Form Sglv 8286 - Directions To Personnel Clerks Of The Uniformed Services Page 4

Download a blank fillable Form Sglv 8286 - Directions To Personnel Clerks Of The Uniformed Services in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Sglv 8286 - Directions To Personnel Clerks Of The Uniformed Services with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Print completed Form

Clear Form

Print Blank Form

Please read the instructions before completing this form.

Servicemembers’ Group Life Insurance Election and Certificate

Beneficiary Continuation

Instructions: This page is to be used ONLY when the service member wants to name more beneficiaries than the number of beneficiary

spaces provided on page 2. If this page is completed, it should be copied and distributed together with page 2 of this form.

Member Information

Last name

First name

Middle name

Rank, title or grade

Social Security Number

Beneficiary(ies) and Payment Options

In addition to the beneficiaries I have named on page 2 of this form (SGLV 8286), I also designate the following beneficiary(ies) to receive payment of my

insurance proceeds. I understand that the principal beneficiary(ies) will receive payment upon my death. If all principal beneficiaries predecease me, the

insurance will be paid to the contingent beneficiary(ies).

Complete Name (first, middle, last) and Address

Social Security

Relationship

Share to each

Payment Option

(Lump sum or 36

of each beneficiary

Number

to you

beneficiary

equal monthly