ࡱ> hkgk /&bjbj j}}blHHHH$nnnP'D'!B :| | | i L ( !!!!!!$" %F&! " &! HH| | 9! H8| |    | ( 0bX+znk v<!0!I& I&  HHHHState of Michigan Department of Civil Service Final Compensation Beneficiary Designation Employee Name: (Last, First, Middle)  FORMTEXT      Employee I.D. No.  FORMTEXT      Social Security Number  FORMTEXT      Department/Agency  FORMTEXT      Instructions: You may choose only one primary and one secondary beneficiary. However, if your children are to be your beneficiaries, you may designate more than one of your children. Note: All surviving children listed as beneficiaries will share equally. PRIMARY BENEFICIARY: Name of Beneficiary Social Security Number Relationship Address of Beneficiary Birth Date FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       SECONDARY BENEFICIARY: Name of Beneficiary Social Security Number Relationship Address of Beneficiary Birth Date FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Certification: I instruct my employing state department, in the event of my death, to pay all compensation due me to my primary beneficiary(ies) subject to the Civil Service Commission Rules and provisions provided on the second page of this form. If my primary beneficiary is not living to accept payment, my secondary beneficiary(ies) shall be paid. My estate shall receive payment if neither my primary nor my secondary beneficiary(ies) is living to accept payment. Employees Signature DateFederal privacy laws and/or state confidentiality requirements protect a portion of this information. Distribution: Original to Personnel Copy to Employee Section 5-3.6 of the Civil Service Commission Rules PAYMENT AT DEATH OF AN EMPLOYEE The appointing authority shall pay the final wages due a deceased employee in accordance with a primary and secondary beneficiary designation filed by the employee under regulations issued by the state personnel director. In the absence of a valid beneficiary designation, payment is made only in accordance with the instructions of a court. Department of Civil Service Procedures for Designation of Beneficiary This is the only form on which a beneficiary designation or change of designation may be made. The provisions here and on the first page of this form are the procedures issued by the state personnel director, under Rule 5-3.6. Designation of a beneficiary is not mandatory; however, it is recommended. An employee may select a primary beneficiary and a secondary beneficiary (person to whom compensation shall be paid in the event of death or divorce of the primary beneficiary). Should an employee fail to designate a beneficiary, warrants for compensation due to death shall be held by the employing department until the administrator or executor of the estate files with that department a certified copy of the court order of appointment. Monies payable to the beneficiary shall include, but may not be limited to: earned compensation, payment for remaining leave balances due, longevity pay, and reimbursement of expenses. Cancellation An employee may change a beneficiary designation only by filing a new CS-140 with a new beneficiary designation or with the word none shown. Separation from state service or transfer to another principal department will void the entire beneficiary designation form (CS-140) on file. When an employee separates on an approved early retirement, they must complete a new CS-140 to be kept on file with the State Employees Retirement System for payment of any remaining leave balances. Divorce from a spouse designated as beneficiary or death of an individual named as beneficiary will void the designation of that person as a beneficiary, but does not void other designated beneficiaries on the same CS-140. In the event that an employee chooses to designate an ex-spouse as beneficiary, they must complete a new CS-140 indicating the revised