Beneficiary Form

This is the Beneficiary Form that every department needs to have everyone of their members fill out and keep in a file.

This form only needs to be completed and filed one time, unless there is a change to the status of beneficiary.

Employee Beneficiary and Emergency Contact Information form:

Employee Beneficiary and Emergency Contact Information Forms - MS Word document (.docx) size: 54KB

Supporting and instructional documentation:

Filing a Claim - (pdf) size: 37KB

Firefighter Definition - (pdf) size: 23KB

Information Regarding Death Benefits - (pdf) size: 35KB

Information Regarding Cancer Death Benefits - (pdf) size: 17KB

Information Regarding Disability Benefits - (pdf) size: 42KB

Information Regarding Scholarship Benefits - (pdf) size: 28KB

2010 Arkansas Code title 6 Education 6-82-504 - (pdf) size: 69KB

2010 Arkansas Code title 6 Education 6-82-505 - (pdf) size: 17KB

2010 Arkansas Code Title 6 Education 6-82-507 - (pdf) size: 16KB

2014 Arkansas Code Title 6 Education 6-82-503 - (pdf) size: 33KB

2015 Arkansas Code Title 6 Education 6-82-506 - (pdf) size: 16KB