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PDF Fillable/saveable: Form VB 5 (size 1.3 Mb)
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Last Update: June 2020
Form No.: PF-103E
Title: Direction of Spouse as Specified Beneficiary to Continue Receiving Variable Benefit Payments Form VB 5 (Under Section 39.1.1(9) of the Pension Benefits Act)
Purpose of Form: This Form is to be used by a spouse who is a specified beneficiary who wants to elect within 90 days after the death of a retired member to continue to receive variable benefit payments.
Instructions on How to Use the Form: Instructions are included in the form.