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| Form # | Description | Last Updated | Non-fill | Fillable  |
|---|---|---|---|---|
| N/A | Minnesota Life/VRS Life Insurance Forms Page |  | ||
| N/A | VRS Certificate of Life Insurance |  322kb | ||
| VRS-2 | Designation of Beneficiary To designate more than 4 beneficiaries, a continuation form, the VRS-2A, is also required. |
07/2009 | 42kb |
 169kb |
| VRS-2A | Designation of Beneficiary - Continuation | 07/2009 | 30kb |
153kb |
| VRS-11A | Employer Certification of Basic Group Life Insurance Coverage Under Workforce Transition Act | 02/2009 | 27kb |
106kb |
| VRS-27 | Waiver of Life Insurance Coverage | 12/2003 | 82kb |
171kb |
| VRS-31 | Accidental Dismemberment and Loss of Sight | 06/1999 | 17kb | |
| VRS-32 | Group Life Evidence of Insurability | 02/2006 | 90kb | |
| VRS-35E | Conversion of Group Life Insurance Enrollment | 09/2008 | 186kb | |
| VRS-37 | Absolute Assignment of Group Life Insurance | 02/2008 | 44kb | |
| VRS-38 | Assignees Change of Beneficiary | 02/2008 | 46kb | |
| VRS-39 | Application for Optional Life Insurance | 12/2006 | 79kb | |
| VRS-39A | Request for Change Under Optional Group Life Insurance Plan | 04/2004 | 54kb | |
| VRS-39R | Retiree Optional Life Continuation | 05/2001 | 45kb |
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