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Beneficiary Forms

There are two types of beneficiary forms that apply to your benefits. Please follow the links below to view PDFs of the applicable forms:

Life Insurance Beneficiary Designation Forms

Federal Employees' Group Life Insurance Program form (FEGLI) [PDF]  

Please mail this form directly to the Office of Personnel Management:

Office of Personnel Management
Retirement Operations Center
P.O. Box 45
Boyers, PA 16017 - 0045

DC Employees’ Group Life Insurance Program form (DCEGLI) [PDF]

Please mail this form directly to DCRB:

Member Services Center
District of Columbia Retirement Board
900 7th Street, NW, 2nd Floor
Washington, DC 20001

Fax: 202-566-5001

Pension Beneficiary Designation Forms

The following form applies only to the disposition of your pension benefit/contributions payable after your death:

If you have further questions, please contact DCRB Member Services at the number above, or call the Member Services toll-free number at 1(866) 456-3272.

 

Service Contact: 
Member Services Center
Contact Phone: 
(202) 343-3272
Contact Fax: 
(202) 566-5001
Contact TTY: 
711