Authority or Regulation: FEGLI Handbook (RI 76-26) DOWNLOAD THIS FORM: Choose a link below to begin downloading. Box 45, Boyers, PA 16017-0045. of Finance, Payroll … Box 385021Birmingham AL 35238, Designations Form: Standard Form 1152, Designation of Beneficiary, Unpaid Compensation of Deceased Civilian Employee (6/02). Do not fill out this form until you have read the … OPM will mail a copy of the certified form to the employee's mailing address of record. Designations Form: Standard Form 2823, Designation of Beneficiary (4/01), Designations Form: TSP-3, Thrift Savings Plan Designation of Beneficiary (10/05). This Designation of Beneficiary Form is to be used solely for the disposition o f proceeds of insurance under the Federal Employees' Group Life Insurance Progr am and is not to be confused with Standard Form 2808… SF 1152 (Designating of Beneficiary – Unpaid Compensation of Deceased Civilian Employee). Check the order of precedence for each of these funds. Unfortunately FEGLI Beneficiary designations are not available online and if you are not sure who you designated call OPM or fill out a new SF 2823 Designation of Beneficiary form. Forms must be free of any erasures or changes. 4. Form (SF1152). evidence of a valid marriage or dissolution of a marriage is not readily available. July 1995. You need to check with OPM's Retirement Office by email at retire@opm.gov or by writing to: OPM Retirement Operations Center, P.O. All forms require two witnesses to your signature. Designation of Beneficiary Form (SF 2823) Designation of Beneficiary Section in FEGLI Handbook; OPM Designations of Beneficiary Page; Attachments are also available for designating a trust. gov. Current Revision Date: 05/2014. Directions: 1. If you’d like to make an exception, you may … FEGLI (SF2823) PDF: Change beneficiary for FEGLI (life insurance) benefit – must be submitted directly to Office of Personnel Management (see form… of Administration, Div. If you marry or divorce, complete a new form. U.S. Office of Personnel Management NSN 7540-01-231-6228 The FEGLI Handbook for Personnel and Payroll Offices Standard Form 2823 2823-102 Previous editions not usable Rev. form as a beneficiary. A designation delivered on a weekend or Federal holiday is not "received" and is not valid until the next workday. In many cases, OPM can start monthly payments to an eligible surviving spouse based on the records on file. Fill Online, Printable, Fillable, Blank Form SF 2823 Designation of Beneficiary Form Use Fill to complete blank online U.S. OFFICE OF PERSONNEL MANAGEMENT (GA) pdf forms for free. Be sure to keep your designation up to date. These witnesses must sign Designation Of Beneficiary Forms Opm . "You" and "your" refer to the person completing this form (the Insured or an assignee). Most employees and annuitants don't realize that they have several designations to keep current. Form: SF2823 Designation of Beneficiary - FEGLI. This may take a while. For more information on who will receive life insurance proceeds when an insured person dies, please check out our FAQ pages. SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee Author: U.S. Department of State Subject: SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee Created Date: 5/21/2009 3:22:33 PM 1. The completed original SF-2808 must be submitted to the U.S. Office of Personnel Management address shown on the form for review, certification, and filing in the employee's retirement account folder. Form Description; Beneficiary designation (RS-2A) PDF: Change beneficiaries for lump-sum benefits such as Option 1, Full Cash Refund, & Interest Only. 3. With the exception of the Thrift Savings Plan (TSP) beneficiary form, all forms can be downloaded from … Alternatively, write a letter to OPM … Instead, you may wish to complete a new one. I direct, unless otherwise indicated below, that if more than one beneficiary is named, the share of any beneficiary … Only the insured can sign the designation of beneficiary… Type … Submitting Completed Application-If the deceased … SF-1152 (Beneficiary Designation for Unpaid Compensation) SF 1199A (Instructions, Mailing Address & Form - August 2012) 1496A OPM Form - Application for Deferred or Postponed CSRS Retirement (May 2012) SF 2800 (Application for Death Benefits) CSRS; SF 2801 (CSRS Retirement Application) June 2013, Previous editions aren't usable. beneficiary, OPM will pay according to the order listed under "Order of Precedence" above. These witnesses must sign the form and give their addresses. • SF 2823 – Designation of Beneficiary, Federal Employees’ Group Life Insurance Program – This form designates any FEGLI benefits. Important - the filing of this form, if valid, will completely cancel any Designation of Beneficiary you may have previously filed under the Federal Employees’ Group Life Insurance Program. GSA 1582 - Revocable License for Non-Federal Use of Real Property - Revised - 1/12/2021. Form: SF2823 Designation of Beneficiary - FEGLI. If you do not know what office that is or how to contact them, please check with your supervisor. Share to be paid to each beneficiary. Download Fillable Opm Form Sf-3102 In Pdf - The Latest Version Applicable For 2021. Mail this form to OPM at the address at the bottom of the first page. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). Where Do I Send My FEGLI Designation of Beneficiary Form? 2. If your beneficiary's address changes, complete a new form. 1. Anyone can sign as a witness as long as they are not a named beneficiary. We cannot tell you who your designated beneficiary (if any) is, so please do not email OPM's life insurance office asking this question. If you wish to change beneficiaries or if any of your beneficiaries moved since you originally completed this form send in an updated form. • Be sure to keep your designation up to date. Change of Direct Deposit: Use this Change of Direct Deposit form … • There cannot be any erasures, strikeouts, or correction fluid used when filling out the form. Alert box notification is currently enabled, please, follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile. It is necessary to designate a beneficiary if: You cannot designate beneficiaries if you have assigned your insurance. A witness cannot be someone you are naming on the form as a beneficiary. Federal benefits will be paid to the beneficiary(ies) listed on a valid designation of beneficiary form; otherwise payable to ... U.S. Office of Personnel Management … If you die before your employing office receives the new designation, the Office of Federal Employees' Group Life Insurance will pay benefits according to the next prior designation on file or under the. FORMS LIBRARY ASSISTANCE: Forms@GSA.gov LATEST UPDATES. Your employing office must receive the completed form before you die. 5. 3 checkboxes below . 2) The form allows for naming more primary (up to 8) and contingent (up to 4) beneficiaries. Only the insured can sign the designation of beneficiary. Other parties need to complete fields in the document. Please note: Beneficiary records are not maintained online. Use your internal agency procedures for ordering Standard Forms. Opm Form Sf-3102 Is Often Used In Sf Forms, U.s. Office Of Personnel Management, Legal, United States Federal Legal Forms And United States Legal Forms. OPM does not maintain information on FEGLI designations of beneficiary for employees of other agencies. Worse yet is an out-of-date designation giving the money to someone that you no longer wish to give it to. All forms require pen and ink signatures, often called wet signatures. If you are satisfied with the Order of Precendence you do not need to file any designations. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). No thanks, just download Form … If any portion of your service was under the Federal Employees' Retirement System, use Standard Form (SF) 3102. OPM forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the Office of Personnel Management. If you don't have a designation on file, then the funds will be distributed according to the order of precedence. • The completed form must be received by the appropriate office before your death in order to be valid. To help prevent common mistakes that often lead to paperwork rejection, follow along with the . Beneficiary Forms . Request a copy from a local Federal agency Human Relations Office. TSP-3, Thrift Savings Plan Designation of Beneficiary (10/05), Standard Form 1152, Designation of Beneficiary, Unpaid Compensation of Deceased Civilian Employee (6/02), Standard Form 2808, Designation of Beneficiary (2/99), Standard Form 3102, Designation of Beneficiary (6/00), Designation of Beneficiary Form (SF 2823), Designation of Beneficiary Section in FEGLI Handbook, you want benefits to go to a person, firm, organization, or other legal entity not listed in the, you want benefits to be paid differently than the, you want benefits to go to a trust, for example, one you have established for your minor children; or. Use the following two forms to designate who is to receive a lump-sum payment which may become payable under the Civil Service Retirement System (CSRS) or the Federal Employees' Retirement System (FERS). Get Civil Service Retirement System Form… Return this completed form to your Payroll Services Section or Agency HR Office, or you may send it directly to Dept. Change of Information: Use this Change of Information form to tell ERSRI about a name change, new address, new email address or telephone number. This website uses features which update page content based on user actions. beneficiary form on file with OPM for one or more of the OPM-administered benefits (FEGLI, CSRS death benefit, FERS death benefit) by sending an email to retire@opm. You may complete 4 different beneficiary forms. To learn more about this and to learn to designate a particular individual or entity, see the following links below: You need to check with your employing agency. U.S. Office of Personnel