Form KPERS-7/99R PDF Details

Only the member may designate a beneficiary. Conservators, guardians and those with power of attorney cannot name a KPERS beneficiary.

Primary beneficiary: you must name a primary beneficiary in this section. Each beneficiary will share your benefits equally.

Contingent beneficiary: each beneficiary will share your benefit equally if your primary beneficiary(ies) is not living.

Witness: member's signature must be witnessed by a disinterested party. Witness may not be a beneficiary.

Funeral establishment: if a funeral establishment is named, employees of the establishment may not witness signature.

Additional pages: must be attached to this completed form to be valid.

Email: for security reasons, do not submit form by email.

QuestionAnswer
Form NameForm KPERS-7/99R
Form Length2 pages
Fillable?Yes
Fillable fields54
Avg. time to fill out9 min
Edition12/25
Online optionBeneficiary changes in your online account at kspers.gov
Who signsThe member and a witness
Matches the agency's fileYes, checked October 2, 2026
Other namesKPERS-7/99R, KPERS 7/99R, KPERS-7, KPERS beneficiary form, Designation of Beneficiary - Retired
Official sourceForm KPERS-7/99R (Rev 12/25), KPERS