Get Form 2823 Fillable

Filling out the Form 2823 Fillable online is a straightforward process designed to help you designate beneficiaries for your Federal Employees' Group Life Insurance. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and comprehensively.

Follow the steps to successfully complete the Form 2823 Fillable online.

1. Click the ‘Get Form’ button to access the Form 2823 Fillable. This will allow you to open the document for editing.
2. Enter the name of the insured person in the specified field. Make sure to include the last name, first name, and middle initial.
3. Provide the date of birth of the insured in the format of month, day, and year.
4. Indicate the current status of the insured by checking the appropriate box: employee, retired, or an applicant for retirement.
5. Fill in the Social Security number of the insured and check if they are receiving OWCP benefits or are an applicant for them.
6. If applicable, enter the CSA or OWCP claim number if the insured is retired or receiving Federal Employees' Compensation.
7. Specify the department or agency where the insured is currently employed. If retired, indicate the former department or agency.
8. Designate the beneficiary or beneficiaries by typing the full name, address, and share percentage for each. Ensure that the total of the percentages equals 100%.
9. Include the relationship of each beneficiary to the insured.
10. Sign the form in the presence of two witnesses who must also sign. Both witnesses should provide their signatures and addresses.
11. Save changes, download the form, and ensure you have a printed copy for your records. You can now share the form as necessary.

Complete the Form 2823 Fillable online today to ensure your beneficiaries are designated correctly.