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Get OPM SF 3111 1990-2024

1. Employee Identifying Information (Type or print) Name (Last, first, middle) Section 2. Date of birth (Month, day, year) Addresses for OPM's Response Employing office address Section 3. Employee's mailing address Spousal Identifying Information Former spouse's name (Last, first, middle) Section 4. Social Security Number Date of birth (Month, day, year) Request to OPM A. I request that OPM determine whether it has a court order on file that awards benefits to my former spouse i.

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