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The FELL Handbook for Personnel and Payroll Offices ... 6. Did the employee assign his/her insurance? No. Yes (attach RI 7610). 7. ... Date of SF 2819, Notice of Conversion Privilege Issuance Is Mandatory

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01

Start by entering your personal information, including your full name, social security number, and contact information.

02

Next, provide details about your current employment status, such as your job title, organization name, and the date you started working there.

03

Indicate whether you are applying for retirement, disability, or survivor benefits and provide any relevant supporting documents.

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Complete the sections related to your military service, if applicable, including your branch, service number, and dates of service.

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Submit the filled-out SF2821 to the appropriate agency, such as the Office of Personnel Management or your employer's Human Resources department.

Who needs SF2821:

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Federal employees who are applying for retirement benefits.

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Individuals who are applying for disability benefits under the Federal Employees Retirement System (FERS).

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Survivors of federal employees or retirees who are seeking survivor benefits.

It is essential to accurately fill out SF2821 to ensure that your retirement, disability, or survivor benefits application is processed correctly and in a timely manner.

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