Common use of Beneficiary Designation Form Clause in Contracts

Beneficiary Designation Form. You may designate a primary beneficiary and a secondary beneficiary. You can name more than one person as a primary or secondary beneficiary. For example, you may wish to name your spouse as primary beneficiary and your children as secondary beneficiaries. Your secondary beneficiary(ies) will receive nothing if any of your primary beneficiaries survive you. All primary beneficiaries will share equally unless you indicate otherwise. The same rule applies for secondary beneficiaries. Designate Your Beneficiary(ies): Primary Beneficiary(ies): Secondary Beneficiary(ies): I certify that my designation of beneficiary set forth above is my free act and deed. Name of Employee Employee’s Signature (Please Print) Date

Beneficiary Designation Form. You may designate a primary beneficiary and a secondary beneficiary. You can name more than one person as a primary or secondary beneficiary. For example, you may wish to name your spouse as primary beneficiary and your children as secondary beneficiaries. Your secondary beneficiary(ies) will receive nothing if any of your primary beneficiaries survive you. All primary beneficiaries will share equally unless you indicate otherwise. The same rule applies for secondary beneficiaries. Designate Your Beneficiary(ies): Primary Beneficiary(ies): Secondary Beneficiary(ies): I certify that my designation of beneficiary set forth above is my free act and deed. Name of Employee EmployeeDirector Director’s Signature (Please Print) Date

Beneficiary Designation Form. You may designate a primary beneficiary and a secondary beneficiarybeneficiary with respect to your 2016 Restricted Stock Unit Award Agreement. You can name more than one person as a primary or secondary beneficiary. For example, you may wish to name your spouse as primary beneficiary and your children as secondary beneficiaries. Your secondary beneficiary(ies) will receive nothing if any of your primary beneficiaries survive you. All primary beneficiaries will share equally unless you indicate otherwise. The same rule applies for secondary beneficiaries. Designate Your Beneficiary(ies): Primary Beneficiary(ies): Secondary Beneficiary(ies): I certify that my designation of beneficiary set forth above is my free act and deed. Name of Employee EmployeeDirector Director’s Signature (Please Print) Date

Beneficiary Designation Form. You may designate a primary beneficiary and a secondary beneficiarybeneficiary with respect to your 2015 Restricted Stock Unit Award Agreement. You can name more than one person as a primary or secondary beneficiary. For example, you may wish to name your spouse as primary beneficiary and your children as secondary beneficiaries. Your secondary beneficiary(ies) will receive nothing if any of your primary beneficiaries survive you. All primary beneficiaries will share equally unless you indicate otherwise. The same rule applies for secondary beneficiaries. Designate Your Beneficiary(ies): Primary Beneficiary(ies): Secondary Beneficiary(ies): I certify that my designation of beneficiary set forth above is my free act and deed. Name of Employee EmployeeDirector Director’s Signature (Please Print) Date

Beneficiary Designation Form. You may designate a primary beneficiary and a secondary beneficiary. You can name more than one person as a primary or secondary beneficiary. For example, you may wish to name your spouse as primary beneficiary and your children as secondary beneficiaries. Your secondary beneficiary(ies) will receive nothing if any of your primary beneficiaries survive you. All primary beneficiaries will share equally unless you indicate otherwise. The same rule applies for secondary beneficiaries. Designate Your Beneficiary(ies): Primary Beneficiary(ies): Secondary Beneficiary(ies): I certify that my designation of beneficiary set forth above is my free act and deed. Name of Employee Employee’s Signature (Please Print) Employee’s Signature Date