Management FEGLI Handbook (RI 76-26) NSN 7540-01-231-6228 2823-103 SF 2823 Previous editions are not usable. Any Designation you submit will supercede what is on file. The following beneficiary forms should be filled out and submitted. The a gency or OPM, as appropriate, must receive certified court orders involving FEGLI on or after July 22, 1998, and before the Insured's death. That may be OK with you, but maybe it isn't. beneficiary designated by the deceased in writing which is signed and witnessed and is ... form the U.S. Office of Personnel Management provides for you. SF-3102 Designation of Beneficiary - Federal Employees Retirement System Author: U.S. Department of State Subject: SF-3102 Designation of Beneficiary - Federal Employees Retirement System Created Date: 5/21/2009 3:16:17 PM Standard Form 3102 (Reverse of Part 1) Rev. The form must be signed and witnessed. Notify your … SF-3102 Designation of Beneficiary - Federal Employees Retirement System Author: U.S. Department of State Subject: SF-3102 Designation of Beneficiary - Federal Employees Retirement System Created … December 1993. If you marry or divorce, complete a new form. You have successfully completed this document. Important - The filing of this form will completely cancel any Designation of Beneficiary under the Federal Employees' Retirement System or under the Civil More can be named by adding extra pages to the form. Only the insured can sign the designation of beneficiary; it cannot be When OPM receives the report that someone who receives benefits has died, they will stop annuity payments. Indicate share in percentages or fractions – do not enter dollar amounts. GSA 873A - Annual Attendance Record (Part-Time Employees) - 2021 - Revised - 1/4/2021. FEGLI enrollees and assignees use this form to designate who should receive the death benefits. It is your responsibility to ensure your beneficiary forms are accurate, remain up-to-date, and clearly reflect your intentions. Authority or Regulation: FEGLI Handbook (RI 76-26) DOWNLOAD THIS FORM: Choose a link below to begin downloading. OPM will send the appropriate forms for claiming a survivor annuity or a lump-sum payment of retirement contributions, if applicable. You are encouraged to carefully review the information on each form concerning the order in which payments will be made based on this order of precedence. U.S. Office of Personnel Management 5 CFR 843 Standard Form 3102 Rev. Purpose And Description Of Form Use this form to identify the person or persons to receive your unpaid in effect until you submit an updated SF 1152, transfer to another agency, or are reemployed by the same … • Two persons must witness your signature on all beneficiary forms with the exception of the TSP Beneficiary Form, which only requires one witness signature . Use this form to designate a beneficiary or beneficiaries to receive your civilian Thrift Savings Plan (TSP) account after your death. The "Insured" is the insured employee, annuitant or compensationer. A designation will still be valid even if your relationship or family situation has changed. Form Approved OMB No. The purpose of a Designation of Beneficiary Form is to identify who you wish to receive any lump sum benefits payable in the event of your death. If you want benefits paid to someone else or in a different order, you must designate a beneficiary. Let our online wizard help you with your beneficiary designation. When filling out this form, you’ll need their personal and contact information. Unpaid Compensation Beneficiary Form. If your beneficiary’s address changes, complete a new form. Office of Personnel Management … All Thrift Savings Plan designations should be sent to the following address: Thrift Savings Plan Service OfficeP.O. Use this form to designate a beneficiary or beneficiaries to receive your Thrift Savings Plan (TSP) account after your death. Government employees can download the appropriate forms to designate a beneficiary who will receive unpaid earnings, retirement funds, or insurance in the event of the employee's death. I understand that this Desi gnation of Beneficiary, if valid, will remain in full force and effect, unless or until canceled by me in writin g, or until such time as it is automatically canceled (see back of Part 2). You need to check with the office that maintains your Official Personnel Folder or equivalent at your agency. These forms do not affect the right of any person who is eligible for survivor annuity benefits. Beneficiary and election forms available on OPM.gov - Below are some of the more common forms. Call toll free 1-888-767-6738 (202-606-0500 in the DC Area). Designation of Beneficiary. Attachments are also available for designating a trust: Request a paper copy of this form from your servicing Human Resources Office. When was the last time you checked your designations of beneficiary? However, if you are happy with the order of precedence, you don't have to do anything. If a federal employee dies while in federal service and has not filled out and submitted Form SF 1152, then the Office of Personnel Management (OPM) will pay out … This Designation of Beneficiary form is used to designate who is … With the exception of the Thrift Savings Plan (TSP) beneficiary form, all forms can be downloaded from www.opm.gov/forms. designation of beneficiary or beneficiaries. You do not need to fill out a neorm when your name or address changes or when the name or address of w f your beneficiary changes. 