Federal employees group life insurance fegli form purpose of this form. The function associated with standard form 1153 was assigned originally to the u. Who should complete the sf standard form 3102, federal employees retirement system fers designation of beneficiary. Sf3102 designation of beneficiary federal employees retirement system author. Designation of beneficiary unpaid compensation of the deceased civilian employee issue date. Irregularities discovered will be promptly reported to the designated. It is also referred to as an authorization, agreement and certification of training. If you are unable to find your form here, you may want to visit. On a blank sheet the attachment, print your name, date of birth and social security number at the top. To appropriation and investment branch division of government accounts and reports bureau of government financial operations department of the treasury treasury annex no. As part of the employees permanent record, it ensures that federal employees are fully qualified to work in their assigned capacity. There cannot be any erasures, strikeouts, or correction fluid used when filling out the form. Part a requesting office also complete part b, items 1, 722, 32, 33, 36 and 39. Read instructions on back of duplicate before filling in this form for each type of insurance basic life, option a standard, and option b.
If you need more room, write see attached in part b. Merely filling in the blanks and boxes in the plan does not constitute an alteration. Sf3102 designation of beneficiary federal employees. Who should complete the sf standard form 1152, designation.
Standard form 182 create and download for free pdf. If you need extra form 1152 pages, please visit our website at tax. This designation of beneficiary form is used to designate who is to receive a lumpsum payment which may. Office of personnel management opm has revised standard form sf 1152, unpaid compensation of deceased civilian employee, to update examples of beneficiary designations. To help prevent common mistakes that often lead to paperwork rejection, follow along with the. Read instructions on back of duplicate before filling in this form for each type of insurance basic life. Dd form 1149, requisition and invoiceshipping document. Total lwop hours since last equivalent increase except. Keep the employee copy of the sf1152 for your records. Standard forms are used governmentwide for various employment and benefits program purposes. Standard forms sf this is a list of standard government forms that start with the letters sf.
On june 26, 20, the supreme court ruled that section 3 of the defense of marriage act doma is unconstitutional. Jun 28, 2010 what are the instructions for completing the sf standard form 1152, designation of beneficiary for unpaid compensation of deceased civilian employee. Standard form 1151 revised december 1979 department of the treasury 1 tfrm 22000 nonexpenditure transfer authorization document no. Sf 1152 designation of beneficiary unpaid compensation of deceased civilian employee created date. Fill free fillable form 1152 designation of beneficiary pdf. Revisions to standard form sf 1153, claim for unpaid.
Sf1152 designation of beneficiary unpaid compensation. Sf1152 designation of beneficiary unpaid compensation of. Office of personnel management standard form 1152 reverse of part 1 5 cfr 178 revised september 2011. The revised form will supercede the previous form, published in april. Section iv of this form should only be completed if benefits or sponsorship is being requested forby an eligible sponsor or their dependent. Complete standard form sf 2800 application for death benefits. Total service for leave as of date of separation c. This designation of beneficiary form is to be used solely for the disposition o f proceeds of insurance under the federal employees group life insurance progr am and is not to be confused with standard form 2808, designation of beneficiary, civil service retirement system, standard form 3102, designation of beneficiary, federal employees. Jan 28, 2020 the following forms are links to external forms located on the us general services administration gsa web site, click here for additional sf forms, unemployment compensation for federal employees ucfe program, unemployment insurance ui for federal workers take this form with you if you go to file a claim.
Then take or mail this form to the financial institution. Certification regarding alteration of standardform language, which must be completed and signed by debtor or debtors attorney. Sf 1152 designation of beneficiary unpaid compensation of deceased civilian employee author. You only need to complete this form if you want to change the statutory order of precedence. Dec 27, 2017 registration form or apply for a new permit online at tax. For additional information call name and telephone number 4. The purpose of the revision is to provide users the ability to complete the form on the web and to clarify the language on the form. You can view, fill online and print the form andor fill in by hand for mailing or faxing. Return the completed form to your personnel or benefits office.
Read all instructions before filling in this form a. Where do i send my completed designation of beneficiary form. This form is not to be confused with standard form 2808, designation of beneficiary, civil service retirement system, standard form 2823, designation of beneficiary, federal employees group life insurance program, or standard form 3102, designation of beneficiary, federal employees retirement system. The sf 1152 is used by a civilian employee to designate the beneficiary or beneficiaries to receive any unpaid compensation due and payable after the employees death. Standard form 2823, designation of beneficiary, federal employees group life insurance program, or.
