Sf 2823 Form. Information about the insured (not the assignee, if there is one) (type or print) name of insured (last, first, middle) the insured is: Date of birth of insured (mm/dd/yyyy) social security number of insured
OPM Form 1841 Edit, Fill, Sign Online Handypdf
Two people must witness the signature and sign as witnesses. Web designation of beneficiary form (sf 2823) designation of beneficiary section in fegli handbook; Office of personnel management, retirement operations center, p.o. Latest forms, documents, and supporting material. The insured or assignee must sign this form. Read instructions on the back of part 2 before completing this form. Web standard forms are used governmentwide for various employment and benefits program purposes. May 20, 2014 the forms, sf 2812, sf 2812a, and opm 1523, have been updated on the opm.gov website. Web form approved omb no. Date of birth of insured (mm/dd/yyyy) social security number of insured
Web submit the designation form to your human resources office. The insured's agency (or u.s. Web sf 2823 back of part 2 revised april 2001. Web standard forms are used governmentwide for various employment and benefits program purposes. The insured or assignee must sign this form. Submit the designation form to: May 20, 2014 the forms, sf 2812, sf 2812a, and opm 1523, have been updated on the opm.gov website. Read instructions on the back of part 2 before completing this form. Sf 2823 (pdf file) paper copies: Web form approved omb no. Browse the listing below to download your choice of form (s).