status of the relationship. Instructions to Personnel Offices In the event of an employees death, the personnel office will deliver a Final Compensation Beneficiary Affidavit (Form CS-140a) to any named beneficiary(ies). The CS-140a must be completed and returned to the employing department, along with a copy of the beneficiarys social security card, before any voucher for final compensation can be disbursed. If a social security card is not available, copies of other identification such as a drivers license and/or a birth certificate must be submitted. In the event compensation is being divided equally among the deceased employees surviving children, each must complete a separate CS-140a and submit it to the Personnel Office along with a copy of their social security card or other appropriate identification, such as a drivers license and/or a birth certificate. Before any voucher for payment due a deceased employee is made to a designated beneficiary, the department must receive identification showing that the beneficiary is the person named. If there is any question as to the identity or relationship of the person claiming to be the beneficiary, the appointing authority or designated representative may make whatever investigation is necessary to ensure that payment will be made to the proper person. If the beneficiary is either a minor or a person with a legally appointed guardian, the warrant shall be delivered to the guardian upon the guardian providing a certified copy of the court order of appointment and proof of identification. Final Compensation Beneficiary Designation Employee Name:  STYLEREF Name \* MERGEFORMAT       Employee ID:  STYLEREF EmpID \* MERGEFORMAT       Page  PAGE 2 CS-140 REV 5/2002 &^&(LNbdrt0     , . 0 D F T V X l n | ~ jUj,Uj*UjUCJ 56CJ6CJ 5>*CJ5CJjUjUjUjU mH nH u:CJ5CJ jU:&^(Lt $$Ifa$ $$Ifa$ $$Ifa$$If$Ifx$a$ b%&&cHprm[UULLLL $$Ifa$$If (<^`$$Ifl\  D%8v$ h04 la  . V QKB $$Ifa$$If$$IflrPf!T38W04 la $$Ifa$V ~ H p TK $$Ifa$$$IflprPf!T38W04 la$If    " 6 8 F H J ^ ` n p r     ( * 8 : < P R ` b d f z | j Uj Uj Uj Uj UjUjUjUj"Uj UjUCJ jUj(U;p  : b d TKT $$Ifa$$$IflprPf!T38W04 la$If|      * , . 0 D F T V X l n | ~    " 6 8 F H J ^ jUjzUjUjUjUjUjUCJj Uj Uj Uj U jU=d  , . V ~ K$$IflprPf!T38W04 la $$Ifa$$If~ H p TK $$Ifa$$$IflprPf!T38W04 la$If^ ` n p r &(*>@NPRfhvxz|jUjUjUjUjUj Uj UjU mH nH uCJCJjUjxU jUjU; JTRLLCC $$Ifa$$If$$IflprPf!T38W04 la$IfJLfhQK$If$$IflrPf!T38W04 la $$Ifa$(PxzK$$IflprPf!T38W04 la$If $$Ifa$ 02@BDFZ\jln  $&468LN\^`tvjUjlUjUjUjnUjUjvUjUjUjxUCJjU jUjU;BDl TK $$Ifa$$$IflprPf!T38W04 la$If 6^ZTKTTTZT $$Ifa$$If$$IflprPf!T38W04 la&(*>@NPRfhvxz 02@BDXZhjln 5OJQJ>*CJCJCJj%UjX%Uj$Uj#UjZ#Uj"Ujb"Uj!Uj Ujd UCJ jU;(PxK$$IflprPf!T38W04 la$If $$Ifa$BjlnTRG $$P$If$$IflprPf!T38W04 la$Ifv  n$If $If  '$If '$IfX$$Ifl8904 laNOB]b%%%%& & &&*&,&j&l&v&x&&&&&&&&&&&&&&bbbb$b&b(b*bӸӸɭ׎{jUmHnHujz&U jUCJ0JCJ0J5CJmHnHu 0J5CJj0J5CJUj5CJUCJmHnHuCJ jCJU5CJ CJOJQJ5:CJOJQJCJ CJOJQJCJ 5OJQJ>*CJ0=NOB,ymfbYW$xa$x$xa$   <^   ^   <$<a$k$$Ifl@0 (8x(04 la ,]v!"l#s$b%%&z&&&&&&&&&&&&&(b$If$ha$$a$x& 0&P0= /!"#$%#&P0= /!"#$%D.start Title casetD EmpIDD Text3 ###-##-####AEnter the Social Security Number with dashes between the numbers. CheckTextD+Text4 Title caseD&Text6 Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title caseDAddLineM/d/yyyyAddLine~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title casezDM/d/yyyy~D& Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title caseDAddLine2M/d/yyyy AddSecondLineD&NewField Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers. i<@< NormalCJOJQJ_HmH sH tH :@: Heading 1$$@&a$5CJ<A@< Default Paragraph Font.B. Body Text5CJTOT CellLabel (<&5CJOJQJ_HmHnHsH tH u@O@ CellTextCJOJQJ_HmH sH tH 2P@"2 Body Text 2PCJ0O20 CellHeadings@OB@ DetailxCJOJQJ_HmH sH tH ,>@R, Title$a$5CJ,@b, Header  !Or Name, , Footer  !