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Office of Service members\' Group Life InsuranceServicemembers Group Life Insurance Election and Certificate1. About Print Name (First, Middle, Last×Rank, title or gradeSocial Security NumberDuty
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cdncocodoccomcocodoc-form-pdfpdfservicemembers group life insurance provides life insurance coverage to servicemembers.
Servicemembers who want to enroll in the group life insurance program are required to file the form.
The form can be filled out online or submitted physically with all required information and signatures.
The purpose is to provide life insurance coverage to eligible servicemembers and their dependents.
Information such as personal details, beneficiary information, and coverage options must be reported on the form.
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