Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284)

OMB 2900-0618

The SGLV 8284 form is used by an insured who is terminally ill to request payment of a portion of the face value of the SGLI or VGLI as an Accelerated Benefit.

The latest form for Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SGLV 8284 Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) Form
2021-25258.pdf Supplementary Document
2021-23854.pdf Supplementary Document
SupportingStatement(2900-0618).docx Supporting Statement A
2021-18116.pdf Supplementary Document
Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) Form

202108-2900-015 Approved without change	Reinstatement with change of a previously approved collection	2021-12-02
201802-2900-003 Approved with change	Reinstatement without change of a previously approved collection	2018-06-22
201403-2900-005 Approved without change	Revision of a currently approved collection	2014-10-29
201106-2900-003 Approved without change	Extension without change of a currently approved collection	2011-10-06
200805-2900-010 Approved without change	Extension without change of a currently approved collection	2008-09-03
200508-2900-004 Approved without change	Extension without change of a currently approved collection	2005-08-09
200207-2900-006 Approved without change	New collection (Request for a new OMB Control Number)	2002-07-12