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This form is used for Documentation and Elections in Support of Application for Death Benefits when the deceased was a Federal employee at the time of death. IF THERE IS A PROBLEM USING THIS FORM, try using the RIGHT button on your mouse, click on the PDF/F icon and select "Save target as" from the resulting menu. Save the form file to your hard drive or a local network drive. Then open the file directly using Adobe Reader 5.0 or above. Using this method, you will avoid trying to open the file through your internet browser.
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Form #:
SF 3104
B
Agency:
Office of Personnel Management
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