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Click ‘Get Form’ to open the 2012 3107 form in the editor.
Begin with Section A, Identifying Information. Fill in your name, date of birth, and Social Security Number clearly. If you have other names used in federal employment, list them as well.
Proceed to Section B, Federal Service. Enter your final separation date and indicate if you have performed active military service. Attach Schedule A if applicable.
In Section C, provide marital information. If applicable, include details about any former spouse entitled to a survivor annuity.
Move to Section D for Annuity Election. Carefully read the options available for survivor benefits and make your selection by initialing the appropriate box.
Complete Section H for Payment Instructions. Choose between Direct Deposit or Direct Express debit card for receiving payments.
Finally, review all sections for accuracy before signing in Section I and submitting your application through your agency's personnel office.
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