Life Insurance Election

OMB 3206-0230

OMB 3206-0230

Standard Form 2817, Life Insurance Election, is used by Federal employees and assignees (those who have acquired control of an employee/annuitant's coverage through an assignment or ''transfer'' of the ownership of the life insurance).

The latest form for Life Insurance Election expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Justification for No Material/Nonsubstantive Change
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supporting Statement A

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