Sf 2823 Form. Read instructions on the back of part 2 before completing this form. Sf 2823 (pdf file) paper copies:
SF 2823 Edit, Fill, Sign Online Handypdf
Web form approved omb no. Read instructions on the back of part 2 before completing this form. Opm designations of beneficiary page; Date of birth of insured (mm/dd/yyyy) social security number of insured Submit the designation form to: Information about the insured (not the assignee, if there is one) (type or print) name of insured (last, first, middle) the insured is: Web sf 2823 back of part 2 revised april 2001. Browse the listing below to download your choice of form (s). On june 26, 2013, the supreme court ruled that section 3 of the defense of marriage act (doma) is unconstitutional. Request a paper copy of this form from your servicing human resources office.
Information about the insured (not the assignee, if there is one) (type or print) name of insured (last, first, middle) the insured is: Attachments are also available for designating a trust. Read instructions on the back of part 2 before completing this form. Two people must witness the signature and sign as witnesses. Latest forms, documents, and supporting material. May 20, 2014 the forms, sf 2812, sf 2812a, and opm 1523, have been updated on the opm.gov website. Aug 19, 2014 the form, sf 3107, has been updated on the opm website. Request a paper copy of this form from your servicing human resources office. Web form approved omb no. If you do not know how to contact your human resources office, you can ask your supervisor or your agency benefits officer. Office of personnel management, retirement operations center, p.o.
