SF 2820 | July 2000 |
Certification of Insured Employee's Retired Status |
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Use: Agencies use this form for employees who have (1) retired under any Federal system OTHER THAN the Civil Service Retirement System (CSRS) or Federal Employees' Retirement System (FERS), and who (2) submit a completed SF 2821, Agency Certification of Insurance Status.
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Paper Copies: Agencies: Use your internal agency procedures for ordering Standard Forms. |
Page updated 27 September 2002