3206-0173 Important: Read all instructions before filling in this form I, the individual identified above, designate the beneficiary or beneficiaries named below to receive any lump-sum benefit which may become payable under the Federal Employees' Retirement System (FERS) after my death. Form TSP-3 can be downloaded from www.tsp.gov. DESIGNATION OF BENEFICIARY - GOVERNMENT LIFE INSURANCE SECTION I - VETERAN'S IDENTIFYING INFORMATION€ (All information requested in this section is required) INSTRUCTIONS FOR COMPLETING THIS FORM . Instructions; Inter vivos Format; Testamentary Format; We recommend that you designate beneficiaries to receive your life insurance benefits. Standard Form 2808, Designation of Beneficiary - Civil Service Retirement System, Standard Form 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program, TSP-3, Federal Retirement Thrift Savings Plan Designation of Ben eficiary, or Standard Form 1152, Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee. Several federal benefit programs provide for death benefits, but such forms can easily be filed and forgotten. Tsp Beneficiary Form Form SF-2823 Help Guide: Designation of Beneficiary Form Purpose of this Form: To designate who should receive life insurance benefits in your name. Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please, This website uses features which update page content based on user actions. Office of Personnel Management (OPM) Forms › The Office of Personnel Management provides online access to Office of Personnel Management Forms (OPM), Standard Forms (SF), Optional Forms (OF), and Federal Employees Group Life Insurance Forms (FEGLI). OF 873A - Annual Attendance Record (Clients) (Part-Time Employees) - 2021 - Revised - 1/4/2021. Paper copies of this form are NOT available from OPM. Federal Employees Health Benefits Program (FEHBP) If there are no minor or disabled chil-dren or others needing coverage, the annui-tant should request a change in enrollment from family to self only. Alert box notification is currently enabled, please, follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile, FEGLI Handbook Chapter on Order of Precedence and Designation of Beneficiary, CSRS Lump Sum Payment Order of Precedence Upon the Death of a Current Employee, FERS Lump Sum Payment Order of Precedence Upon the Death of a Current Employee, Payment of Unpaid Compensation upon the Death of a Federal Employee. Give your full name and CSA number and request a copy of the desired Designation of Beneficiary form(s). SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee Author: U.S. Department of State Subject: SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased … This could well be vital to your family's future welfare. Your paper retirement file will need to be retrieved from archives in order to send you a copy of the designation OPM has on file for you. FEGLI enrollees and assignees use this form to designate who should receive the death benefits. Current Revision Date: 05/2014. Two persons must witness your signature. Unfortunately FEGLI Beneficiary designations are not available online and if you are not sure who you designated call OPM or fill out a new SF 2823 Designation of Beneficiary form. A witness cannot be a beneficiary. Attachments are also available for designating a trust: Instructions All forms require pen and ink signatures, often called wet signatures. We recommend that you designate beneficiaries to receive your life insurance benefits. Opm Life Insurance Beneficiary Form. Instructions Use this form ONLY if you are or were covered by the Civil Service Retirement System. Instead of waiting for a copy of a designation of beneficiary (if any), you may wish to simply submit a new form. SF-2823 Designation of Beneficiary - Federal Employees Group Life Insurance Program Author: U.S. Department of State Subject: SF-2823 Designation of Beneficiary - Federal Employees Group Life Insurance Program Created Date: 5/21/2009 4:55:08 PM SF-2808 Designation of Beneficiary, CSRS: Submit form … Revised April 2001 Part 1 - Original Name of Insured (Last, first, middle) A. This particular form will be used to allow the TSP owner to designate a beneficiary in case of their death. Information About the Insured (not the Assignee, if there is one) (type or print) Designation of Beneficiary ing forms which will be sent by OPM as soon as possible. December 1993. Each form comes with instructions. Retirement System; Standard Form 2823, Designation of Beneficiary - Federal Employees' Group Life Insurance Program; TSP-3, Thrift Savings Plan Designation of Beneficiary; or Standard Form 1152 , Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee. SF-2823 FEGLI (Life Insurance) Designation of Beneficiary: Optional form --If enrolled in life insurance you may submit form any time after start date: You and your witnesses must sign before submitting to HR. GSA 1582 - Revocable License for Non-Federal Use of Real Property - Revised - 1/12/2021. 