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U.S. Office of Personnel Management
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Ensuring the Federal Government has an effective civilian workforce
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Insurance Services Programs
Federal Employees' Group Life Insurance Program
FEGLI Publications and Forms
Publications
FEGLI Booklet for Federal Employees (FE 76-21)
FEGLI Booklet for Postal Employees (FE 76-20)
Information for Retirees and their Families (RI 76-12)
FEGLI Handbook (RI 76-26)
Forms
What Forms Do I Need?
All FEGLI Enrollees
Current Federal/Postal Employees Only
Agencies Only
Standard Forms
Life Insurance Election (SF 2817)
Continuation of Life Insurance (SF 2818)
Notice of Conversion Privilege (SF 2819)
Certification of Insured Employee's Retired Status (SF 2820)
Agency Certification of Insurance Status (SF 2821)
Request for Insurance (SF 2822)
Designation of Beneficiary (SF 2823)
OPM and RI Forms
Agency Certification of Status of Reemployed Annuitants (OPM 1482)
Assignment of Life Insurance (RI 76-10)
Claims Forms
Claim for Death Benefits (FE-6)
Statement of Claim, Option C Family Life Insurance (FE-6DEP)
Claim for Accidental Dismemberment (FE-7)
Living Benefits Claim Form (FE-8)
Miscellaneous Forms
FE-2004 Open Season Election Form
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