Get Sfn 10766 Form

Filling out the Sfn 10766 Form online is a straightforward process that allows users to update their member data records efficiently. This guide provides step-by-step instructions to assist you in completing the form accurately.

Follow the steps to fill out the form online:

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. In Part A, enter your current name using your last name, first name, middle name, and any suffixes. Include your NDPERS member ID, the last four digits of your social security number, date of birth, and organization name.
3. In Part B, specify the effective date for your address change and enter your new mailing address, including the street address, city, state, and zip code (including the +4 extension).
4. For Part C, select your new marital status by checking the appropriate box. If there is a change, provide the effective date and the name of your spouse if applicable. Remember to complete new beneficiary designation forms as needed.
5. In Part D, if you are changing your name, indicate the effective date. Enter both your former name and your new name, ensuring to include your middle name.
6. Part E requires you to enter the effective date for any telephone number changes. Indicate the category of the number (home, work, or cell) and enter the area code and telephone number.
7. For Part F, provide the effective date and your new e-mail address. Note that NDPERS maintains only one e-mail address for member records.
8. In Part G, indicate the effective date for any contact changes. Enter the contact's name, relationship to you, social security number, and specify if they have the same address and telephone number as you.
9. In Part H, provide the contact's date of birth and gender. Enter their address and telephone number if different from yours.
10. Finally, in the authorization section, ensure that you or an authorized agent signs and dates the form to validate it. Be sure to review all information for accuracy before saving changes.
11. Once completed, you can save your changes, download, print, or share the filled-out form as needed.

Complete your Sfn 10766 Form online today for a hassle-free experience.