Form Vrs 2A PDF Details

In planning for the future, especially when considering the disposition of one’s estate or benefits, the clarity and detail in documentation is critical. The Virginia Retirement System (VRS) offers a specific form, the VRS-2A, as a solution for those individuals who find themselves needing to designate more beneficiaries than the primary form allows. The VRS-2A is essentially a continuation form used in tandem with the Designation of Beneficiary (VRS-2), enabling employees to specify additional beneficiaries for both basic and optional life insurance as well as for defined benefit member account retirement contributions. It is essential to recognize that this form must be filled out concurrently with the VRS-2; it cannot be used to add beneficiaries to an already submitted VRS-2. The form carefully guides the employee through listing each additional beneficiary, requiring detailed information such as the full name (including middle initial), Social Security number, and the share percentage, along with the type of beneficiary - primary or contingent. Notably, the VRS-2A also requires the employee to certify the continuation, underscoring the legal significance and the personal responsibility involved in accurately designating one's beneficiaries. This process not only provides peace of mind to the employee but ensures that the Virginia Retirement System can accurately and fairly distribute benefits in accordance with the employee’s wishes.

QuestionAnswer
Form NameForm Vrs 2A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvrs 2a vrs 2a continuation form

Form Preview Example

DESIGNATION OF BENEFICIARY – CONTINUATION

VIRGINIA RETIREMENT SYSTEM

P.O. Box 2500 Richmond, Virginia 23218-2500 Toll Free 1-888-VARETIR (827-3847) www.varetire.org

1.Social Security Number

2.Employer Code

Use this form to designate additional beneficiaries when the number of beneficiaries you desire exceeds the number allowed on the Designation of Beneficiary (VRS-2).

Complete this form at the same time you complete the VRS-2. This form may only be used at the time a VRS-2 is completed; you cannot submit a VRS-2A to add to a VRS-2 that is already on file with VRS.

3.Name (First, Middle Initial, Last)

4. Birth Date

PART B. VRS BASIC AND OPTIONAL LIFE INSURANCE – CONTINUATION

List additional beneficiaries for basic and optional life insurance in the area below that were not included on the VRS-2 being submitted with this form.

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

 

 

VRS-2A (Rev. 01/14)

*VRS-00002A*

PART C. VRS DEFINED BENEFIT MEMBER ACCOUNT RETIREMENT CONTRIBUTIONS – CONTINUATION

List additional beneficiaries for VRS defined benefit member account retirement contributions in the area below that were not included on the VRS-2 being submitted with this form.

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

Full Name (Person or Estate)

(First, Middle Initial, Last)

 

Social Security Number

 

 

 

 

 

Address

 

(Street, City, State and Zip+4)

 

 

 

 

 

 

 

 

Beneficiary Type

(Check one)

 

Share %

Relationship

Birth Date

Primary

Contingent

 

 

 

 

 

 

 

 

 

 

 

PART D. CERTIFICATION OF CONTINUATION

Member Certification

This is a continuation of the Designation of Beneficiary (VRS-2) under my signature and dated

 

.

(mm/dd/yyyy)

Member Signature

5. Social Security Number

VRS-2A (Rev. 01/14)