Benefits Forms for Employees Hired before October 1, 1987 Form # Title   Flexible Spending Account*   Pre-Tax Waiver/Election Form* SF 2817 Life Insurance Election* SF 2819 Notice of Conversion Privilege, Federal Employees Group Life Insurance Program* SF 2820 Certification of Insured Employee's Retired Status* SF 2822 Request for Insurance* SF 2823 Designation of Beneficiary, Federal Employees Group Life Insurance Program* FE 6 Claim for Death Benefits, Federal Employees Group Life Insurance Program* FE 6 DEP Settlement of Claim, Option C: Family Life Insurance* Retirement Computation Form* FE 7 Claim for Accidental Means Dismemberment Benefits* * This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or Learn More About PDFs.