&)@& Page NumberO EmpID%O %\(\ v vO %O B ,]vlsb &00000000000000 "$068DJMY_amsu#)+7=?KQS_egsy|Xdjlx~  ".46BHJV\^jpr~  &(4:<HNQ]ceqwy%F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4F4;Z`p  4!8@(  V  # " B S  ?%ppt startEmpIDText3Text4Text6AddLine SplitTableAddLine2 SplitTable2& &CDG   l m p b #&!.8D a m &ab&:::::& Sandra Dailey Sandra Dailey Sandra Dailey Sandra Dailey Sandra Dailey Sandra Dailey Sandra DaileyPam Grandstaff Janet KeeslerConsumer & Industry ServicesSC:\Documents and Settings\jlfarr\Desktop\CS-140_Beneficiary_Designation_66975_7.dot/Z  8P^v$8LMau+?Sg{| %3KWXl !"6J^r(<PQey b &YVMhM\VMhM\VMhM\VMhM\VMhM\VMhM\VMhM\VMhM\ 8 (@Te&mplate MacrosCustom Popup 2m@( +TemplateProject.FormFilePrint.FormFilePrintForm File PrintFormFilePrint.FormFilePrint P ACS-140CS-140E"CE"CE"CE"CE"C0 (&Spell Check FormForms Spell CheckFormsSpellCheck.FormsSpellCheck "( &Unprotect Protect FormProtectForm.ProtectForm"(&Add Primary BeneficiaryAdd LineAddLine.AddLine"(A&dd Secondary BeneficiaryAdd Second LineAddSecondLine.AddSecondLine% NCustom Popup 2 Custom Popup 20(&Spell Check FormForms Spell CheckFormsSpellCheck.FormsSpellCheck (&Protect/Unprotect Form Protect FormProtectForm.ProtectForm(&Add Primary BeneficiaryAdd LineAddLine.AddLine(A&dd Secondary BeneficiaryAdd Second LineAddSecondLine.AddSecondLine q CT-AA TemplateProject.AutoNew.AutoNew/TemplateProject.FormsSpellCheck.FormsSpellCheck+TemplateProject.FormFilePrint.FormFilePrint'TemplateProject.ProtectForm.ProtectForm9TemplateProject.ProtectForm.ToolsProtectUnprotectDocument#TemplateProject.CheckText.CheckTextTemplateProject.AddLine.AddLine+TemplateProject.AddSecondLine.AddSecondLineTEMPLATEPROJECT.ADDLINE.ADDLINETEMPLATEPROJECT.AUTONEW.AUTONEW#TEMPLATEPROJECT.CHECKTEXT.CHECKTEXT'TEMPLATEPROJECT.PROTECTFORM.PROTECTFORM+TEMPLATEPROJECT.ADDSECONDLINE.ADDSECONDLINE+TEMPLATEPROJECT.FORMFILEPRINT.FORMFILEPRINT/TEMPLATEPROJECT.FORMSSPELLCHECK.FORMSSPELLCHECK9TEMPLATEPROJECT.PROTECTFORM.TOOLSPROTECTUNPROTECTDOCUMENT@ `b|%pppp p pppp(@p&UnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New"1hrӄ&rӄ&Dzd& , .0dc3HCS-140 Beneficiary Designation*Final Compensation Beneficiary DesignationCS-140 Beneficiary Designation Sandi DaileyConsumer & Industry Services iH@HNormal'CJ OJPJQJ_HmHnHsH tH u<A@< Default Paragraph Font@O@ DetailxCJOJQJ_HmH sH tH jNewLineNewLine2Detailg | ^ *bc $'+2V Oh+'0<P x    CS-140 Beneficiary Designationi+Final Compensation Beneficiary Designationd Sandi DaileyatiCS-140 Beneficiary DesignationDQuestions regarding the use of this template may be directed to Janet Keesler, at (517) 335-5584. Questions regarding the final compensation beneficiary designation should be directed to your Human Resource Office.+CS-140_Beneficiary_Designation_66975_7.doceConsumer & Industry Servicesn_62nsMicrosoft Word 9.0 @@Z@ +@ +՜.+,0`x    ? CS_FormsnD. Daniel McLellandDepartment of Civil Service,  CS-140 Beneficiary Designation Title  !"#$%&'()*+,-.0123456789:;<=>?@ABDEFGHIJKLMNOPQRSTUVXYZ[\]^`abcdefijmnpqr|tuvwxyz{l}~Root Entry F`Ʉ+o@@Data /,1TableC .WordDocumentjSummaryInformation(WDocumentSummaryInformation8_MacrosC+I+VBAC+Pd;+ThisDocuments(__SRP_2__SRP_3 AutoNew   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwyz{|}~ "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2Option /licit P!% SuDb _Cl>() ' Procedure written 5/4/2 by Sandi D@ailey.Does not save any@ chang to th ttachZtb onEc9ingd ހ( Dim objz As `Objec^Set= Act;EE3. s H.S+ZNoth( EndAK OOpenN.ans,IntegerO`rror Res NexD3With Appgaj.3Window.ViewCCA.Typw dPageShowAll  Gridlin9e= CFieldCodZoom.Perc@90%F0(Äcks c~commp barxT=pC!C BarsIfMz("CS-140")&siq The@NFr 79%h-.PosiBs = msoTop + AIf'Mess4Box askluser ifmy want spriInstru`!ons3!X = Msg ("Would yo@u likeup a copy o " & _c"i ?", vbYesNoCancel +!Ques , "`nti"%>vbNo TOrs@P1: GoTol  ?Out R9:=j!Ofls, :="s2 ! aki2_Sel@s first form#@k in o1`' g1st$arf bye:)l#."WhatBookmark, a `@  %H %Xx&,>BD@F@ t @8p @l