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Death Benefit Claim Request 401(a) Plan

Death Benefit Claim Request 401(a) Plan CERF Savings Plan - 401(a) Plan 98993-02. When would this form be used? When the Claimant is making a Claim on this account due to the Death of the Participant (Decedent). Additional Information If there are multiple Claimants, each named Claimant must complete a separate Death Benefit Claim Request form for their portion of the proceeds. Death Benefit Claim Request forms received in good order by market close will be processed using that business day's effective date. I understand that an original or certified copy of the final issued Death certificate is required for processing a Death Benefit .

Death Benefit Claim Request 401(a) Plan STD FDEATH ][05/11/17)(98993-02 WITHDRAWALNO_GRPG 58091/][GU22][GP22DOC ID: 483027910 Page 1 of 16 CERF Savings Plan - 401(a) Plan 98993-02 When would this form be used?

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  Benefits, Request, Claim, Death, Death benefit claim request 401

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