b'Is Your Information Current?ADDRESS CHANGES ANDTEMPORARY UPDATESGETDo you travel south for the winter? ORGANIZEDPlanning a move this spring? Make sure you file a temporary or permanent IN 2021 change of address form with CTPF.Address changes cannot be made over the phone. Retirees and inactive members will need to send a written and With a new year comes asigned request to change their address, or new opportunity to makecomplete a Change of Address formsure your information is(CTPF Form 107). up-to-date with CTPF. THIRD PARTY AUTHORIZATION FORMSA third party cannot receive information about a CTPF member, survivor, orbeneficiarys account or make any DESIGNATION OF BENEFICIARY changes to a members account without Its important to keep your Designation of Beneficiary informationthe proper authorization. The member, up-to-date with CTPF. Life events such as marriage, birth of a child,survivor, or beneficiary must remain the divorce, or death may necessitate changes to your designation.payee on the account, in accordance If youve recently experienced one of these life events, are unsurewith the Illinois Pension Code.if your beneficiary information is up-to-date, or have never designated a beneficiary with CTPF, complete the Designation of BeneficiaryPOWER OF ATTORNEY (POA)form (Form 105).Agents authorized through a POA for The form needs to be signed in the presence of a notary, and CTPFHealth Care, Property, or Finance may recommends making a copy for your records. The original, notarizedreceive information, make elections, and make changes on an account, unless the copy should be submitted to the CTPF office. CTPF offers notaryPOA restricts the Agents authority. services by videoconference for this form. LETTERS OF OFFICE FOR GUARDIANSHIP/CONSERVATORSHIP If a POA was signed over a year from the A Guardian may have authority to receive and make changes to andate CTPF received the POA and/or the account. CTPF must receive an original certified copy of the Letters ofPOA was signed out of state, then CTPF Office for Guardianship/Conservatorship. A certified copy can bemust also receive an Affidavit of Attorney obtained through the Clerks Office of the County in which the Lettersin Fact (CTPF Form 903) from the Agent of Office were issued. named in the POA.CONFIDENTIAL INFORMATION RELEASE AUTHORIZATION (CIRA)A member, survivor, or beneficiary may designate and authorize through a CIRA (CTPF Form 910) a person to receive information regarding their account or to speak to CTPF about their account. A CIRA does not authorize a person to make any elections or changes to an account.HIPAA AUTHORIZED REPRESENTATIVECTPF FORMS If you want a family member to assist you with health insurance issues, you can submit CTPF Form 345: HIPAA Authorized RepresentativeAll forms and information are available at Designation, available at ctpf.org or from Member Services. Yourctpf.org. Use the search option and enter Authorized Representative may discuss your health insurance options,your form number to go directly to the but cannot make care or treatment decisions. page. During our remote operations, U.S. Mail processing may be delayed. The best way to ensure timely delivery is to send documents by fax 312.641.7185 EMAIL | memberservices@ctpf.orgCALL | 312.641.4464 or email an attachment (.pdf or .jpg for-Speak to a Member Services Rep.,Monday - Friday, 8:00 a.m. - 5:00 p.m. mat) to imaging@ctpf.org. 7'