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This page can be found on the web at the following url:
http://www.opm.gov/insure/life/fegli/sf2822.asp

Insurance Programs

Life

Request for Insurance

SF 2822
January 2002
Use:

Federal employees use this form to obtain life insurance coverage by providing medical information.

Electronic Copies:

PDF Fillable Version Adobe Acrobat Version [358 KB]

Paper Copies:

Paper copies of this form are not available. You MUST use the downloadable Adobe Acrobat PDF version.

 
PDF Help U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532