General information on the FEGLI program for current Federal employees. (You can find more comprehensive information in the FEGLI Handbook.)

• Web Pages
• Adobe Acrobat PDF File (403 KB - dated August 2004).
• This form is best viewed in Adobe 6.0.

Employees:

Download the form locally. However, if you can't access the Adobe-Acrobat PDF fillable form, then request a copy from your servicing human resources office.

Agency field offices should order through their headquarters office and NOT from OFEGLI.

Agencies should provide a copy of this Booklet to all new employees. We also encourage agencies to download the form locally. However, if you can't access the Adobe Acrobat PDF-fillable form, you can order a limited supply from OFEGLI.

Agency headquarters insurance officers order the Booklet directly from OFEGLI. OFEGLI accepts orders by fax and mail only - no telephone orders. The fax number is (201) 395-7950 - Attention: Forms Ordering Desk. The mailing address is Office of Federal Employees' Group Life Insurance, P. O. Box 2627, Jersey City, NJ 07303-2627. OFEGLI will need the form number, the quantity, the shipping address and the point of contact, in case of questions.