Fegli Sf 2823 instructions Form 2014-2024

Fegli Sf 2823 instructions Form: What You Should Know

A copy of Form 4841, Designation of Beneficiary and Account; or (b) a copy of a Notice issued under the Civil Service Retirement and Disability Fund Act (CSR DFA) which contains identification numbers, address, social security number, and signature of the person designated to receive the payment. Citation Requirements Note: Filing for FELL or FDIC death benefits is voluntary. Failure to file for FELL death benefits will be construed as a refusal to pay. Filing will be considered with consent of beneficiary for a designated beneficiary. The person designated must request that the application for death insurance coverage be filled out and signed in writing. Payment for the death benefits shall not be made unless the beneficiary provides his or her written consent to payment. Required Information Required Identification information. The information you provide on this form must exactly match the information that appears on the Form 4841, Form 4842, or Form 4844, including identification numbers and birthdates. The information provided on this form must not contain more than one error or omission. Identification numbers are required for all life insurance coverage under this policy, and an employer identification number (EIN) and company name are required for any other insurance to which this policy provides coverage. The information you provide should indicate the individual's: Employer's (First or Last) name, principal office in this State, and mailing address. You may be required to supply the Social Security number (i.e., ##SSN), address, and date of birth of the individual and his or her spouse. You must also provide date of birth, Social Security number, and the name of the issuing Agency for each policy in which he or she is listed as insured or beneficiary. The Employer Identification (or Social Security number) that you provide on the Form 4841 will allow your employer to know what benefits your employer will be paying for your death. Your employer may contact the Social Security Administration and request confirmation of this information from the Social Security Administration. If you are the named beneficiary of a personal retirement arrangement (PRA), a Form 4842 may be required. If you are the named beneficiary of a PRA, make sure that the Social Security number (i.e., ##SSN) provided by the institution is valid. Failure to provide the correct Social Security number may result in a denial of any coverage. The number listed on the form does not need to have been provided to the Social Security Administration, but is recommended.

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