Sf 2823 Form. Web form approved omb no. Information about the insured (not the assignee, if there is one) (type or print) name of insured (last, first, middle) the insured is:
Fill out DA Form 2823, Page 2
Office of personnel management, retirement operations center, p.o. (1) may 20, 2014 the form, sf 2823 has been updated on the opm.gov website. Submit the designation form to: Web form approved omb no. Web designation of beneficiary form (sf 2823) designation of beneficiary section in fegli handbook; We recommend that you designate beneficiaries to receive your life insurance benefits. Date of birth of insured (mm/dd/yyyy) social security number of insured On june 26, 2013, the supreme court ruled that section 3 of the defense of marriage act (doma) is unconstitutional. Attachments are also available for designating a trust. The insured or assignee must sign this form.
Web standard forms are used governmentwide for various employment and benefits program purposes. Web designation of beneficiary form (sf 2823) designation of beneficiary section in fegli handbook; Web form approved omb no. Web standard forms are used governmentwide for various employment and benefits program purposes. Web submit the designation form to your human resources office. Request a paper copy of this form from your servicing human resources office. The insured or assignee must sign this form. Sf 2823 (pdf file) paper copies: Web sf 2823 back of part 2 revised april 2001. If you do not know how to contact your human resources office, you can ask your supervisor or your agency benefits officer. Information about the insured (not the assignee, if there is one) (type or print) name of insured (last, first, middle) the insured is:
