****NOTE: Participants MUST enter/manage beneficiaries on the Fidelity NetBenefits website themselves. PSI keeps a record of this form as a back-up.
401K Designation of Beneficiary Fillable Form
![](https://sp-ao.shortpixel.ai/client/to_webp,q_glossy,ret_img,w_256,h_256/https://www.paramedicservices.com/wp-content/uploads/2018/06/pdf-1.png)
****NOTE: Participants MUST enter/manage beneficiaries on the Fidelity NetBenefits website themselves. PSI keeps a record of this form as a back-up.