Human Resources and Security Specialists should use this tool to determine the correct investigation level for any covered position within the U.S. Federal Government.
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Agencies complete this form when an employee's life insurance stops or is scheduled to stop, except when the employee voluntarily cancels coverage, or the employee is immediately transferring to another position which will provide eligibility for FEGLI insurance coverage.
Will receive a copy of the completed form from their servicing Human Resources Office, when applicable.
Use your internal agency procedures for ordering Standard Forms. Paper copies of this form are NOT available from OPM.