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Form: SF2809

Federal Employee Health Benefits Election Form (FEHB)

U.S. Government Departments, Agencies, and Offices can place an order for this form at or with either a government purchase card or AAC (Activity Address Code). The Stock Number is 7540-01-231-6227. NOTE: Government Contractors will need to have their Government Department, Agency, or Office sponsor their request before placing an order.

Current Revision Date: 11/2015

Authority or Regulation: Chapter 89, Title 5, U.S. Code


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  1. SF2809-15.pdf [PDF - 558 KB]

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