FD253 (Rev. 2242017)Application/Renewal of Membership and Designation of Beneficiary Special Agents Insurance Fund Charles S. Ross Fund The purpose of the Special Agent Insurance Fund is to provide.
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How to fill out the DoJ FBI FD-253 online
The DoJ FBI FD-253 form is essential for members of the Special Agents Insurance Fund to designate beneficiaries and confirm their enrollment. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.
Follow the steps to successfully complete the DoJ FBI FD-253 form.
- Click ‘Get Form’ button to access the document and open it in your browser.
- Complete the top section by entering your official Bureau name, and if applicable, your Social Security Number and office or division.
- Indicate whether you elect to enroll in the Special Agents Insurance Fund or decline membership. If you choose to enroll, remember to send along the membership fee.
- Designate your primary and contingent beneficiary(ies) for the Special Agents Insurance Fund by filling in their names and relationships to you.
- If applicable, designate your primary and contingent beneficiary(ies) for the Charles S. Ross Fund using their names and relationships.
- Confirm your choices by ticking 'Yes' or 'No' to indicate whether the listed beneficiaries also apply to the Charles S. Ross Fund.
- Finally, sign and date the form at the bottom before submitting it as instructed.
- Once completed, you can save changes, download the document, print it, or share it as needed.
Start completing your DoJ FBI FD-253 form online today!
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