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INSTRUCTIONS FOR COMPLETING GROUP LIFE INSURANCE BENEFICIARY DESIGNATION FORM BENEFICIARY DESIGNATION FORM If you are employed by MMSD, MPS or Veolia do not use this form. Contact the agency listed below for the correct form. MMSD (414) 225-2117 MPS (414) 475-8215 Veolia (414) 225-2049 The following sections on the Beneficiary Designation form should be completed by you: MARITAL STATUS BOX Check Yes if Married Check No if Not Married. BENEFICIARY DESIGNATION BOX.
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