General Automatic Debit Form Cancellation Form Change of Member Information Form Reduction in Coverage Form 2012 SRP Contribution and Withdrawal Schedule 2012 SRP Automatic Debit Contribution Schedule Retirement/Resignation Form GEBA/GEMBA 2010 Summary Plan Description SRP Designation of Beneficiary Form Domestic Partners GEBA Declaration of Domestic Partnership 2012-2013 GEBA Foundation Scholarship GEBA is now accepting applications! Academic Scholarship Application Community Scholarship Application Vocational/Trade School Application Term Life Insurance Plan Term Life Insurance Policy Enrollment Form Evidence of Insurability Form Term Life Beneficiary Designation Form Long Term Disability Plan Enrollment Form Long-Term Care Insurance Plan Inquiry/Quote Request Form Professional Liability Insurance Enrollment Form Claim Form Emergency Travel Plan Enrollment Form Visitee Update Form Claim Form Physician's Statement Vision Benefits Plan Enrollment Form Upgrade to Enhanced Plan Downgrade to Basic Plan Dental Insurance Dental Enrollment Form Upgrade from HMO Plan Upgrade from Basic Plan Form Enhanced Plan Change Form Delta Dental Claim Form Basic Plan - Evidence of Coverage - Coming Soon. Enhanced Plan - Evidence of Coverage - Coming Soon. Variable Annuity Contract* MetLife Contribution Form MetLife Withdrawal Form Metlife Performance Sheet MetLife Asset Builder Prospectus MetLife Interfund Transfer Form SRP Beneficiary Designation Form 2012 SRP Contribution and Withdrawal Schedule 2012 SRP Automatic Debit Contribution Schedule Request to Re-characterize an IRA Contribution Traditional/Roth IRA Traditional IRA Custodial Account Form (5305-A) Roth IRA Custodial Account Form (5305-RA) TSP-70 Request to Re-characterize an IRA Contribution SRP IRA Transfer Form GEBA/GEMBA 2010 Summary Plan Description Request for Roth IRA Conversion 2012 SRP Contribution and Withdrawal Schedule 2012 SRP Automatic Debit Contribution Schedule Stable Value Account Stable Value Account New Account Form Stable Value Account Existing Investor Contribtion Form SVA/GIC Group Annuity Withdrawal Form SVA/GIC Traditional IRA/Roth IRA Withdrawal Form Non-Qualified Group Annuity 1035 Exchange MetLife 2012 SRP Contribution and Withdrawal Schedule 2012 SRP Automatic Debit Contribution Schedule Request to Re-characterize an IRA Contribution GEBA MAX Fixed Annuity (Additional forms may be required for residents of certain states. Please contact the GEBA office at (301) 688-7912 or (800) 826-1126 for more information.) GEBA MAX Application Package - MD (Also use for GIC Maturtiy or Transfers) GEBA MAX Fixed Annuity Application GEBA MAX Withdrawal Form GEBA MAX Transfer Form GEBA MAX Service Request Form GEBA MAX Statement Regarding Existing Policies or Contracts - Maryland GEBA MAX Suitability Acknowledgement - Maryland GEBA MAX Replacement Form - Maryland Residents Only Replacement Form - Colorado Residents Only Replacement Form - District of Columbia Residents Only Replacement Form - Delaware Residents Only Replacement Form - Florida Residents Only Replacement Form - Maryland Residents Only *For more information about MetLife Asset Builder, call or visit the GEBA office for a free prospectus. You should consider a fund's investment objectives, risks, charges and expenses carefully before investing. The prospectus will contain this and other information about the investment company. Please read the prospectus carefully before investing.