ELECTION, DECLINATION, OR WAIVER OF LIFE INSURANCE COVERAGE - CARANCI, JOHN C.

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
0001411722
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
1
Document Creation Date: 
June 22, 2015
Document Release Date: 
December 31, 2008
Sequence Number: 
Case Number: 
F-2007-00327
Publication Date: 
February 27, 1968
File: 
AttachmentSize
PDF icon DOC_0001411722.pdf293.88 KB
Body: 

APPROVED FOR RELEASE^DATE:
10-Nov-20084; Z&*VION, DEC DR`-WAIVER
OF LIF ,INS ANC C VEIf` GE
ORAL EMPLOYEES GROUP UFU INSURANCE P,
TO; COMPLETE THIS FORM-
_ ?':mod },...-2. _. .a. -.
., FO$J,QW THESE GENERAL INSTRUCTIONS
Read the back of thO Wupiicate" carefully' befare you f tt lit the firm,
Fill in BOTH C?PIES of the form Type oruae in14
a
-Do npt detach any D~ " - '
(A