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|Form title:||FL-VB4 - Statement of Family Law Value - Variable Benefit Account (FSRA Family Law Form)|
Variable Benefits – Family Law
|Purpose of form:||This Form is to be used by the plan administrator to provide the retired member and their spouse the Family Law Value of the variable benefit account upon receipt of a completed Application for Family Law Value – Variable Benefit Account (FSRA Family Law Form FL–VB1).|