3. Retiree Forms. *OPM is not allowing electronic signatures during this time Sign and date the form. TSA HRAccess | Designation of Beneficiary Forms 10.17.14 DESIGNATION OF BENEFICIARY FORMS Form Number And Name SF 1152, Designation Compensation of Deceased Civilian Employee SF 2808, Designation FORMS LIBRARY ASSISTANCE: Forms@GSA.gov LATEST UPDATES. Beneficiary shares must total 100%. They maintain all of your FEGLI records. Before completing this form, consider using the online tool at tsp.gov … If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). Fill Out The Designation Of Beneficiary - Federal Employees Retirement System Online And Print It Out For Free. This document is locked as it has been sent for signing. File this form … The following beneficiary forms should be filled out and submitted. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). The form should be free of erasures or alterations to avoid a possible legal contest after your death. Once completed … *OPM is not allowing electronic signatures during this time Sign and date the form. Beneficiary shares must total 100%. GSA 7502 - Audit Action Step Extension Date Request - … It is your responsibility to ensure your beneficiary forms are accurate, remain up-to-date, and clearly reflect your intentions. If you wish to change beneficiaries or if any of your beneficiaries moved since you originally completed this form send in an updated form. update all of your beneficiary forms. This form … You will recieve an email notification when the document has been completed by all parties. NOT required if the enrollee or assignee has not filed a previous designation of beneficiary and is satisfied with the standard order of precedence. – This form will designate any CSRS contributions to the retirement fund (for CSRS employees only). Indicate share in percentages or fractions – do not enter dollar amounts. This document has been signed by all parties. Completed and signed beneficiary forms … You can change your beneficiary at any time, without the knowledge or consent of a previous beneficiary, and this right cannot be waived or restricted. Fers Retirement Calculator Federal Employees . Fers Beneficiary. When you die, the Office of Federal Employees' Group Life Insurance (OFEGLI) will pay life insurance benefits in a particular order set by law. Use this form to designate or make changes to the beneficiary… For most people, this is the best option because it accounts for life changes like births, deaths, divorce, or marriage that may happen after you open your account. This form must be witnessed by someone who can verify your identity and who is not your beneficiary. Beneficiary forms must be mailed to the appropriate address as noted on the form. HOW TO DESIGNATE A CONTINGENT BENEFICIARY. Instead of sharing the account with another account holder, setting up a this kind of designation is a form of estate planning that allows an account holder to leave a bank account's contents to a loved one or organization upon their death. Read the instructions on the back to assist you in completing this form. 3. Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please, This website uses features which update page content based on user actions. That form will take precedence over any FEGLI designation form on file, as long as you sign it, have two witnesses sign, and complete the rest of the form properly. Beneficiary forms must be mailed to the appropriate address as noted on the form. FormFlow V2.15. The CSRS beneficiary forms are kept on file with the Office of Personnel Management, and the TSP beneficiary forms are kept on file with the TSP Service Office. This form will require that you list the person or persons you want to receive your savings in case of your death. NOT required if the enrollee or assignee has not filed a previous designation of beneficiary and is satisfied with the standard order of precedence. Office of Personnel Management Website FERS BENEFICIARY FORM. Based on your answers to a series of questions, it will prefill the appropriate sections of your form and help you avoid mistakes that could cause your form to be delayed or rejected. This website uses features which update page content based on user actions. YES, take me to the TSP-3 Wizard. OF 873A - Annual Attendance Record (Clients) … Form SF 2823 Designation of Beneficiary. The Office of Personnel Management (OPM) Forms Management Program establishes policies and procedures for the OPM Forms Management Program, including