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Notarized form for your file. Your signature on the Change of Beneficiary Form must be notarized at the time you sign it. Change of Beneficiary Form received without signature, date, or notarization is invalid. Please note that this completed and notarized Change of Beneficiary Form will designate who receives your Death Benefit. No changes will be made until a new completed and notarized form is received at the following address: DC 37 Health and Security Plan 125 Barclay Street, Room 811 New.

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If an active employee covered by the Plan dies, a Death Benefit of $10,000 for a full-timer or $6,000 for a part-timer will be paid to his/her beneficiaries.

A death benefit is a payout to the beneficiary of a life insurance policy, annuity, or pension when the insured person or annuitant dies. With life insurance policies, death benefits are not usually subject to income tax and named beneficiaries typically receive the death benefit as a lump sum payment.

General Instructions Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name you children as beneficiaries, DO NOT merely write “children” on one of the lines; instead write the full names of each of your children on separate lines.

If no Beneficiary has been designated, or your Beneficiary predeceases you, your Beneficiary is the beneficiary you designated to receive death benefits from the District Council 37 Health & Security Plan, or absent such a designation, your surviving spouse, or if none, the administrator or executor of your estate.

A death benefit is the primary reason someone purchases a life insurance policy; it's the amount of money your insurer will pay out to your beneficiaries if you die during the policy's term.

In most cases, you can get a lump-sum death payment if you were living in the same household when your spouse died. If you were living apart, you may still qualify for the lump sum death payment if, during the month they died, you met one of the conditions below: You were already getting benefits on their record.

There are two beneficiary designation forms: The basic Beneficiary Designation (ET-2320) allows you to name primary and secondary beneficiaries. The Beneficiary Designation - Alternate (ET-2321) allows you to name primary and secondary beneficiaries. You can also name specific successors to those beneficiaries.

When a participant in a retirement plan dies, benefits the participant would have been entitled to are usually paid to the participant's designated beneficiary in a form provided by the terms of the plan (lump-sum distribution or an annuity).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232