FE-6 DEP
Feb 2011
Use:
Used to claim benefits for the death of family members covered by FEGLI Option C coverage.
Electronic Copies:
PDF Fillable [391 KB]
Paper Copies:
Employees:
Download the form locally. However, if you can't access the Adobe-Acrobat PDF-fillable form, then request a copy from your servicing human resources office.
Annuitants:
- Call toll free 1-888-767-6738
(202-606-0500 in the DC Area), or
- Send an email to retire@opm.gov, giving the number of the form that you need and your mailing address, or
- Request a copy from a local Federal agency Human Resources Office.
Agencies:
We encourage agencies to download the form locally. However, if you can't access the Adobe Acrobat PDF-fillable form, you can order a limited supply from OFEGLI.
Agency headquarters insurance officers order FE forms directly from OFEGLI. OFEGLI accepts orders by fax and mail only - no telephone orders. The fax numbers are 315-792-6603 or 315-792-6802 - Attention: Forms Ordering Desk. The mailing address is Office of Federal Employees' Group Life Insurance, Attention: Forms Ordering Desk, P.O. Box 6512, Utica, NY 13504-6512. OFEGLI will need the form number, the quantity, the shipping address and the point of contact, in case of questions.