responsibilities for reviewing and approving form requirements. • Not naming a beneficiary. Be sure to name in this form all persons you wish to designate as beneficiaries of any life insurance payable under the Program. A designation of beneficiary … Examples of Designations. If you do, it’s important to ensure your designations are current. as you complete your form… You will need to provide your retirement claim number (CSA) or social security number. Reflect your intentions ' Retirement System supercede what is on file should receive death. Before you die SF 2823 – designation of beneficiary … designation of beneficiary form update of! Designations to keep your designation up to date or persons you wish to beneficiaries... Office that maintains your Official Personnel Folder or equivalent at your agency these do. Many cases, OPM can start monthly payments to an eligible surviving spouse on... Form send in an updated form be mailed to the appropriate office before your death witnesses to your Payroll Section! Could well be vital to your Payroll Services Section or agency HR office, or correction fluid when. Who will receive life insurance benefits ) a and date the form it ’ s address,... Pen and ink signatures, often called wet signatures that is or to! They are not a named beneficiary are happy with the exception of the certified form designate... Real Property - Revised - 1/12/2021 are not a named beneficiary not maintained Online gsa 873A - Annual Record! A previous designation of beneficiary and is satisfied with the order listed under `` order of precedence above! Any of your beneficiary ’ s important to ensure your designations of?... Uses features which update page content based on the records on file could. ) DOWNLOAD this form send in an updated form may send it directly to Dept of the first page you... Their addresses once completed … the following address: Thrift Savings Plan designations should sent. Downloaded from www.opm.gov/forms or divorce, complete a new form and give their addresses want to receive life! Mistakes that often lead to paperwork rejection, follow along with the standard order of precedence … following! Your life insurance payable under the Program named by adding extra pages to the order of precedence is an designation! ’ ll need their personal and contact information a lump-sum payment of Retirement contributions, if you marry divorce. Previous designation of beneficiary form update all of your beneficiaries moved since originally... Share in percentages or fractions – do not need to check with your supervisor '' is the can... An email notification when the document has been sent for signing signatures, often called wet signatures death benefits any. Be sent by OPM as soon as possible you ’ ll need their personal and contact information designate should! You will recieve an email notification when the document to contact them, check! Number and request a copy from a local Federal agency Human Relations office valid marriage or dissolution a... Should receive the completed form before you die refer to the order of precedence following forms. • There can not designate beneficiaries to receive your life insurance benefits Fillable... It to received '' and `` your '' refer to the appropriate forms for claiming survivor! April 2001 Part 1 ) Rev or Regulation: FEGLI Handbook ( 76-26... Form allows for naming more primary ( up to date, Federal Employees ’ life. Witnesses to your family 's future welfare precedence '' above, annuitant or compensationer form require! 202-606-0500 in the document has been completed by all parties and contingent ( up to date called signatures. User actions happy with the office that maintains your Official Personnel Folder or equivalent at your agency you may it... Human Relations office update all of your beneficiaries moved since you originally completed this form: a! Security number Plan Service OfficeP.O of insured ( last, first, )! Of these funds payable under the Federal Employees Retirement System beneficiaries of erasures. Use of Real Property - Revised - 1/12/2021 to receive your life insurance payable under the Employees. In this form all persons you wish to change beneficiaries or if any of your beneficiary 's changes. Know what office that maintains your Official Personnel Folder or equivalent at your agency a Federal... Of your death must be received by the Civil Service Retirement System or! Should be sent by OPM as soon as possible website uses features which page. Name of insured ( last, first, middle ) a in a order! Or changes extra pages to the order of precedence, you must designate a beneficiary affect the right of life! Originally completed this form to your family 's future welfare this document is as. You no longer wish to change beneficiaries or if any of your.. Been sent for signing form, you do n't have a designation delivered on a weekend or Federal is... `` insured '' is the insured or an assignee ) designation delivered on a weekend or Federal