an important decision that affects when your monthly payments will begin.

  3. Not specifying the marital status correctly or completely can lead to issues. This information is crucial, especially since it can affect the designation of the primary beneficiary in certain cases.

  4. Incorrectly filling out the beneficiary section, particularly not properly indicating whether a beneficiary is primary or contingent, is a frequent oversight that can complicate matters after the applicant's death.

  5. Leaving out the percentage allocation for each beneficiary is another mistake. Each beneficiary's share needs to be clearly defined to ensure the proper distribution of benefits.

  6. Applicants sometimes forget to include contact information for themselves and their beneficiaries. Both mailing addresses and telephone numbers are necessary for complete application processing.

  7. Failure to sign and date the bottom of the application renders it incomplete. A signature is not only a requirement but also certifies that the provided information is accurate to the best of the applicant's knowledge.

  8. Another mistake is not considering the rules around spousal consent when designating someone other than the spouse as a beneficiary. This oversight can lead to significant complications.

  9. Applicants sometimes misunderstand the sections of the form that are not meant to be filled out by them. For instance, Section III is for employer use only and should not be completed by the applicant.

  10. Finally, not contacting the Division of Retirement and Benefits for help with any changes or for clarification on instructions is a missed opportunity for applicants to ensure their application is completed correctly and efficiently.

Documents used along the form

When applying for retirement benefits under the Alaska National Guard and Naval Militia Retirement System using the Alaska 02 1890 form, applicants might need to gather additional documentation and complete other forms to ensure a smooth application process. Below is a concise description of various forms and documents that are commonly used alongside the Alaska 02 1890 form.

  • Marriage Certificate: For verifying marital status, especially if a spouse is to be designated as a primary beneficiary.
  • Divorce Decree: Required if the applicant wishes to designate someone other than a current or former spouse as the primary beneficiary, which could be governed by the terms of a Qualified Domestic Relations Order (QDRO).
  • Birth Certificates of Dependents: Necessary for designating minor children as beneficiaries or in cases where retirement benefits may be payable to a dependent child in the event of the applicant’s death before retirement.
  • Death Certificate: In the unfortunate event of a beneficiary's death prior to the completion of the application process, this document will be needed to update beneficiary information.
  • Spouse’s Consent Form: If a spouse is to be waived as the primary beneficiary, this form must be completed and signed, often in the presence of a notary public, to indicate their consent.
  • QDRO Consent Form: This form is used when another person is entitled to benefits under a QDRO. It allows them to waive their rights to those benefits, enabling the applicant to designate another beneficiary.
  • Trust Documents: For those who set up a trust for their children to receive benefits, trust documents are necessary to establish the trust as a beneficiary.
  • Verification of Military Service: Though part of the Section III for employer use on the Alaska 02 1890 form, this document verifies the total years of satisfactory military service and is crucial for processing the retirement benefits application.

Preparing and submitting the correct documentation alongside the Alaska 02 1890 form is crucial for a successful application for retirement benefits. Applicants are encouraged to review all entries for accuracy and completeness before submission. This ensures that the Division of Retirement and Benefits in Juneau, Alaska, can process the application efficiently, leading to a smoother transition into retirement for members of the Alaska National Guard and Naval Militia.

Similar forms

The Social Security Number Application Form shares similarities with the Alaska 02 1890 form in that it collects personal identification information necessary for processing benefits. Both forms require the applicant's Social Security Number (SSN) as a fundamental identifier to track and manage their benefits appropriately. The importance of the SSN in both forms signifies its role in the administration of federal and state benefits, serving as a key to accessing various services and benefits available to individuals.

The Application for Retirement Benefits Form, commonly used in various retirement systems across the country, also resembles the Alaska 02 1890 form. This similarity arises from both forms' primary purpose: to initiate the process of claiming retirement benefits. Applicants provide personal and service-related information to establish eligibility and calculate the retirement benefits due. By focusing on the retirement aspect, these documents play a crucial role in transitioning individuals from active service or employment to retirement status.

