1152 Form PDF Details

The 1152 form, also called SF 1152 or the Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee, is issued by the U.S. Office of Personnel Management (OPM) for federal civilian employees. It allows employees to name specific individuals or organizations to receive any compensation remaining unpaid at the time of the employee's death, such as final salary, overtime pay, and unused leave balances.

The form covers four main sections: employee identification details, beneficiary information (including primary and contingent designees), instructions for canceling prior designations, and a witness declaration area. Witnesses must sign and date the form but may not themselves be named as beneficiaries. The completed form must be submitted to the employee's human resources or payroll office rather than directly to OPM.

It is important to distinguish the 1152 form from other federal beneficiary forms. The CSRS Standard Form 2808 designates beneficiaries for CSRS retirement contributions, while SF 2823 covers FEGLI life insurance and SF 3102 applies to FERS retirement accounts. The 1152 form applies only to unpaid compensation and should be updated whenever a previously named beneficiary dies, is divorced from the employee, or the employee wishes to change their designation.

QuestionAnswer
Form Name1152 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namessf1152 pdf, sf 1152, opm designation beneficiary, sf 1152 fillable

Form Preview Example

Designation of Beneficiary

Unpaid Compensation of Deceased Civilian Employee

Lpsruwdqw=#

Uhdg#doo#lqvwuxfwlrqv#ehiruh#

 

 

iloolqj#lq#wklv#irup#

A. Identification

Qdph#(Last, first, middle)

Gdwh#ri#eluwk#(mm, dd, yyyy)

Vrfldo#Vhfxulw|#Qxpehu#

Ghsduwphqw#ru#djhqf|#lq#zklfk#suhvhqwo|#hpsor|hg#(or former department or agency) =#

Ghsduwphqw#ru#djhqf|#Exuhdx#

Glylvlrq#

Orfdwlrq#(City, state and ZIP code)

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B. Information Concerning The Beneficiaries (See Examples of Designations):

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qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

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Gdwh#ri#ghvljqdwlrq#(mm, dd, yyyy)

\rxu#vljqdwxuh#

Wrwdo#@# (#

C.Witnesses (A witness is not eligible to receive payment as a beneficiary):

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Qxpehu#dqg#vwuhhw#

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Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Receiving agency certification

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Gdwh#uhfhlyhg#

Vljqdwxuh#

Gdwh#

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X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Part 1 - Original

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QVQ#:873033096707673###########

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Examples of Designations

1.HOW TO DESIGNATE ONE BENEFICIARY Gr#qrw#zulwh#qdphv#dv#P1H1#Eurzq#ru#dv#Puv1#Mrkq#K1#Eurzq1# Li#|rx#zdqw#wr#ghvljqdwh#|rxu#hvwdwh# dv#ehqhilfldu|/#hqwhu#ᄈP|#hvwdwhᄡ#lq#wkh#ehqhilfldu|#froxpq1#

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Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

Mary E. Brown

214

Central Avenue ###########

Grphvwlf#Sduwq####################433(#

 

Muncie, IN 47303

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. HOW TO DESIGNATE MORE THAN ONE

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Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

 

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

 

 

 

 

Alice M. Long

509

Canal Street

Aunt

25%

 

Red Bank, NJ 07701

 

 

 

 

 

 

 

Joseph P. Brady

360

Williams Street

Nephew

25%

 

Red Bank, NJ 07701

 

 

 

 

 

 

 

Catherine L. Rowe

792

Broadway

Mother

50%

 

Whiting, IN 46394

 

 

 

 

 

 

 

 

 

 

3. HOW TO DESIGNATE A CONTINGENT BENEFICIARY

 

 

 

 

 

 

 

Iluvw#qdph/#plggoh#lqlwldo/#dqg#odvw#

 

Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

Vkduh#wr#eh#sdlg#wr#

qdph#ri#hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

 

 

 

 

 

John M. Parrish, if living

810

West 180th Street

Father

100%

 

New York, NY 10033

 

 

 

 

 

 

 

Otherwise to: Susan A. Parrish

810

West 180th Street

Sister

100%

 

New York, NY 10033

 

 

 

 

 

 

 

 

 

 

 

 

4. HOW TO CANCEL A DESIGNATION OF BENEFICIARY AND EFFECT PAYMENT UNDER ORDER OF PRECEDENCE (See back of duplicate)

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qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

hdfk#ehqhilfldu|#

Cancel prior designations

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Vwdqgdug#Irup#4485#(Reverse of Part 1)

8#FIU#4:;#########

Uhylvhg#Vhswhpehu#534

Designation of Beneficiary

Unpaid Compensation of Deceased Civilian Employee

Lpsruwdqw=#

Uhdg#doo#lqvwuxfwlrqv#ehiruh#

 

