FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM - COLLINS, CHARLES P.

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
0001426142
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
2
Document Creation Date: 
June 22, 2015
Document Release Date: 
March 20, 2008
Sequence Number: 
Case Number: 
F-2007-01041
Publication Date: 
June 11, 1971
File: 
AttachmentSize
PDF icon DOC_0001426142.pdf201.73 KB
Body: 

STANDARD FORM 56
JANUARY 1970
-AGENCY CERTbfCATION= OF 4'( INSURANCE STATUS -' (b) (3 )
UTVI
COMMISSION
(b) (6)
l E
d
E
l
F
l
87070-1 56-1 109
FPM SUPPLEMENT
era
mp
e
oyees
Group L1 e
insurance Program
1. NAME (Last) (First) (Middle) -).,DATE OF BIRTH (Month, oay, Year) 2(b). SOCIAL SECURITY ACCOUNT NUMBER