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1. www.peia.wv.gov › forms-downloadsForms & Downloads - peia.wv.gov

   www.peia.wv.gov › forms-downloads

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   Comprehensive list of Forms and Documents. Alphabetical list of PEIA forms and documents . Documents for Benefit Coordinators

2. omb.report › icr › 202203/3206/007Form SF 2817 SF 2817 Life Insurance Election - OMB 3206-0230

   omb.report › icr › 202203/3206/007

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   PART 1 - File in Official Personnel Folder U.S. Office of Personnel Management www.opm.gov/healthcare-insurance/life-insurance Previous edition is usable. Standard Form 2817 Revised September 2021 Instructions for Agencies 1. Who Should File This Form? New employees eligible for life insurance who want optional insurance or no insurance.

3. www.opm.gov › forms › pdf_fillLife Insurance Election Form Approved: OMB No. 3206-0230

   www.opm.gov › forms › pdf_fill

   The employee's copy of this form, when completed by the employing office, together with the FEGLI Program Booklet (FE 76-21 or FE 76-20 for U.S. Postal Service employees) constitute the employee's Certificate (proof) of Insurance. U.S. Office of Personnel Management Standard Form 2817 www.opm.gov/insure/life Previous edition is not usable.

4. www.templateroller.com › template › 1734489Form SF-2817 - Fill Out, Sign Online and Download Fillable PDF

   www.templateroller.com › template › 1734489

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   Download Fillable Form Sf-2817 In Pdf - The Latest Version Applicable For 2024. Fill Out The Life Insurance Election Online And Print It Out For Free.

5. www.opm.gov › reference-materials › publications-formsLife Insurance Election - U.S. Office of Personnel Management

   www.opm.gov › reference-materials › publications-forms

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   SF 2817 (PDF file) Paper Copies: Employees: Download the form locally or request a downloaded copy from your servicing Human Resources Office. Agencies: Paper copies of this form are not available. You must use the downloadable Adobe Acrobat PDF version posted here. Previous versions are NOT usable.

6. www.peia.wv.gov › find-a-form-or-document › PagesFind a Form or Document - peia.wv.gov

   www.peia.wv.gov › find-a-form-or-document › Pages

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   The following is an alphabetical list of forms and documents on the Web site. If you see (Complete Online) next to a form, you can do this online by going to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA.

7. 2009-2017.state.gov › documents › organizationSF-2817 Life Insurance Election - Federal Employees Group Life...

   2009-2017.state.gov › documents › organization

   Federal Employees Group Life Insurance Program. To obtain this form go to. http://www.opm.gov/forms/pdf_fill/SF2817.pdf.