hp`%Xd`$% ary@HT rU 0 9 a 1 Y a  q  14Ya`` IW0   PK.lpt! t 8p Qlh)tph , h D h  h LZth pt ,tch.lpt! t 4p 0Qld)tpIRl:T%pt$ 4t 0p H l kR)tple9l:T%pt$ 4t 0p H QlL)tpK L L cLcd6'' :T N,,#  *F<^pz6<, kzkz[kzY''<'\'|''''':N,,'<'\'|''<'' t$ 4t t6$<, |\<|\<[t$ 4t tFp:N,,'' <t$ <t )tp6<, `0hdL`tpl<, |\<|\<44PR4*#4d*\R4*#4e*\R4*#2d*\rU @$`$A` n/w !"SxMEp \--`$4 ( !"S:#<PP-OylFj Fz B(L8`ܖxz B(L8`ܖPP-OylFjMET@[LSS6"LL*LL*LL*LLBD@F@ t @8p @l hp`%Xd`$% ary@HT n@R L`4%@0< oc@`, ry@x n@ @ @ JPZV@ @ @  @8 @P @h @| @l @\ @L @< @, @ @( @@ @X @p @ @ @ @ @ @| @l @0\ @HL @`< @, @ X @B<$*\Rffff*1341e91fb2*\R1*#c0*\R1*#d0*\R1*#158*\R1*#1a7*\R1*#159*\R4*#8c*\R1*#17b*\R1*#c1*\R4*#4d*\R4*#4e*\R4*#2d*\R0*#1*\R0*#14*\R0*#2*\R1*#a9*\R1*#1f*\R1*#1294/"  2 <H   ".    (8  $@.hIx 9     Bx6(    2 "8` h Fxx, Procedure written 5/4/2002 by Sandi Dailey.6 Does not save any changes to the attached template onx closing the document.00]@ !.0 ( 000.o X] &!(!* ,9l9.9092Z54(6q Docks customized command bar. &!!8CS-140 %8!:CS-140 %8H9: >9<q0k(q ;Message Box asking user if they want to print Instructions.66)Would you like to print up a copy of the instructions? B D Printing Instructions$@'$ $ F $GHj $ J  PNs2R B@LHk, Selects first form field in the document or goes to start of document.H B@T ZXstart VB@o`X=Attribute VB_Name =cedu^ `ppB<0 " > @X F H D(px   $  8@H P X` Bhx ( HXx  2 "        0x] p8 Procedure written 02/02/2001 by Sandra Dailey, MichiganEx: Department of Civil Service, Office of Technical Services? DocumentView displays document in page layout view (best fit),B turns off view codes, shows paragraph marks, and shows gridlines.= Copied into template 10/31/2001 and modifed to fit template.]X &!(!* ,9l9.9092Z54(6q8 Docks customized command bar. &!!8CS-140 %8!:eCS-140 %89: >9<qkq;Message Box asking user if they want to print Instructions.)Would you like to print up a copy of the instructions? B D Printing Instructions$@'$ $ F $GHj $ J PNs2R B@LHkx, Selects first form field in the document or goes to start of document.H B@T ZXstart VB@o"Attribute VB_Name = "AutoNew" Option Explicit Pub$ MyCmd As Objec. Sub p() ' Procedure writt@en 02/2001 by Sandra Dailey, Mi@chigan:Department of Civil Service, OffTechnicas Dim aDInt@eger Orror Rest Nex With Apa.ActiveWindow. .TypXwdPCS:AllTrue ableG:FieldCMFals Zoom.Percwa= 90End 0GQDocks customizJcommNxbarIT=@.CC Bar>If G ("CS-140")M si & B 0@HP B`( *, 08H2 Macro written 5/8/2000 by Sandra Dailey, Michigan: Department of Civil Service, Office of Technical Services8 Allows user to print instructions page only of the formrf or will open Print dialog box.pr; Copied code into template on 10/31/2001 and modifed to fitl chec template.]@]X $.<Message Box asking user if they want to print only the form.rotect  .Would you like to print the form only and not the instructions? *Selecting "NO" will open the Print dialog ,box. Selecting "Cancel" returns you to the  document. B D Printing Instructions$@'$=. $ FG B@j;.C $ G X VB@j;.W $ JG PNs1R B@LjIT.o߲Attribute VB_Name = "FormFilePrint" Sub L() ' Macro written 5/8/2000 by Sandra Day, MichiganhDepartment of Civil Service, OffTechnicas @P @ .h h p2   0 0 @PX`hpx   *   &0X hx  F F( @`p0      (x8 Procedure written 12/05/2000 by Sandi Dailey, Office ofMi9 Technical Services, Michigan Department of Civil Service9 Locks and Unlocks protected form and performs spellcheck( If document is protected, Unprotect it.&This macro will perform a spell check of the protected form. b SPELL CHECKA@@]@ !d fj B@h,9l &UnProtectCS-140 &!%8%l.^ D ^&Protect9n r9pqk)Reset document to check for all spelling. (t (v x9z9|9~999999qX ( (  $(# Set the language for the document. VB@  V( Perform Spelling/Grammar check. x! B@d B@kh? Moves cursor to bottom of document so it is not in a text box.? Creates error if it trys to reprotect with cursor in text box.  VB@Ar ReProtect the document. !d f l B@&ProtectCS-140 &!