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PDF Fillable/saveable: FL-VB3 (size 1.2 Mb)
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Last Update: January 2021
Form No.: PF-114E
Title: Contact Person Authorization – Variable Benefit Account (FSRA Family Law Form FL VB3)
Purpose of Form:
This Form is to be used by the retired member and their spouse to authorize their lawyers or another person, if applicable, to communicate with, and receive information from, the plan administrator about the calculation and division of the Family Law Value of the variable benefit account.
Instructions on How to Use the Form: Instructions are included in the form.