All formsAccount Holder: Your full legal name and account/policy number
Primary Beneficiaries: Name, relationship, date of birth, SSN, and percentage for each
Contingent Beneficiaries: Name alternates who receive the assets if primary beneficiaries predecease you
Per Stirpes vs. Per Capita: Choose how shares pass if a beneficiary dies before you
Special Circumstances: For minor beneficiaries, consider naming a trust as beneficiary instead
Signatures: Sign and date; some accounts require spousal consent
Estate Planningpdf
Beneficiary Designation Form
Federal & State Law Editorial TeamLast reviewed: April 2026
Form for designating beneficiaries on life insurance, retirement accounts, and bank accounts. Beneficiary designations override your will.
PDF TemplateUse the instructions below to complete this form
Instructions
Instructions
Important: Beneficiary designations supersede your will. Review and update after marriage, divorce, birth of a child, or death of a beneficiary.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.