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Get FL BEN-001 2013

8 Fax: 850-410-2010 *B7* Member Name: ____________________________________ Member SSN: __________________________________ Mailing Address: __________________________________________ Daytime Phone Number: (____)______________ This form is for currently employed members or terminated members (not retired) who wish to designate or change their beneficiaries. FRS MEMBERS: Only a beneficiary who qualifies as a joint annuitant will be eligible for a monthly benefit upon your death. If your designate.

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