Standard Form 2809. Web data standards request form: For agency distribution of copies, see page 5.
OPM Form 2809 Edit, Fill, Sign Online Handypdf
•annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. For agency distribution of copies, see page 5. Employee health benefits registration form: Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment; Notice of change in health benefits enrollment: Web data standards request form: Or • elect not to enroll in the fehb program (employees only);or • change your fehb enrollment; Or enroll or reenroll in the fehb program; Report of withholdings and contributions for health benefits, life insurance, and retirement: Web uses for standard form (sf) 2809 use this form to:
Notice of change in health. Or • suspend your fehb enrollment (annuitants or former spouses only). • switch designated eligible family member; Employee health benefits registration form: Or • elect not to enroll in the fehb program (employees only);or • change your fehb enrollment; Web uses for standard form (sf) 2809 use this form to: Web uses for standard form (sf) 2809 use this form to: Chapter 89, title 5, u.s. Notice of change in health benefits enrollment: Enroll in the fehb program; • enroll or reenroll in the fehb program;