The Beneficiary Designation Form found in many insurance and retirement plans is akin to the Alaska 02 1890 form's section on beneficiary designation. The designation of primary and contingent beneficiaries is common to both, allowing individuals to specify who should receive benefits in the event of their death. This similarity underscores the importance of planning for the distribution of benefits, ensuring that the wishes of the benefits holder are respected and efficiently executed.

The Deferred Benefits Election Form, typically associated with retirement and savings plans, offers a choice similar to an option in the Alaska 02 1890 form where individuals can defer the receipt of benefits to a later date. This deferral option is crucial for those who may not need immediate income from benefits and prefer to let their assets grow or delay income for tax or personal reasons. It highlights the flexibility afforded to beneficiaries in managing their retirement income.

The Qualfied Domestic Relations Order (QDRO) Consent Form parallels the QDRO considerations detailed in the Alaska 02 1890 form. In both contexts, the QDRO plays a vital role in recognizing an ex-spouse's rights to retirement benefits following divorce or legal separation. By outlining procedures for waiving these rights or acknowledging entitlement, these documents address the complexities arising from dividing retirement benefits in family law matters.

Military Service Verification Forms, similar to the employer section of the Alaska 02 1890 form, are crucial in confirming an individual's military service record for the purpose of calculating retirement benefits. Both types of documents require official verification of service details, such as total years served and eligibility for retirement pay. This verification process ensures the accurate and fair determination of benefits based on service history.

The Change of Beneficiary Form, commonly used in life insurance and retirement plans, shares its core function with the Alaska 02 1890 form's beneficiary designation section. The ability to update or change beneficiary information ensures that the individual's current wishes are reflected, allowing for the accommodation of life changes such as marriage, divorce, or the birth of a child. This adaptability is crucial for maintaining the relevance and accuracy of the designated beneficiaries over time.

The Spouse's Consent Form, often required in retirement and pension plans when designating someone other than a spouse as a primary beneficiary, is comparable to the spousal consent requirements discussed in the Alaska 02 1890 form instructions. This consent ensures that spouses are informed of and agree to the designation decisions affecting their potential entitlement to benefits, reflecting legal protections for spouses in the distribution of retirement assets.

Dos and Don'ts

When filling out the Alaska 02 1890 form, there are specific steps you should follow to ensure the process is smooth and accurate. Here are five things you should do and five things you should avoid:

Do:

  1. Ensure all personal data including your full name, Social Security Number (SSN), and mailing address are filled in correctly. Mistakes here can lead to processing delays.

  2. Decide carefully on your deferral election. Consider your financial needs now versus in the future before electing to defer your benefits.

  3. Be clear and precise when designating your beneficiaries. If you're married, remember your spouse is automatically your primary beneficiary unless they waive this right.

  4. Sign and date the form yourself. Your signature certifies that all the information provided is true to the best of your knowledge.

  5. Contact the Division of Retirement and Benefits for any changes or additional information needed after submitting your form.

Don't:

  1. Leave any required fields blank. Incomplete forms can result in processing delays or even denial of benefits.

  2. Forget to indicate whether each beneficiary is primary or contingent. This distinction is crucial should anything happen to you.

  3. Overlook the need for your spouse's consent if you're choosing someone other than your spouse as the primary beneficiary, unless they are automatically not entitled.

  4. Attempt to fill in Section III. This section is for employer use only and must be completed and signed by them.

  5. Ignore the instructions regarding changes in personal data or beneficiary designation after submitting the form. Keeping information up to date is essential.

Misconceptions

When it comes to the Alaska 02 1890 form, associated with the application for retirement benefits within the Alaska National Guard and Naval Militia Retirement System, there are several misconceptions that need clarification to ensure applicants understand their rights and obligations. Exploring these misconceptions will illuminate the process and provide clearer guidance for those seeking to apply for their retirement benefits.

