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Date of birth of Insured mm/dd/yyyy an employee Social Security Number of Insured CSI or OWCP claim number a retiree a compensationer Department or agency where the Insured works If retired last department or agency where the Insured worked Bureau or division Location city state and ZIP code First name middle initial and last name of each beneficiary Address Including ZIP code Relationship Percent or fraction designated Total Must equal 100 or 1. 0 Do not use dollar amounts Do not put a Total i ...

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What is form SF 2821?

Agency Certification of Insurance Status - Federal Employees' Group Life Insurance Program | GSA. Official websites use .gov.

What is the SF 1152?

SF-1152, Designation for. Unpaid. Compensation. Determines how any unpaid salary and lump sum annual leave are distributed.

What is the purpose of SF 2821?

The SF 2821 should be completed to reflect the retiring employee's insurance status at the time of separation for retirement and attached to the Application for Retirement.

Where do I send my SF 2823?

The completed original SF-2823 must be submitted to the employee's servicing personnel office for immediate filing in the Official Personnel File (OPF). The servicing personnel office will certify the form and mail a copy to the employee's mailing address of record.

What is a SF 2800 form?

SF 2800A. If the deceased was an employee at the time of death and you are the surviving spouse or former spouse, you and the deceased person's agency should complete Standard Form 2800A, which can be obtained from the deceased person's employing agency.

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What is SF 2818?

Federal Employees' Group Life Insurance (FEGLI) Program. Instructions for Completing this SF 2818. Complete this form when you retire or when you are receiving compensation payments from the Office of Workers' Compensation Programs (Department of Labor) and your FEGLI coverage as an employee ends.

What is the SF 2808 form?

This Designation of Beneficiary form is used to designate who is to receive a lump-sum payment which may become payable after your death. It does not affect the right of any person who is eligible for survivor annuity benefits.

Where do I send my FEGLI form?

If the Insured is a retired employee or is receiving Federal Employees' Compensation, file the form with the Office of Personnel Management, Retirement Operations Center, Validation Section, Boyers, PA 16017.

What is an SF 2823 form for?

SF 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)

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sf 2823 revised june 2021

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