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U.S. GSA GSA Form SF 2812 REPORT OF WITHHOLDINGS AND CONTRIBUTIONS FOR HEALTH BENEFITS LIFE INSUR OPM 1/1/1990 ORIGINATOR FPM SUPPLEMENT 830-1 FORM NUMBER GSA Form SF 2812 FORM TITLE U.S. GOVERNMENT AGENCY U.S. GSA POINTS OF CONTACT GSA Forms Management Officer USERS U.S. GSA FILE FORMATS PDF OPTIMIZED T PRINTABLE FILLABLE SAVABLE OBTAINING FROM 1 GSA.
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How to fill out sf 2812 form

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01
To fill out the SF 2812 form, you will need to start by downloading or obtaining a physical copy of the form. It is available on the official website of the U.S. Office of Personnel Management (OPM).
02
Begin by carefully reading the instructions provided with the form. These instructions will guide you through the different sections and requirements of the SF 2812 form.
03
Fill in the personal information section, which includes your full name, address, Social Security number, and contact details. Make sure to double-check the accuracy of the information before moving on.
04
Provide information about your current employment status, including your agency or department, position title, and service computation date. If you have any previous federal service, indicate it as well.
05
Next, indicate your coverage choices by selecting the appropriate boxes for the types of life insurance coverage you wish to elect or cancel. This may include Basic, Option A, Option B, or Option C coverage. If you are declining coverage, make sure to state it clearly.
06
If you intend to designate beneficiaries for your life insurance benefits, complete the beneficiary section of the form. Provide the names, relationships, addresses, and Social Security numbers of the beneficiaries. You can also specify the percentage of the benefit each beneficiary will receive.
07
If you have any additional remarks or comments related to your life insurance coverage, you can include them in the remarks section of the form. This is an optional step, so it is not mandatory to fill this section unless you have any specific instructions or information you wish to communicate.
08
Review the entire form to ensure that all the information provided is accurate and complete. Double-check the spelling, dates, and numbers for any possible errors or omissions.
09
Sign and date the SF 2812 form. Your signature indicates that all the information provided is true and accurate to the best of your knowledge.
10
Once you have completed the form, make a copy for your records and submit the original to the appropriate office or department that handles life insurance matters for your agency or organization.

Who needs the SF 2812 form?

01
Federal employees who wish to elect or cancel life insurance coverage under the Federal Employees' Group Life Insurance (FEGLI) program need the SF 2812 form. This form is specifically designed for federal employees to make choices regarding their life insurance coverage and beneficiaries.
02
Employees who want to change their coverage type, increase or decrease their coverage amounts, or update their designated beneficiaries should also complete the SF 2812 form.
03
It is essential for federal employees to review their life insurance coverage periodically to ensure it aligns with their needs and circumstances. Therefore, anyone in the federal workforce who wants to make changes to their life insurance coverage will need to fill out the SF 2812 form.
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SF 2812 form is a form used by federal employees to apply for a lump sum payment of their retirement contributions.
Federal employees who are eligible for retirement and wish to receive a lump sum payment of their retirement contributions are required to file SF 2812 form.
To fill out SF 2812 form, you need to provide your personal information, employment history, retirement system information, and desired payment option. The form must be completed and signed by the applicant.
The purpose of SF 2812 form is to request a lump sum payment of retirement contributions instead of receiving a monthly annuity.
The SF 2812 form requires reporting of personal information such as name, address, social security number, employment history, retirement system information, and payment option.
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