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Get Nm Erb Form 42 2011

42 All members covered by the New Mexico Educational Retirement Board must complete ERB Form 42 to designate a beneficiary for their account. See Section 22-11-29 (D)(E) & (G) NMSA 1978 and Paragraph (F) of 2.82.5.13 NMAC. Upon employment with an ERB covered entity, this form must be notarized and returned to the NMERB at: PO Box 26129 Santa Fe, NM 87502. Please see reverse page for instructions on completing this form. Please check one: New Form Beneficiary Change Section I: Member Informat.

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