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Florida Department of State and Division of Library and Information Services

Reference: Ref-03977

Reference Name:	FST-12 Rev. 09/13
Agency:	60 Department of Management Services 60S Division of Retirement

Modified Document(s):

FST-12 - Ret Mbr and DROP Ben Desig Form.pdf

10/7/2014

change phone and fax numbers.

Original Document(s):

FST-12 Form Fill New Version 9-2013.pdf
(See modified version)

3/19/2014

FRS Pension Plan Retired Member and DROP Participant Beneficiary Designation Form

Description:

FRS Pension Plan Retired Member and DROP Participant Beneficiary Designation Form

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material

Section	Description	ID	Publish Date

Proposed 60S-4.0035 ......	Amend forms including FST-11B, TR-11, FR-11, PR-13, FR-13, SVF-2, SRF-2, SRF-3, FRS-M81, JA-1, FST-12, and BEN-001. Create new form for Investment Plan members in the Special Risk Class. Amend birth verification documents ....	17797771	7/21/2016 Vol. 42/141
Final 60S-4.011	Designation of Beneficiary	14456121	Effective: 05/01/2014
Final 60S-4.011	Designation of Beneficiary	11330005	Effective: 04/05/2012

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