Ps 932: Fill out & sign online

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Click ‘Get Form’ to open the ps 932 document in the editor.
Begin with Section I, Enrollee Information. Fill in your Social Security Number, Last Name, First Name, Street Address, City, State, ZIP Code, and Telephone Number. Ensure all information is printed legibly.
In Section B, choose one of the three options regarding your life insurance coverage: Option 1 for continuation, Option 2 for conversion, or Option 3 for cancellation. Check the appropriate box.
Sign and date the form at the bottom of Section B to confirm your choice.
If you are an agency representative, complete Section II by filling in the Agency Code, Agency Name, Retirement Date, Last Day Worked, Authorized Agency Signature, Last Check Date, and Telephone Number.
Finally, submit the completed form to your agency's benefits administrator as soon as possible.

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2011	4.9 Satisfied (54 Votes)

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