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PAGE OF INSTRUCTIONS Form 1102 Page 2 USE THIS FORM FOR ACTIVE MEMBER BENEFICIARY DESIGNATIONS WHICH DO NOT REQUIRE A TRUSTEE APPOINTMENT. Form 1102 Revised 03/25/2005 Page 1 ACTIVE MEMBER BENEFICIARY FORM BENEFICIARY DESIGNATION CONTINGENT BENEFICARY FOR Please read the instructions on the reverse page 2 before completing this form. Change of Beneficiary South Carolina Retirement Systems State Budget and Control Board Box 11960 Columbia SC 29211.

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How to fill out the Form 1102 online

Filling out Form 1102 online is an essential step for active members to designate beneficiaries for their retirement benefits. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete your Form 1102 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Section I, provide your personal information including last name, first/middle name, date of birth, social security number, address, city, state, and ZIP+4. Ensure all sections are completed.
  3. Move to Section II-A where you will designate your primary beneficiary or beneficiaries for the refund of contributions or survivor benefits. Provide their names, social security numbers, dates of birth, relationships, and indicate their sex.
  4. In Section II-B, you have the option to designate contingent beneficiaries. If you wish to name someone as a contingent beneficiary, provide their details including name, social security number, date of birth, relationship, and sex. If no contingent beneficiary is desired, you can write 'NONE'.
  5. Proceed to Section III and designate beneficiaries for group life insurance. You may name up to three beneficiaries, providing their names, social security numbers, dates of birth, relationships, and sex. Remember that contingent beneficiaries cannot be designated for this section.
  6. In Section IV, read the certification and conditions carefully. You must sign the form in the presence of a notary public. Ensure all forms are notarized on the same date if you are submitting multiple forms.
  7. After completing all sections, save any changes you have made. You can then download, print, or share the completed form as necessary.

Start filling out your Form 1102 online today to ensure your beneficiary designations are current and accurate.

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