Beneficiary Forms

Please fill out the following forms, print them, sign them and mail the original copy to the Office of Human Resources. If you would like a copy of your forms, please make a copy or print a second copy for your records.

Mailing address: 101 Monroe Street, 7th Floor, Rockville, MD 20850

• Life Insurance Beneficiary Form
• Retirement Beneficiary Form (ERS Pension Plan Participants Only)  
• Salary, Annual & Sick Leave Beneficiary Form