Review requested changes, then submit.
By signing this form, I consent to the designation of the beneficiary(ies) listed above. I understand and agree:
The effect of this designation is to cause some or all of my spouse’s death benefit to be paid to a beneficiary other than me;
Each beneficiary designation is valid; and
My consent is irrevocable unless my spouse revokes the beneficiary designation(s).
Return a signed copy to ºÚÁϳԹÏÍø: