FL-VB1-Application for Family Law Value – Variable Benefit Account FSRA Family Law Form

Key Information

Please review the following instructions to download the forms

To be able to fill in and save a PDF form (Fillable/saveable version), download and then open the form using the free Adobe Reader.

  1. Hover over the form name with your mouse
  2. Right-click and select “Save link as” to save the form. This will allow you to save the form in a location of your choosing (file folder, etc.). Note: Do not use the browser’s “Open” feature.
  3. Once saved, go to the location where you saved the form.
  4. Hover over the form name with your mouse
  5. Right-click and select “open with…” and in the menu select “Adobe Acrobat Reader”

PF-109E

Form details

Form number: PF-109
Form title: FL-VB1-Application for Family Law Value – Variable Benefit Account FSRA Family Law Form
Sector: Pensions
Category:
Variable Benefits – Family Law
Purpose of form: This Form is to be used by a retired member and/or a married spouse of the retired member to request the Family Law Value of the variable benefit account.
Last update: 2020-12-01