Box 151750, Alexandria,Virginia 22315-1750-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your general information in Section 1. Enter your last name, first name, middle name, and any other names used. Provide your Social Security Number and date of birth (proof required). Ensure all details are clear and legible.
3. Complete your mailing address, including city, state, zip code, and country. Optionally provide your email and phone numbers for contact purposes.
4. In Section 2, indicate your marital status by checking 'Yes' or 'No' and provide your spouse's details if applicable. Remember to include proof of marriage if required.
5. Proceed to Section 3 to select your benefit form. Carefully read the options available and mark only one choice that suits your situation.
6. If married and you selected certain options in Section 3, ensure that Section 4 is completed with spousal consent witnessed by a Notary Public.
7. Fill out Sections 5 and 6 for beneficiary designations as needed. Be sure to provide accurate information about beneficiaries.
8. Choose how you would like to receive payments in Section 7. You can opt for electronic funds transfer or mail delivery based on your preference.
9. Finally, complete the federal tax election in Section 8 by selecting one option regarding tax withholding before signing the application in Section 9.

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