  • Misconception 1: Any National Guard or Naval Militia member can apply. Only those who have served satisfactorily and meet the criteria set out between Sections 222 and 228 of Alaska Statutes 26.05 are eligible to apply for retirement benefits under this specific system.

  • Misconception 2: Social Security Number is optional. Providing a Social Security Number (SSN) is mandatory on the form. This personal identifier is essential for processing the application correctly and securely.

  • Misconception 3: Benefits automatically start upon application. Applicants have the option to defer their retirement benefits. If chosen, benefits will only start after a new application is received following the deferral period, on the first of the month.

  • Misconception 4: Marriage status does not affect the application. One's marital status has significant implications, especially concerning beneficiary designation and spousal consent requirements. Married applicants face different considerations and permissions compared to single or divorced applicants.

  • Misconception 5: Beneficiary designation is flexible. While applicants can designate primary and contingent beneficiaries, the allocation of remaining benefits to these individuals must be clearly specified in percentages to ensure accurate distribution upon the applicant's death.

  • Misconception 6: The form can be submitted without a signature. The applicant’s signature is crucial, as it certifies that all provided information is true and correct to the best of their knowledge. An unsigned application can result in processing delays or denial.

  • Misconception 7: Employer verification is the applicant's responsibility. The form includes a section for employer verification and certification, but this is solely for employer completion, verifying the applicant's service and eligibility for retirement benefits.

  • Misconception 8: Spousal consent is not necessary if already designated as a beneficiary. Even if a spouse is the primary beneficiary, additional documentation or consents might be required, particularly if another beneficiary is designated or under special circumstances outlined by the form's instructions.

  • Misconception 9: Any change can be made directly on the form after submission. Changes regarding personal information, beneficiary designation, or other relevant details after form submission should be communicated directly with the Division of Retirement and Benefits. Adjustments cannot be made directly on the form post-submission.

Understanding these key points helps clarify the application process and requirements for the Alaska 02 1890 form, ensuring applicants are better prepared and informed when applying for their retirement benefits.

Key takeaways

When dealing with the Alaska 02 1890 form, it's essential for individuals to navigate the process accurately to ensure their application for retirement benefits within the National Guard and Naval Militia Retirement System is successful. Here are six key takeaways to assist in this endeavor:

  • Completing Personal Information Accurately: Section I requires meticulous attention to detail in providing personal data. This includes your name, Social Security Number (SSN), contact information, and marital status. Accurate data is crucial for processing your application without delays.
  • Understanding Benefit Deferral: The form allows for the deferral of benefits. By electing this, you acknowledge that your benefits will not commence until you reapply, and this reapplication must occur before benefits can commence. It’s a critical decision that impacts when you will begin receiving benefits.
  • Beneficiary Designations are Paramount: In Section II, you'll specify your beneficiaries. This includes choosing primary and, if desired, contingent beneficiaries, along with their relationship to you, date of birth, and the percentage of benefits they are to receive. Its importance lies in ensuring that, in the event of your death, benefits are distributed according to your wishes.
  • Marital Status Matters: If you're married, your spouse is automatically considered your primary beneficiary for 100% of the benefits unless they consent otherwise. This automatic designation safeguards your spouse's interests but also necessitates consideration if you wish to designate benefits differently.
  • Providing for Minor Children: For single parents, the form outlines the importance of designating benefits to dependent children. It’s advised to not directly name minors as beneficiaries but to establish a trust or designate a legal guardian to manage the benefits on their behalf, ensuring their financial security.
  • Employer Verification is Required: The final section of the form is for employer use only, where service details and qualification for retirement pay are confirmed. It underscores the need for your application to be supported by official verification of your service in order to receive benefits.

It's imperative for applicants to review these sections carefully and reach out to the Division of Retirement and Benefits for any clarification or assistance. Accurate and thoughtful completion of the form ensures a smoother process in securing retirement benefits.

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