Selection by Designated Beneficiary of Benefits Under Option One Payable as an Annuity Under Option A – Tier 1

Category: #366 | Survivor Benefits , Application Form , Tier 1

Document Type: Application Form

Tier Number: Tier 1

File Number: 366

Form #366
This form is for the designated beneficiary of a deceased Tier 1 member to elect to receive benefits under Option 1 as an Annuity under Option A.