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U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

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Insurance Services Programs

FEGLI Program Booklet For U.S. Postal Service Employees

Life Insurance Forms

Unless otherwise noted, the following life insurance forms and publications are available at You may also wish to check with your local personnel office.

Standard Forms

SF 2817

Life Insurance Election

SF 2818

Continuation of Life Insurance Coverage As an Annuitant or Compensationer

SF 2819

Notice of Conversion Privilege

SF 2820

Certification of Insured Employee's Retired Status

SF 2821

Agency Certification of Insurance Status

SF 2822*

Request for Insurance

SF 2823

Designation of Beneficiary

Office of Personnel Management Forms

OPM 1482

Agency Certification of Status of Reemployed Annuitants

RI 76-10

Assignment, Federal Employees' Group Life Insurance

Office of Federal Employees' Group Life Insurance Forms


Claim for Death Benefits


Statement of Claim — Option C


Claim for Accidental Dismemberment


Claim for Living Benefits

Booklets, Pamphlets, and Handbooks

RI 76-12

FEGLI Pamphlet for Retirees

FE 76-20

FEGLI Program Booklet (U.S. Postal Service)

FE 76-21

FEGLI Program Booklet (Federal)

RI 76-26*

FEGLI Handbook

* Available in electronic format only at

† Available only from the Office of Federal Employees' Group Life Insurance (OFEGLI) by calling 1-800-633-4542.

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