%8%l.^ ^ &Unprotect9nXX 9pqk !. ( RGBCO~.oAttribute VB_Name = "FormsSpellCheck" Option Explicit Sub () ' Procedure written 12/05/2000 by Sandi Dailey, Office of:Technical Servs, Michigan Department- Civi&;@Locks [ Unl protected fper s s c;If docu-is ,% it. MsgBo x "Thmacro willR , a- - " & _ "of the.J.", vbI nJa, "SPELL CHE$CK Dim objTemplaAs Objn bActiveDe.Type <> wdNoA Then  Un>Password:="# gt MyCdmdAp..!CommcBars("CS-140").Control&Un"" WithCE&.CaM& StF= msoButtonUpGEnd. CAIResetton@d avBingBI@@= F0alseCGraDr B=s A=. AsYouBr= Tru  Suggest-orrCs 9L dFrom@MainDi`KonaryOnly?N 0 howReadability6ist ic IgnoreUpkcasaMixed`Digit0CInternetAndF@AddrpessekD7Sc,alErrwdE!D'p!lGBeBVSelc<.WholeStoryID`5H P /MebWVd0A]D Einoc`|zMov;cursor zbo hso not intext box' CDres e!= iftrys rew `(b,`KKey unit:=`91' Re$767e aJAllow!=|Field0w17PQ:=66S@R?_n?_ Nnd?_5_[_!"_ ^/hh0._Dowm <!"[1 Iu=Mpa|dewc(.SavR_ËKNoth b4Q_! "youbA xrom ""B"W""Un%, %without resett $e @Nm fieldultszero (no text).""", vbCi, "In.a[+W A*DfG2DBon.HomeKey unit:=wdStorEx@dMoveA0If .@TyBpAwdNo xTheA  AllowO(nlyAF=s, noE:=Truty= Ap<. :.Comm@Bars("CS-140")@ntrol&*" )N’= .Ca&x#D] .St= @msoBut`VDow0#End OWYOFlhasx beDLe%Jupd`"\e N2"Ms.I#edElsM2 . PasswoJr G"-"Se_7nt_7Un77@sTN7Up/77ued. YOU MUST REPROTECTZ7R DOCUMENT BEFORE PRINTING OR THE TEXTA HAVE ERED IN M FIELDS WILL DELETEDEF?3OE@ZIf#&$  Tor: UL 8-13-@`D /f 1բw usů"" dropdtb s1dlg DiPalog'xIntegerSFY 'UQ V>@jnot%wed, turn:xoD~'e9>__ezn_ o_o_M'Displayut  box{WI1B=Ts(wdY"![x ~.tCCancel wTchosen, exit U3, `Q0"n,A1l%yVqS4 pTU,وr,uu tctYt$t "mz otѰcStt FFXtt? ?t5 +X0tRt'Va2 #xM r/v/vhK:!ߑ/vqvuu4"ouououou ~"tt|["thSjSNothmuqv! P 2`   " F @ 8PX ` <h (  & ( 8  0H x   ( !"/xME %%``$,p!"=xME(<<< < X `^ .. r th%`ormsXXB<P " : @P B 0 6@ H(0 P` 0xl HP 2`   " F @ 8PX ` <h (  & ( 8  0H x   ( 0(0 r8   2 08 @   ( 8 x4 Procedure written 9/30/99 by Sandi Dailey, Michigan: Department of Civil Service, Office of Technical Services; Toggles protection for the active document for the "Forms"n Prin* menu bar and/or to create a new menu bar.0 Revised 4/22/2002 to customize the button look.e.]@1Selecting this option will toggle the protection 7of your active document from "Protect" to "Unprotect," =without resetting the form field results to "zero (no text)."  InformationA@@    VB@`5d f lC@F&ProtectCS-140 &!%8%l.^ ^ &Unprotect9n 9pq(6Your document has been protected without updating the form fields.  ProtectedA@@uldjC@h &UnProtectCS-140 &!%8%l.^nts ^&Protect9n r9pq@8Your document has been unprotected. YOU MUST REPROTECT ;YOUR DOCUMENT BEFORE PRINTING OR THE TEXT YOU HAVE ENTERED #IN THE FORM FIELDS WILL BE DELETED.  UnprotectedA@@nkhq`oXX? Procedure written by Sandi Dailey 8-13-99 to Protect/Unprotect29 the active document when using the "Tools" dropdown menu toggle selection.]] 5If the document is not protected, turns protection onAP"without resetting the form fields.   VB@ndo5d fOs Display the Protect Dialog box.y $. !'; *If Cancel was chosen, exit this procedure. G|jplo Protect the document.sy !j lC@&ProtectCS-140 &!%8%l.^ ^ &Unprotect9nTHE 9pq6Your document has been protected without updating the form fields.  b ProtectedA@@HITdH unprotect the document.RC@h &UnProtectCS-140 &!%8%l.^ ^&Protect9n r9pq  8Your document has been unprotected. YOU MUST REPROTECT ;YOUR DOCUMENT BEFORE PRINTING OR THE TEXT YOU HAVE ENTERED #IN THE FORM FIELDS WILL BE DELETED.  UnprotectedA@@kq.oAttribute VB_Name = "ProtectForm" Option Explicit Sub () ' cedure written 9/30/99 by Sandi Dailey, MichiganlDepartment of Civil Service, O ffTechPnicas 2P > > < BH V 0 ( 0 P  `px  0  P ` ( TH D   x8 Procedure written 8/07/2000 by Sandra Dailey, Office of+ Technical Services, Dept. of Civil Servicealx7 Procedure checks the formfield result to see if it has8 9 numbers and all the characters are numbers. If there5 is nothing in the formfield than user can proceed to@< next field (user does not have to enter text in this field, to prO but if user does enter text it has to be numeric and up to 9 characters long).n) Copied code into template on 10/31/2001.]