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Beneficiary Form Template

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Participant Information

Policy Holder's Legal Name

Beneficiary Information

Beneficiary's Legal Name
Contingent Beneficiary's Legal Name

Witness Information

Witness's Legal Name

Authorizations

Consent

Do you want to designate individuals or entities receiving certain benefits from another party? If so, then you need the Beneficiary Form Template from WPForms.

With this form template, users can name beneficiaries for life insurance policies, retirement accounts, pension plans, annuities, and other types of accounts.

Using the Beneficiary Form Template

A Beneficiary Form is a legal document that specifies who will receive certain assets or benefits upon the death of the policyholder, and is typically used in financial and insurance settings.

On the Beneficiary Form from WPForms, the user first enters the legal name and date of birth of the policy holder. They will also provide their employee ID number, department or job title, an email address, and phone number.

The form user will then enter similar information for the designated beneficiary, too.

Next, the user indicates the beneficiary’s relationship to the account or policyholder by selecting one of these dropdown options:

  • Spouse
  • Child
  • Sibling
  • Relative
  • Friend

Then, the form user enters the percentage allocation of the given benefits that they’d like to authorize.

The name and details of a contingent beneficiary is provided next on the form, in case the original beneficiary is unable to receive the designated benefits. The Beneficiary Form also collects the name and contact information of a witness to the beneficiary plan.

Lastly, the user must authorize their consent to the beneficiary information, then date and sign the Beneficiary Form. And to help you get the most out of the signature field used on this form, we’ve included a bit of internal information with links and tips to guide you.

This basic form template includes the essential fields for a Beneficiary Form. But, depending on the specific requirements of the form or the organization, additional fields may be included.

Get started with WPForms today to create and customize your own Beneficiary Form. Signing up with WPForms gives you access to this and thousands of other pre-made templates.