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F attorney are not acceptable.) Signature (Do not print. Only the Employee/Assignee may sign. Signatures by guardians, conservators or through a power of attorney are not acceptable.) Signature (Do not print. Only the Employee/Assignee may sign. Signatures by guardians, conservators or through a power of attorney are not acceptable.) Date (mm/dd/yyyy) Date (mm/dd/yyyy) Date (mm/dd/yyyy) 5 If you want NO life insurance coverage, sign and date below. Waiver of all life insurance coverage .

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How to fill out the OPM SF 2817 online

The OPM SF 2817 form is essential for federal employees to elect or waive life insurance coverage under the Federal Employees' Group Life Insurance Program. This guide will provide step-by-step instructions to help users navigate the process of completing the form online efficiently.

Follow the steps to fill out the OPM SF 2817 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Fill in identifying information concerning the employee. This includes entering the last name, first name, and middle name, as well as providing the employing department or agency, Social Security Number, date of birth, daytime telephone number, and address of the department or agency where the employee works.
  3. To elect or retain Basic insurance, ensure to sign and date the appropriate section. Note that if you do not sign this section, you may not elect any optional insurance options listed later in the form.
  4. For optional insurance, choose from Options A, B, and C. Indicate your preference by signing next to the corresponding options you wish to elect. If you skip signing an option, you are waiving that coverage and will not be eligible to elect it in the future.
  5. If you do not want any life insurance coverage, make sure to sign and date the waiver of all life insurance coverage section.
  6. Review the information you have entered on the form. Confirm that all sections are complete and accurately reflect your intentions.
  7. Once satisfied, save the changes made to the form. Download, print, or share the completed form as necessary to submit it to your employing office.

Complete your documents online now to ensure your insurance needs are addressed promptly.

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OPM SF 2817
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