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This page can be found on the web at the following url:
http://www.opm.gov/insure/life/fegli/fe-6.asp

Insurance Programs

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  1. Federal Employees
  1. Retirees / Survivors
  1. Benefits Officers
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Life

Claim for Death Benefits

FE-6
Feb 2011
Use:

Used to claim benefits for the death of anyone enrolled in the FEGLI program. Form FE-6 DEP is used to claim benefits for the death of family members covered under Option C.

Electronic Copies:

PDF Fillable Fillable PDF [257 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, 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.