Expiration Date of Duly Executed Election Form

Hello everyone. If a participant needs and obtains spousal consent for an in-service distribution, does that spousal consent remain in effect for subsequent distributions? If so, for how long does the spousal consent remain in effect if they want to take a second distribution after the first distribution?

Assuming by taking second distribution that the first request was not an installment or annuity?  If a new request for an additional amount then requires new spousal consent