|
MENU
9/11 Golf
AIAFF
NEW - Auxiliary
Amber Alerts
Bulletin
Board
* 12/11/2008 *
Classifieds
* 12/05/2008 *
EVENTS
* 11/20/2008 *
EXCHANGE TIME
* 12/08/2008 *
Executive Board
2006-2009
Fitness & Health
Local's Fund Raising & Community Programs
"Home"
L-1311 History
Member Services
* 11/25/2008 *
Moonlighting
* 12/05/2008 *
Motorcycle Rides
Retirees' Page
Source
Materials
SPONSORS
Stations
Union-Made Vehicles
Victims Assistance
501(C)3
Quick-links:
I.A.F.F.
AFL-CIO
PFFMD
UNION PLUS
"United,
We Bargain;
Divided,
We Beg"
| |
BENEFICIARY
FORM
Print out this page, complete, sign and date it, and send
it to the Union Office (MS 1102F). E-mails are not acceptable as we need your
signature. Thank you!
Member's Name:
______________________________________________________________________________
Social Security No: _____________________________________________________
Rank/Station/Shift: _____________________________________
Primary Beneficiary:
______________________________________________________________________________
Complete Address:
______________________________________________________________________________
Phone and/or contact numbers:
____________________________________________________
Secondary Beneficiary:
______________________________________________________________________________
Complete Address:
______________________________________________________________________________
Phone and/or contact numbers:
____________________________________________________
Member's SIGNATURE:
______________________________________________________________________________
Date: _________________
|
BALTIMORE
COUNTY