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Standard Retirement Services, Inc. fax number

(888) 418-6806

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Spousal Consent processing / Benefit requests

Used for: Spousal consent form submission for retirement plan benefits and related benefit requests (e.g., retirement plan distributions, loans, and other plan actions).

Fax destination details

Department
Spousal Consent processing / Benefit requests
Purpose
Spousal consent form submission for retirement plan benefits and related benefit requests (e.g., retirement plan distributions, loans, and other plan actions).
Form
SRS 20646 — Spousal Consent Form
Address
1100 SW Sixth Avenue, Portland, OR 97204-1020, USA
Voice phone
800-858-5420

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I have read and understand the Explanation of Qualified Joint and Survivor Annuity. I acknowledge that my spouse did not select the QJSA and I consent to payment in the form selected. Spousal consent must be witnessed by a plan representative or notary public.

Official form instructions are published as a downloadable file on the organization's website.

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