 

iloolqj#lq#wklv#irup#

A. Identification

Qdph#(Last, first, middle)

Gdwh#ri#eluwk#(mm, dd, yyyy)

Vrfldo#Vhfxulw|#Qxpehu#

Ghsduwphqw#ru#djhqf|#lq#zklfk#suhvhqwo|#hpsor|hg#(or former department or agency) =#

Ghsduwphqw#ru#djhqf|#Exuhdx#

Glylvlrq#

Orfdwlrq#(City, state and ZIP code)

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B. Information Concerning The Beneficiaries (See Examples of Designations):

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Dgguhvv#+Lqfoxglqj#]LS#frgh,#ri#

Uhodwlrqvkls#

qdph#ri#hdfk#ehqhilfldu|#

hdfk#ehqhilfldu|#

 

 

 

 

 

 

 

Vkduh#wr#eh#sdlg#wr# hdfk#ehqhilfldu|#

Gdwh#ri#ghvljqdwlrq#(mm, dd, yyyy)

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C.Witnesses (A witness is not eligible to receive payment as a beneficiary):

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Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Vljqdwxuh#ri#zlwqhvv#

Qxpehu#dqg#vwuhhw#

Flw|/#vwdwh#dqg#]LS#frgh#

Receiving agency certification

L#kdyh#uhylhzhg#wklv#ghvljqdwlrq#dqg#fhuwli|#wkdw#wkh#ghvljqdwhg#vkduhv#wrwdo#433(#dqg#wkdw#qr#zlwqhvvhv#duh#ghvljqdwhg#dv#ehqhilfldulhv1#

Gdwh#uhfhlyhg#

Vljqdwxuh#

Gdwh#

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X1V1#Riilfh#ri#Shuvrqqho#Pdqdjhphqw#

Part 2 - Employee Copy

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#Uhylvhg#Vhswhpehu#5344##

IMPORTANT NOTICE – ORDER OF PRECEDENCE

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INSTRUCTIONS

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This form is not to be confused with Standard Form 2808, Designation of Beneficiary, Civil Service Retirement System,

Standard Form 2823, Designation of Beneficiary, Federal Employees’ Group Life Insurance Program, or

Standard Form 3102, Designation of Beneficiary, Federal Employees Retirement System.

Privacy Act Statement

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How to Edit 1152 Form Online for Free

The SF 1152 form can be completed online with no problem using the FormsPal PDF editor. Our editor is continually updated to give the best user experience. Getting started is easy. Follow these steps:

Step 1: Open the PDF doc inside our editor by clicking the "Get Form" button at the top of this page.

Step 2: The editor lets you customize the form in many ways. Add text, correct existing fields, and include a signature all within a few clicks.

Complete the document by typing the correct information in every blank field:

1. The 1152 form requires employee identification details. Fill in the employee's full name (last name first), date of birth, and designation date in month/day/year format. Also complete the C Witnesses section and the Receiving Agency Certification fields.

Writing segment 1 in sf1152 pdf

2. Once that section is complete, fill in the designation date, the C Witnesses declaration (a witness may not also be a beneficiary), and the Receiving Agency Certification. Double-check all entries before continuing.

Part number 2 of completing sf1152 pdf

3. This next section covers the cancellation area. Complete the Cancel Prior Designations section and the Standard Form reverse side.

Stage # 3 of filling out sf1152 pdf

4. The identification and beneficiary section requires the employee's last name and first name, date of birth in month/day/year format, city, state and ZIP code, and the B Information Concerning the Beneficiaries. Pay close attention to the B Information and location fields, as these are key to the form.

Filling out part 4 of sf1152 pdf

5. The final section is integral to the form's validity. Fill in the designation date, the C Witnesses section, and the Receiving Agency Certification before finalizing. An incomplete form may be rejected by your agency.

sf1152 pdf completion process detailed (part 5)

Step 3: Before submitting, verify all fields are filled correctly. Press "Done" when finished. Download the completed 1152 form or save it to your FormsPal account. Your information is kept private and secure on FormsPal.

Frequently Asked Questions About the 1152 Form

What is the purpose of the SF 1152 form?

The SF 1152 lets federal civilian employees designate who receives their unpaid compensation (final salary, overtime pay, accrued leave) if they die while employed. Without this form, payment follows a fixed legal order of precedence set by federal statute.

Who needs to complete the 1152 form?

Any federal civilian employee who wants to control who receives their unpaid wages and accrued leave after death should file the 1152 form. It is especially important for employees with dependents or beneficiaries not covered by the default legal order of precedence.

Where do I submit the completed 1152 form?

Submit the completed 1152 form to your agency's human resources or payroll office. Do not send it directly to OPM. Keep a personal copy for your records and update the form after major life events such as marriage, divorce, or a named beneficiary's death.