Public Employees Retirement Association of New Mexico PERA Survivor Beneficiary Form Important Information You Should Know About Filling Out a PERA Survivor Beneficiary Form

Public Employees Retirement Association of New Mexico Frequently Asked Questions A life-time benefit is paid by PERA in the event of your death: Non-duty death after vesting (having 5 or more years of PERA service credit) or Duty related death from day one of hire. You may only choose one person as your Survivor Beneficiary. If you and your beneficiary pass away at the same time your account (your contributions and the interest) will be refunded to your estate.

Public Employees Retirement Association of New Mexico Member Information Section /01/1960 MarySmith P. O. Box 111 Albuquerque NM X X X

Public Employees Retirement Association of New Mexico Beneficiary Information Section John SmithSpouse /02/1960 P. O. Box 111 Albuquerque, NM

Public Employees Retirement Association of New Mexico Member Authorization Section Mary Smith 01/01/2008 Santa Fe Mary Smith 1 January /10/ Maria Trujillo

Public Employees Retirement Association of New Mexico Completing the Form Once you have completed the form: Make a copy for yourself, Give a copy to your employer, and Send the original form to PERA. You may check the PERA website after weeks to see if your beneficiary information has been added/changed. If you have any questions concerning this form or any other issue, please contact PERA at