Jun 28, 2010 for instructions on how to complete the sf 1152 form, go to the second and fourth page of the form. Instructions use this form only if you are or were covered by the civil service retirement system. Budgetary resources and application of budgetary resources. Important the filing of this form will completely cancel any designation of beneficiary under the federal employees retirement system or under the civil. Standard form 701 112010 nsn 75400127899 prescribed by naraisoo 32 cfr part 2001 eo 526. Standard form 2808, designation of beneficiary civil service retirement system, standard form 2823, designation of beneficiary federal employees group life insurance program, tsp3, federal retirement thrift savings plan designation of ben eficiary, or standard form 1152, designation of beneficiary unpaid compensation of deceased.
Optional forms of this is a list of optional government forms that start. Standard form sf 115 disposition of federal records click image for printable pdf version of sf 115 web version standard form sf 115 instructions note. Fill free fillable form 1152 designation of beneficiary. Video instructions and help with filling out and completing sf 2823. Registration form or apply for a new permit online at tax. The instructions for completing the dd form 11722 should be closely followed to ensure accurate data collection and to preclude over collection of information. Once completed you can sign your fillable form or send for signing. Government motor vehicle operators identification card cancelled 5182020. Identification name last, first, middle date of birth mm, dd, yyyy social security number. To enroll, make a change or cancelwaive your life insurance elections.
Browse the listing below to download your choice of form s. Of 345 physical fitness inquiry for motor vehicle operators cancelled 5142020. Application for identification carddeers enrollment omb no. Standard form 1152 revised june 2002 print form save form clear form important the filing of this form will completely cancel any designation of beneficiary you may have previously filed. Catchup contributions do not automatically continue into the next calendar year. The sf 1152 is used by a civilian employee to designate the beneficiary or beneficiaries to receive any unpaid compensation due and payable after the. Be sure to name in this form all persons you wish to designate as beneficiaries of any unpaid compensation payable at your death. Who should complete the sf standard form 1152, designation of beneficiary for unpaid compensation of deceased civilian employee. Nov 22, 2002 the function associated with standard form 1153 was assigned originally to the u.
Use this form to start, stop, or change the amount of your contributions to the thrift savings plan tsp. General accounting office, but was later realigned to opm. The following forms are links to external forms located on the us general services administration gsa web site, click here for additional sf forms, unemployment compensation for federal employees ucfe program, unemployment insurance ui for federal workers take this form with you if you go to file a claim. Unpaid compensation of deceased civilian employee purpose of this form. Designation of beneficiary unpaid compensation of deceased civilian employee standard form 1152 revised june 2002 important. Keep the employee copy of the sf 1152 for your records. Bankruptcy court southern district of california 325. Federal register notice of revision of standard form. The forms available here are for external customers as well as mdot personnel. Sf3102 designation of beneficiary federal employees retirement system. A witness cannot be someone you are naming on the form as a beneficiary. Fill online, printable, fillable, blank sf 1152 sf 1152 0307234. An employee retired or an applicant for retirement. These are most often used by gsa employees, contractors and customers.
This standard specifies the requirements, test methods, inspection rules, packaging, marking, transportation, storage, quality forecast list and order form or contract of crude cobalt hydroxide. Gsa 3617 record of authorization of access to proprietary or source selection information cancelled 5122020. Fill online, printable, fillable, blank form 1152 designation of beneficiary form. June 1987 prescribed by treasury department treasury dept. For participants age 50 or older to start, stop, or change catchup contributions to the tsp.
In the absence of the pre scribed form, however, any designa. Standard forms are used governmentwide for various employment and benefits program. Federal register notice of revision of standard form 1152. Sf1152 designation of beneficiary unpaid compensation of deceased civilian employee author.
Office of personnel management ga pdf forms for free. As a result of the supreme courts decision, the united states office of. Request for dd 214 or other military records nara sf 180. What are the instructions for completing the sf standard. Benefits processing bldg 1111, jerry hlass road stennis space center, ms 39529. Explanation of standard form 2, apportionment and reapportionment schedule explanation of standard form 2, apportionment and reapportionment schedule 35. These witnesses must sign the form and give their addresses. This site provides links to the most widely used mdot forms. The certificate requires debtor to list the page and line in which the standardform language has been altered in any way.
Employees and retirees under the civil service retirement system csrs must use standard form. You can contact the idaho state tax commission with questions. Standard form 182 is used by the office of personnel management opm. Once the form is signed by you and your two witnesses, mail it to. Sf1152 designation of beneficiary unpaid compensation of deceased civilian employee created date. If any portion of your service was under the federal employees retirement system, use standard form sf 3102. Standard form 1151, nonexpenditure transfer authorization. Fill online, printable, fillable, blank sf1152 sf 11520307234. The gsa forms library contains these forms and views. Pdf editor enables you to make improvements in your sf 2823 fill online from any internet linked device, personalize it in line with your requirements, sign it electronically and distribute in different approaches. This form is only for employees and retirees under fers.
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