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PDF Fillable/saveable: FL-VB5 (size 1.3 Mb)
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Last Update: January 2021
Form No.: PF-110E
Title: Application to Transfer the Family Law Value – Variable Benefit Account (FSRA Family Law Form FL–VB5)
Purpose of Form:
This Form is to be used by the retired member’s spouse to request the transfer of their share of the Family Law Value of the variable benefit account.
Instructions on How to Use the Form: Instructions are included in the form.