Beneficiary Designation Form

 
 

To request a Beneficiary Designation Form from the Fund office, Wilson-McShane Corporation, please complete the information requested below. The Fund office will send the Beneficiary Designation Form to you via US Mail.

 
Full Name:  
 
 
DOB:   
 
Address:   
 
City:   
 
State:   
 
Zip:   
 
 
Phone:   
 
 
 
 
 
 
 
 
 
On the Map
Contact Info

Bloomington Office
Wilson-McShane Corporation
3001 Metro Drive, Suite 500,
Bloomington MN, 55425

Phone: 952.854.0795
Toll Free: 800.535.6373
Fax: 952.854.1632
Claims Fax: 952.851.3521
Web: www.wilson-mcshane.com

Duluth Office
Wilson-McShane Corporation
2002 London Road, Suite 300
Duluth MN, 55812

Phone: 218.728.4231
Toll Free: 800.570.1012
Fax: 218.728.4773
Web: www.wilson-mcshane.com