Understanding the No 124A form is essential for any member of the International Brotherhood of Electrical Workers (IBEW), whether active or retired. This beneficiary designation form plays a crucial role in managing death benefits associated with the IBEW Pension Benefit Fund. At its core, the form allows members to specify individuals or organizations to receive benefits upon their death, ensuring that their wishes are honored and their loved ones or chosen institutions are taken care of. The form is thorough, divided into sections that capture the member's personal information and details about the designated beneficiaries. Whether a member wishes to name a spouse, child, friend, or even a trust or organization, the No 124A form accommodates these choices, with provisions for both primary and contingent selections to cover various scenarios. Plus, for those who need to designate additional beneficiaries, the form makes provision for attaching an additional document, Form No.124C. Completed forms require a member's signature validated by a notary or a local union official, underscoring the seriousness and official nature of the designation. This process ultimately culminates in the form being sent to the IBEW's headquarters in Washington, DC, marking a critical step in ensuring the member's wishes are securely documented with the union.
| Question | Answer |
|---|---|
| Form Name | Form No 124A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ibew pension information, ibew pension application form, form 124a, ibew form death |
BENEFICIARY DESIGNATION FORM - USA
For Death Benefits from the IBEW Pension Benefit Fund
Retired/Active "A" Members of the IBEW
Section A: Member's Information
First Name
MR
MS
Local Union |
Card Number |
MRS
MI Last Name
Social Security Number
- -
Section B: Beneficiary Information
MR
MS
MRS
MR
MS
MRS
If naming an individual, please complete this section and if you need additional beneficiaries attach Form No.124C.
First Name |
MI |
Last |
Name |
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Relationship |
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Choose One: |
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Primary |
Contingent |
First Name |
MI |
Last |
Name |
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Relationship
Choose One:
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Primary |
Contingent |
MR First Name |
MI Last |
Name |
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MS |
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MRS Relationship |
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Choose One: |
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Primary |
Contingent |
If naming an organization or trust, please complete this section |
Choose One: |
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Name of Organization, Institution or Trust |
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Primary |
Contingent |
Address (Street & Number)
City |
State |
Zip Code+4 |
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Today's |
Date (MM/DD/YYYY) |
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Member's Signature |
Today's |
Date (MM/DD/YYYY) |
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Notary or LU Seal
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Notary or Local Union Official's Signature
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Mail Completed Form to:
IBEW
900 7th Street, NW
Printed Name and Title of LU Official or Notary Washington, DC 20001
Attn: Pension & Death Claims Dept
Form No. 124A Rev. 08/01/08