@]X]pEmpID %!' ' d $)The employee ID must be "NUMERIC" only. $Please re-enter the ID number using only 9 numeric characters.  EMPLOYEE IDA@@ ZXEmpID VB@  e6The Employee ID Number must be NO MORE THAN 9 NUMERIC /characters long. Please retype the ID Number, using only "NINE NUMBERS." Employee ID Number ErrorA@@ ZXEmpID VB@M ElseIf iInput >= 1 And iInput < 9 Then 'Or Not IsNumeric(sInput) MsgBox "The Employee ID Number must have 9 NUMERIC " &' "characters. Please retype the ID Number, " &' "using ""NINE NUMBERS.""", vbExclamation, "Employee ID Number Error"> Selection.GoTo What:=wdGoToBookmark, Name:="EmpID"k(k oAttribute VB_Name = "CheckText" Option Explicit Sub () ' Procedure written 8/07/2000 by Sandra Dailey, Off@ice oftTechnical Servs,@ Dept. Civi hcs the formfield result to see if it has99 numbers all:charact ^. Ifreis nothing in8than user cped@n Lb(doe%IveRen= t,4,a'k!beler$iclup 9 llong).(CopiNcodntempla@x10/31l1 Dim sInput As Sng * EiFI1gerMyNZ = ActiveDocum6.FqFqs("EmpID").Rt D= Len(#l0 ThenAGoTo FinishElsvNot I>s.RL Ms@gBox " AOoy@ID must c""NUMERIC"" only" 8& _"A"P lease-ePrB@ ´~{.",0 vbC, "EMPLOYE E T !Sele@0on.#Wha t:=wdBookmark, :=2'!)G/>K/A&@;l&De'NO MORE THAN) u l\ -&*typ?l`) !0us-*7INE BERS."")Exclama)@fErrorAe++at*= 1 And \<,'Or W !0 9! [aXE/' "N ., "._.@XW.*.ZE+I ҧ[ :C  0* pHdTemplateProjectQH@  = | B< J< 9stdole>stdoleP f%\*\G{00020430-C 0046}#2.0#0#C:\WINNT\System32\c2.tlb#OLE Autom`ation/MSFor ms>SFErms$3AddLineAddSecondLineO_VBA_PROJECT4diruttonUp6SpellingCheckedzGrammarCheckedOptionsCheckSpellingAsYouTypejCheckGrammarAsYouTypefSuggestSpellingCorrections+SuggestFromMainDictionaryOnly CheckGrammarWithSpellingShowReadabilityStatisticsIgnoreUppercaseIgnoreMixedDigitsnIgnoreInternetAndFileAddressesShowGrammaticalErrorsDShowSpellingErrorsC Languages wdEnglishUSSpellingDictionaryTypeh wdSpelling6 WholeStory LanguageID CheckGrammar CheckSpellingWEndKey5unitwdStory&ProtectfwdAllowOnlyFormFields!noresetg msoButtonDownJ (FormFilePrintdmyDialogkiDialogfDialogswdDialogFilePrintLvbCr$ShowvbCancel' wdGoToPagedCount0v (ProtectForm' vbCritical+}HomeKeyExtend?wdMovez(ToolsProtectUnprotectDocument!dlgDocxowdDialogToolsProtectDocument3Displaydocumentpassword R (CheckTextLtsInputiInput?MyNumbero0 FormFields-|ResulturFinishX IsNumeric$* vbExclamation(AddLine8MsgQStylepTitle~ResponseiMaxTMyRange-ChrK~vbYesNovbDefaultButton2ScreenUpdating! Tables ExitMacro}AutoTextEntriesInsertrWhere֍RichTextNMoveUpwdLineMoveDown̝Deletexfinished8 (AddSecondLineKMyRange23MoveLeftv wdCharacterDocumentjItemz  ]aint}HNProtectForm0?41e91fb2ProtectForm=`vCheckText1041e91fb2CheckText/xDD452EE1-E08F-101A-8-02608C4D0BB4DFM20.DLL#Microso(ft 9 \ Ob Library/;C1s00}4#0#0 33AC3747-89F0-46D8-9DF2-354326AC6592-DOCUME~1\jkeesle\LOCALS\VBE\K.exd3!.E .`M OfficO~fic A12DF8D04C-5BFAA_B-BDE5AAA4I1gram Files\\\`MSO97Le 8.0e"ƈ!"ThisDocumentG Th1sD@cu@en* 2  HB1B,!S:"5B+BNeTwGA t"NVw 2} !ZSpellChe(ckG@iSp l|C$e=Vk2  `ACPri6A#A~F6Pr {C6N2O/N6}+WtGoGa%t&)&2v$=>b8TexZ`g6T8xYL2/ //+@&AddLineXdL2e@0X 0(=SecondCA d@0o@ydNCW/0)@6@02 Removes extra paragraph mark and reprotecK*mrU~~~~~~~~~~b xE/Z3+'@/UV{@  am  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications *\G{00020905-0000-0000-C000-000000000046}#8.1#0#C:\Program Files\Microsoft Office\Office\MSWORD9.OLB#Microp!"(xME( > FXx *`@   ( 82P    6 B8P X x   0$: 8@$x" 0@ H `h Dp "      ( 8H P`x9 Procedure written 02/05/2001 by Sandra Dailey, Office of9 Technical Services, Michigan Department of Civil Service7 Adds additional row to middle of table if user selects8 "yes" to respond to message box. Copied procedure into i@ template 10/31/2001 and modifed code to add a beneficiary line.el]nter t]]](%Do you need to add a row for another primary beneficiary? $ $Selecting "Yes"B will add an additional row to allow entry of another beneficiary.'    '4 Define buttons.$MORE THAN SIX PRIMARY BENEFICIARIES?'4 Define title.   $@'If user selects "yes":  J &( !d fj B@h &UnProtectCS-140 &!%8%l.^ ^&Protect9n r9pqPkH/ Removes Exit Macro in the "AddLine" form field< and the thirtieth from the last form field in the document. %!N. AddLine7( !!' 7(qX) Goes to row below and inserts auto text. ZX SplitTable VB@ V!N NewLine !%B@2 Removes extra paragraph mark and reprotects form. ZX SplitTable VB@   VB@   VB@ VB@  B@&ProtectCS-140 &!%8%l.^ ^ &Unprotect9n 9pq> Moves cursor to the first cell in the new section just added. ZXNewField VB@ &(dF User chose No.k !. ( .oAttribute VB_Name = "AddLine" Option Explicit @ Sub (X) (.D`escrivMacro recorded 02/1 by Sandra Da0ileypNPr@ocDataZInvoke_Fu ncject.Newes. K' 8edure written{5/200}, Office of ' Technical Serv s, Michigan Department CiviAs addi row to middBl/ tabif user selas"yes"respondessage box. Copipmintotempla10/31q modifcode'K a benev@iary l{. Dim Msg, Style, TitRB#se iMax As IntegerHyRan@+GobjT(@ObAnCtDo youx ne-@M+Pfor anothL" & _ -`"prim25?Chr(13)@ G"S\ingP ""Y\"M pwillAprall@t@Oof$=.%Q5vbNo + vbCDefaultButtoPn2 'fc ;seaFMORE THAN SIX PRIMARY BENEFICIARIES=toq@ZBox(+=z@IIR R:-` ThenG1ApaA_.ScreenUpd-= FalH# ActiveDocui.@vtaType <> wdNo ,Un`ca Passw`:="1et MyCmd` LComm@gBars("CS-140").C@ontrol@&tUn$" &aaW8ith !.CaF&LSt!w = msoCAUp'E #I@A aaRemov4esi­in e gm fpield!!t@hirtie fromBlast $ dE4S))}= (Tas(2).$!.FormFA,).Exitc߀$9a=. 5un  W K.a&Go`,3@bea(intu@textm$on.GoTo What:=wdBoobk@k, `TS=ft&h*acHhed.AT`E`Sie& ).I`ere:=+, Rm:=Tru^u%Pz0oagraph q `Od@}6s#To) M-Up uni ,ppa:=1,@/}d_a)auD.qDown/n1/n.D btn| d > FXx *`B   0 @2X    6 0(@ H h x  0&: 8P& 0( 0 HP DX $      0 8Hx9 Procedure written 02/05/2001 by Sandra Dailey, Office of9 Technical Services, Michigan Department of Civil Service7 Adds additional row to middle of table if user selects8 "yes" to respond to message box. Copied procedure into i@ template 10/31/2001 and modifed code to add a beneficiary line.el]@Xpnter t]]]%Do you need to add a row for another secondary beneficiary? $ $Selecting "Yes"B will add an additional row to allow entry of another beneficiary.'    '4 Define buttons.&MORE THAN SIX SECONDARY BENEFICIARIES?'6 Define title.   $@'If user selects "yes":  J &( !d fj B@h &UnProtectCS-140 &!%8%l.^ ^&Protect9n r9pqHk@0 Removes Exit Macro in the "AddLine2" form field) and the last form field in the document. %!N. AddLine27( !!' 7(qh) Goes to row below and inserts auto text. ZX SplitTable2 VB@  VB@ V!N NewLine2 !%B@2 Removes extra paragraph mark and reprotects form. ZX SplitTable2 VB@  VB@ VB@  B@&ProtectCS-140 &!%8%l.^ ^ &Unprotect9n 9pq> Moves cursor to the first cell in the new section just added. ZX NewField2 VB@ &( dF User chose No.k !. ( .o=Attribute VB_Name = "AddSecondLine" Option Explicit Sub () ' Procedure written 02/05/2001 by Sandra Dailey, Office of;Technical Servs, Michigan Department- Civi&;s addiArow to@ middl_ tabif user selects9"yes"respyessage box. Cop ied pmintotempla10/31qo modif0code'K a beneviary l.  Dim Msg, Style, TitRFseiMax As IntegeryRange2 objTRObj{<|Do you ne@-M,Pfor anothM" & _ ."s36?A Chr(13) G"S\ing (""Y\" w8illq@ralluOofF%.A&BR5vbNo + vbC–DefaultButton2 '@f@d sDfBbAGMORE THAN SIX SECONDARY BENEFICIARIES>tqEr@@[Box({I B:\6 Then)cApa.ScreenUpd[= FalH@ActivePDocuaj.vt@C|Type <> wdNo 3,Unda Password:="2et My8Cmd` LCommgBars("CS-140").Control@&Un$" &aaWith !.CaÖ& LStw= msoAUp'End #IA aRemovesiacro in e "2" @hm fi8eldAlalstHd2SS'D|= l&Ts(3).H" A.FormF!*).ExitM@&D7a=, H4un`%) !w ,a$Go*Abe~&in`tu@ptext$lon.GoTo What:=wdBookmark, ۠RS et'2'M:Lef t uniCharacter,:=1'* 2 ached.ATEXie .NewCC).I"ere:=k1., RA :=Tru@A%eP agraph C!d ressM&?? 0;D8own6! 