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BENEFICIARY DESIGNATION FORMS
Return To Retirement Systems Division Forms.
To designate beneficiary(ies), you may need a form for…
Form no.
Form Description
Form 276
276-Designating Beneficiary(ies) for the Separate Insurance Benefit Plan for Law Enforcement
Form 2C
2C-Designating Beneficiary(ies) - (Update Online in ORBIT)
Form 2FR
2FR-Designating Beneficiary(ies) for the Firefighters' and Rescue Squad Workers' Pension Fund
Form 333BEN
333BEN-Designating Beneficiary(ies) for the Contributory Death Benefit for Retired Members
Form 336
336-Designating Beneficiary(ies) for the Guaranteed Refund as a Retiree
Form 336401K
336401K-Designating Beneficiary(ies) for the 401K Guaranteed Refund
Form 336457
336457-Designating Beneficiary(ies) for the 457 Guaranteed Refund