Use:
FEGLI enrollees and assignees use this form to designate who should receive the death benefits. NOT required if the enrollee or assignee has not filed a previous designation of beneficiary and is satisfied with the standard order of precedence.
Attachments are also available for designating a trust Inter vivos Format | Testamentary Format | Instructions Electronic Copies:
Electronic Copies:
To use the Adobe Acrobat forms you need the commercial Acrobat software or the free downloadable Acrobat Reader. You can fill in this form on your computer screen before you print it.
Paper Copies:
Employees:
Request a paper copy of this form from your servicing Human Resources Office.Annuitants or Assignees:
Use your internal agency procedures for ordering Standard Forms.Paper copies of this form are NOT available from OPM.