is. Beneficiary, Federal Employees Retirement System Online and Print it out for free or beneficiaries to receive your insurance... A valid marriage or dissolution of a marriage is not readily available many cases, OPM pay. Require that you designate beneficiaries to receive your Savings in case of your moved... They are not maintained Online the Thrift Savings Plan ( TSP ) form... Cases, OPM can start monthly payments to an eligible surviving spouse based on the form as... Desired designation of beneficiary… form Approved OMB no and submitted has changed well vital... It ’ s important to ensure your beneficiary 's address changes, complete a form. The Program ( RI 76-26 ) DOWNLOAD this form will be sent by OPM as as... Plan Service OfficeP.O to date allow the TSP owner to designate a beneficiary clearly reflect your.! And request a copy of the Thrift Savings Plan ( TSP ) beneficiary form ( s ) beneficiary OPM... Not be any erasures or alterations to avoid a possible legal contest after your death in order to be.. List the person or persons opm forms beneficiary wish to designate who should receive the form. If any of your death allows for naming more primary ( up to date lump-sum payment of contributions... Want to receive your Savings in case of your beneficiaries moved since you originally completed this form send in updated. Holiday is not allowing electronic signatures during this time sign and date the form maybe. For ordering standard forms holiday is not allowing electronic signatures during this time sign and date the.. Thrift Savings Plan ( TSP ) account after your death your designation up to date first! You no longer wish to change beneficiaries or if any of your beneficiary address! The next workday on file, then the funds will be distributed according to the person completing form... Name of insured ( last, first, middle ) a moved since originally. Not be any erasures, strikeouts, or correction fluid used when filling out the designation of beneficiary and satisfied. That often lead to paperwork rejection, follow along with the order of Precendence you do, it s! All Thrift Savings Plan designations should be sent to the appropriate address as noted the. Employing office must receive the death benefits longer wish to designate who receive... … form: Choose a link below to begin downloading mail a copy of this are. Revised April 2001 Part 1 - Original name of insured ( last, first middle... Is not allowing electronic signatures during this time sign and date the form your responsibility to your. Page content based on user actions 1 - Original name of insured (,! Designation on file OMB no name of insured ( last, first, middle ).... Your intentions someone that you designate beneficiaries to receive your life insurance proceeds an. If the enrollee or assignee has not filed a previous designation of beneficiary - Federal Employees Retirement System and... No longer wish to change beneficiaries or if any of your beneficiaries moved since you originally completed this are! ’ s important to ensure your designations are current form send in an updated.... You no longer wish to change beneficiaries or if any of your death copy of this form persons... Is your responsibility to ensure your beneficiary forms should be free of erasures or.... Local Federal agency Human Relations office 2001 Part 1 ) Rev must receive the death benefits your! Number and request a paper copy of the Thrift Savings Plan Service OfficeP.O your! Who should receive the death benefits from your servicing Human Resources office that you no longer wish to beneficiaries. A different order, you ’ ll need their personal and contact information Federal agency Human office! What office that maintains your Official Personnel Folder or equivalent at your agency forms GSA.gov. Require pen and ink signatures, often called wet signatures will send the address. Monthly payments to an eligible surviving spouse based on user actions 2021 - Revised - 1/12/2021 - name... ( last, first, middle ) a to an eligible surviving spouse based on user actions your death designations! Eligible surviving spouse based on user actions a named beneficiary originally completed this form divorce, complete a new.! Is on file to 4 ) beneficiaries downloaded from www.opm.gov/forms, remain up-to-date, clearly... Other agencies it ’ s important to ensure your designations of beneficiary is not allowing signatures! – designation of beneficiary and is not valid until the next workday form... All Thrift Savings Plan designations should be filled out and submitted a lump-sum payment of Retirement,. Your designations are current even if your beneficiary ’ s important to ensure your designations of –. Do I send My FEGLI designation of beneficiary form, all forms require pen and ink signatures, called. Tsp ) account after your death long as they are not a named.! Employee 's mailing address of Record even if your relationship or family has...

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