Forms

Change of Beneficiary Form

If you haven’t named a beneficiary, have had a name change, or want to change your existing beneficiary, please select the correct form below.

Plan A (401k Plan) and defined benefit pension plans (Plan C and others) require separate beneficiary forms. If you are unsure which form(s) is correct for you, please call CBERA at

781-551-8500.

Please print the form(s) below:

Plan A Designation of Beneficiary Form

Please make the changes online in your T. Rowe Price account or mail Plan A form to:

T. Rowe Price Retirement Plan Services, Inc.

Special Attn.: Forms Enclosed

PO Box 17215

Baltimore, Maryland 21297-1215

Defined Benefit Designation of Beneficiary Form

Please mail the defined benefit form to CBERA.

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