'Datn$;HA_Onlyw+, no{e12FFFCF4FfP3.F'w0' 's 0cursw.heeDrCcer$Fnew x_ juP{ed`]o1n1p)BAI11[e# nisP0h:  sUchose No W PzbTq)Q8(.Sav0= w }ONpa soft Word 9.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINNT\System32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINNT\System32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{33AC3747-89F0-46D8-9DF2-354326AC6592}#2.0#0#C:\DOCUME~1\jkeesle\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M *\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.1#0#C:\Program Files\Microsoft Office\Office\MSO97.DLL#Microsoft Office 8.0 Object Library  B<!"ThisDocument1341e91fb2ThisDocumentS:AutoNew0<41e91fb2\AutoNewS} FormsSpellCheck0=41e91fb2`FormsSpellCheck0 FormFilePrint0>41e91fb2FormFilePrint}HNProtectForm0?41e91fb2ProtectForm=`vCheckText1041e91fb2CheckText/x AddLine1141e91fb2AddLine(vAddSecondLine1241e91fb2AddSecondLinex`H0՞KDCO;prL"idX1@Qg!hgNFqGJtv_OWOOsrJ;$F%_xY1MTe\)mCs?8: Wordk VBAWin16~Win32MacVBA6# TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateDocument_Close7\ objTemplate1ActiveDocument\AttachedTemplateSavedd Document_Openansxt Application* ActiveWindow+ViewI wdPageViewvShowAllITableGridlinesZlShowFieldCodes'Zoom Percentage6 CommandBars VisiblePosition msoBarTopyMsgBoxR vbYesNoCancelq vbQuestionvbNo%byezvbYesa?PrintOut.Range wdPrintRangeOfPagesPagesActivate| SelectionZWhatCwdGoToBookmarkJ(AutoNew\3(MyCmdj(FormsSpellCheck vbInformationnProtectionTypewdNoProtection Unprotect?PasswordControlsKCaptionxState msoB__SRP_0 __SRP_1 PROJECTwmPROJECTa 1YiaTemplateProject ThisDocumentAutoNewFormsSpellCheck FormFilePrint ProtectForm CheckTextAddLine AddSecondLineF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA  )` F4C:\Program Files\Microsoft Office\Office\MSWORD9.OLBWord !p0FC:\WINNT\System32\stdole2.tlbstdole 1y.E .`M C:\WINNT\System32\FM20.DLLMSForms Q7ȮDulM9 1C:\DOCUME~1\jkeesle\LOCALS~1\Temp\VBE\MSForms.exd QL-[DR 2C:\Program Files\Microsoft Office\Office\MSO97.DLLOffice Ik FPP-OylFj Fz B(L8`ܖ FDocumentDocument_Close Document_Open @p Fb F F F CS-140 F F  F F RWould you like to print up a copy of the  instructions?  *Printing Instructions s2 startu F VBE6.DLL  S OrU~}  YpThisDocumentThisDocumentAutoNewAutoNewFormsSpellCheckFormsSpellCheckFormFilePrintFormFilePrintCheckTextCheckTextAddLineAddLineAddSecondLineAddSecondLineProtectFormProtectFormID="{E1B77C3D-5094-4DF5-A2E3-57BD9F45D00F}" Document=ThisDocument/&H00000000 Module=AutoNew Module=FormsSpellCheck Module=FormFilePrint Module=CheckText Module=AddLine Module=AddSecondLine Module=ProtectForm HelpFile="" Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="1F1D1F5323EF75F375F374F474F4" DPB="6D6F6D21F566FE66FE2E23FFFF2B26E3F24E" GC="BBB9BBF708F808F808" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=66, 66, 488, 378, Z AutoNew=88, 88, 510, 400, FormsSpellCheck=132, 132, 554, 444, FormFilePrint=110, 110, 532, 422, Z CheckText=0, 0, 422, 312, AddLine=22, 22, 444, 334, AddSecondLine=44, 44, 466, 356, ProtectForm=66, 66, 501, 375, Z   FMicrosoft Word Document MSWok bcbjbj j}}lI&I&C'C'C'C'C'W'W'0'''D'W'*(P)P)P)P)P)|)4********+  .*C'*P)P)****C'C'P)P)*****C'P)C'P)*******C'C''*P)( 0bX+W'W'***|*0** .* .**W'W'C'C'C'C' FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       *b>b@bNbPbRbfbhbvbxbzbbbbbbbbbbbbbbbbbbbbbbb cccc c4c6cDcFcHc\c^clcncpccccccccccj*,Uj+Uj.+Uj,*Uj)UCJCJjUmHnHuj)Uj(Uj (U jUj'U8(bPbxbbbbbbbPLJP$$IflprPf!T38W04 l$If $$Ifa$bcFcnccccccPLJJP$$IflprPf!T38W04 l$If $$Ifa$/ =!"#$%CompObjjObjectPool`Ʉ+`Ʉ+~D Title case~D( Title caseDAddLineM/d/yyyyAddLineD& NewField2 Title caseD ###-##-####AEnter the Social Security Number with dashes between the numbers.~D Title case~D( Title caseDAddLine2M/d/yyyy AddSecondLinep d ~ J ,(bbc!"#%&()*,-34c  &(4:<HNP\bgsy{F4F4F4F4F4F4F4F4F4F4NewFieldAddLine SplitTable NewField2AddLine2 SplitTable2Qehcez(<Pdefg{!(@pbUnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New"0h0@rdDocWord.Document.89q