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SF-1152 Designation of Beneficiary - Unpaid Compensation ...

2009-2017.state.gov

SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee Author: U.S. Department of State Subject: SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee Created Date: 5/21/2009 3:22:33 PM

  Compensation, 1512, Deceased, Unpaid, Unpaid compensation, Unpaid compensation of deceased

CLAIM FOR COMPENSATION OF DECEASED CIVILIAN

www.opm.gov

1. Is a Designation of Beneficiary for Unpaid Compensation (SF 1152) on file with the agency? Yes No. Don’t know . Full Name/Legal entity, e.g., Trust. Social Security Number . Age Relationship . to deceased Address . PART C 1. Do you certify that (1) you were married to the deceased and (2) to the best of your knowledge and belief the marriage

  Compensation, Civilian, Deceased, Unpaid, Unpaid compensation, Compensation of deceased civilian

Designation of Beneficiary - OPM.gov

www.opm.gov

Unpaid Compensation of Deceased Civilian Employee . Important: Read all instructions before filling in this form . A. Identification . Name (Last, first, middle) Date of birth (mm, dd, yyyy) Social Security Number . Department or agency in which presently empled oy(or former department or agency) : Department or agency . Bureau

  Compensation, Unpaid, Unpaid compensation

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