Form Standard Form 3104 Standard Form 3104 Application for Death Benefits: FERS

Application for Death Benefits (FERS)/Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death (FERS)

SF3104_2020_07

Application for Death Benefits (FERS); Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death

OMB: 3206-0172

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