Ca 40 2026

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4.8 out of 5

115 votes

The document outlines the CA-40 form used by federal employees to designate recipients for the Death Gratuity Payment under the Federal Employees' Compensation Act. It provides instructions for identifying the employee, designating alternate beneficiaries, and understanding the order of precedence for payment. The form also includes privacy and public burden statements, emphasizing the importance of valid designations and notifying spouses if benefits are allocated to others.

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Click ‘Get Form’ to open the CA-40 in the editor.
Begin by filling out Section A, which requires identifying information about the federal employee. Enter the name, date of birth, department or agency details, social security number, and location.
In Section B, designate an alternate order of precedence if there is no surviving spouse or child. Fill in the names, addresses, relationships, and shares for each designee.
Proceed to Section C to designate additional alternate beneficiaries. Again, provide names and addresses while specifying shares in 10% increments.
Complete Section D by signing and dating the form. Ensure that it is delivered to an official of your employing establishment before submission.
Finally, have an official from your employing establishment sign in Section E to validate the form.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (115 Votes)
2012	4.4 Satisfied (559 Votes)

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