Beneficiary Designation Form

The Beneficiary Designation Form:

This two-page form is completed by all retirement eligible individuals.
The form is common to all systems and plans. It is used to document beneficiary information in case of death prior to retirement.
In addition to designating the beneficiary of retirement monies, the form includes a section for a $150,000 death benefit for PERS, PSERS, SERS, TRS, LEOFF and WSPRS members who die as a result of an injury sustained in the course of employment, or an occupational disease or infection that arises naturally and proximately out of covered employment.
Provide this form at time of hire and if the member changes retirement systems. A separate form is needed for each retirement system.
Retirees returning to work do not complete the Beneficiary Form unless they choose to terminate retiree status and return to active membership.

Note: The employee can choose to send the form directly to DRS, or to give the form to the employer to forward to DRS.