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DEFINED BENEFIT PLAN BENEFICIARY NOMINATION FORM

DEFINED BENEFIT PLAN BENEFICIARY NOMINATION FORM

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the beneficiary names, the signatures, or dates. If you have any questions about nominating a beneficiary please contact a SERS retirement counselor at 1.800.633.5461. If you make a mistake in completing this form, we strongly recommend that you complete a new form. This form can be found at www.SERS.pa.gov. THINGS TO CONSIDER

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