FEDERAL EMPLOYEE BENEFITS AND ANNUITIES

FEGLI Options A Standard Optional Insurnace

Yes

No

First Name *

Fund S

Fund I

Address 2

Please enter you annual base salary including locality. *

Date of Birth *

FEGLI

Spouse/Partner First Name

State *

Choose

CSRS

FERS

Service computation date *

Last Name

Fund C

Phone

First Name

CRCS SOC SEC QTRS

Date of Birth

Contribution per pay period % or $

Retired Military

Yes

No

I would like to retire at age *

Is your time bought back

Yes

No

Best time to call

Day Time

Evening

City *

Time In

Current TSP balance

CSRS ro FERS Date

FEGLI

Last name *

Fund L

Zip Code *

Military *

Yes

No

Are you a postal worker? *

Yes

No

Fund G

FEGLI Basic

Yes

No

Time In

FEGLI

Comments

Is time in your computation date

Yes

No

Thrift Savings

Fund F

Address 1 *

FEDERAL EMPLOYEE BENEFITS ANALYSIS

BATTLES AND ASSOCIATES

INSURANCE AGENCY

Please fill out as complete as possible so the proper analysis can be made.

​​FEDERAL EMPLOYEE BENEFITS ANALYSIS

BATTLES AND ASSOCIATES

INSURANCE AGENCY

Please fill out as complete as possible so the proper analysis can be made.

FEDERAL EMPLOYEE BENEFITS ANALYSIS