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FD253 (Rev. 10792) Application/Renewal of Membership and Designation of Beneficiary S pecial Agents Insurance Fund Charles S . Ross Fund The purpose of the Special Agent Insurance Fund is to provide.

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How to fill out the Fd 253 Rev 10 7 92 online

This guide provides clear instructions on how to fill out the Fd 253 Rev 10 7 92 form online. It is designed to help individuals easily navigate through each section of the form, ensuring that all necessary information is accurately provided.

Follow the steps to complete your form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Begin by indicating whether you elect to enroll in the Special Agents Insurance Fund or decline membership. If you choose to enroll, ensure you include the payment information for membership.
  3. Fill in your official bureau name, social security number, office or division, and your initial 'SA' designation.
  4. Designate your primary beneficiary by providing their name, relationship, and address if different from yours. Select the appropriate relationship category.
  5. If applicable, designate a contingent beneficiary by providing the required information similarly to the primary beneficiary.
  6. Indicate whether you desire to designate the above-listed beneficiaries as the primary and contingent beneficiaries for the Charles S. Ross Fund. Choose 'Yes' or 'No' and follow the prompts based on your response.
  7. If you select 'No,' you will need to provide the names, relationships, and addresses of primary and contingent beneficiaries specifically for the Charles S. Ross Fund.
  8. Review all the information you have entered for accuracy and completeness before finalizing your submission.
  9. Once you have confirmed that all fields are correctly filled out, you can save changes, download, print, or share the form as needed.

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Fd 253 Rev 10 7 92
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