NAMING THE BENEFICIARY. It is important that your beneficiary designation be clear so that there will be no question as to your meaning. The following are the most common designations: Xxxx Xxx, Husband, (NOT Mr. Xxxx Xxx). Xxxx Xxx, Husband, if living, otherwise to Xxxxxx X. Xxx, Son. Xxxx Xxx, Husband, if living, otherwise to Xxxx Xxx, Daughter and Xxxxxx X. Xxx, Son, in equal shares, or to the survivor. Estate of Insured. If you name more than one beneficiary with unequal shares, please show the amount to be paid to each beneficiary in fractional parts; for example, “25 to Xxxx Xxxxx, Mother and Si to Xxxx Xxxxx, Husband.” Please state age and relationship of each beneficiary. If the beneficiary is not related to you either by blood or marriage, insert the words, “Not Related” and state address of beneficiary. This form must be made out in triplicate and the signature must be in ink. Do not erase, if corrections are necessary, line out the error and initial the correction.
NAMING THE BENEFICIARY. It is important that your beneficiary designation be clear so that there will be no question as to your meaning. The following are the most common designations: Xxxx Xxx, Husband, (NOT Mr. Xxxx Xxx). Xxxx Xxx, Husband, if living, otherwise to Xxxxxx X. Xxx, Son. Xxxx Xxx, Husband, if living, otherwise to Xxxx Xxx, Daughter and Xxxxxx X. Xxx, son, in equal shares, or to the survivor. Estate of Insured. If you name more than one beneficiary with unequal shares, pleae show the amount to be paid to each eneficiary in fractional parts; for example, “1/3 to Xxxx Xxxxx, Mother, and 2/3 to Xxxx Xxxxx, Husband.” Please state age and relationship of each beneficiary. If the beneficiary is not related to you either by blood or marriage, insert the words, “Not Related” and state address of beneficiary. This form must be made out in triplicate and the signature must be in ink. Do not erase. If corrections are necessary, line out the error and initial the correction. I! Appendix D NORTH BABYLON UNION FREE SCHOOL DISTRICT North Babylon, New York PARAPROFESSIONAL/CAFETERIA AIDE CHAPTER SICK LEAVE BANK CONTRIBUTION FORM In accordance w ith A rticle II. Section A. of the contract. I would like to contribute one (1) day of mv sick leave entitlem ent to the Sick Leave Bank fo r the Paraprofessional. Cafeteria Aide Chapter of the North Babylon Teachers* Organization. I understand that this contribution reduces mv sick leave entitlement fo r each school year by one M). This application shall be irrevocable until the following June 30. at which xxx e it is autom atically renewable fo r another year unless w xxxxxx notice to revoke the application is given to the Assistant Superintendent for Personnel during the month o f June. Signature Position |I Building Date Central Office Approval Date Submission Date: At the time of employment, or during the month of June for those wishing to participate. Appendix E NORTH BABYLON UNION FREE SCHOOL DISTRICT North Babylon, New York PARAPROFESSIONAL/CAFETERIA AIDE CHAPTER Sick Leave Bank Utilization Form In accordance with Article II, Section B of the Paraprofessional/Cafeteria Aide contract, I hereby request to withdraw days from the sick bank. I have exhausted all of my sick days and have waited the required five (5) days. Signature Position Building Date Assistant Superintendent Approval Date I| Appendix F NORTH BABYLON UNION FREE SCHOOL DISTRICT VOTE/COPE PA YROLL DEDUCTION Name Social Security # I hereby authorize the North Babylon Schoo...
