U.S. Office Of Personal Management
Standard Forms
Standard Forms are used government wide for various employment and benefits program purposes.
FORM | TITLE |
SF 15 | Application for 10-Point Veteran’s Preference |
SF 39 | Request for Referral of Eligibles |
SF 50 | Notification of Personnel Action |
SF 52 | Request for Personnel Action |
SF 59 | Request for Approval of Non-Competitive Action |
SF 61 | Appointment Affidavits |
SF 62 | Agency Request to Pass Over a Preference Eligible or Object to an Eligible |
SF 75 | Request for Preliminary Employment Data |
SF 85 | Questionnaire for Non-Sensitive Positions |
SF 85P | Questionnaire for Public Trust Positions |
SF 85P-S | Supplemental Questionnaire for Selected Positions |
SF 86 | Questionnaire for National Security Positions |
SF 86A | Continuation Sheet for Questionnaires SF 86, SF 85P, and SF 85 |
SF 86C | Standard Form 86 Certification |
SF-113A | Monthly Report of Federal Civilian Employment |
SF-113G | Monthly Report of Full-Time Equivalent/Work-Year Civilian Employment |
SF 144 | Statement of Prior Federal Service |
SF 144A | Statement of Prior Federal Service – Worksheet |
SF 181 | Ethnicity and Race Identification FOR USE WITH CURRENT FEDERAL EMPLOYEES ONLY |
SF 182 | Authorization, Agreement and Certification of Training |
SF 256 | Self-Identification of Reportable Handicap |
SF 813 | Verification of A Military Retiree’s Service in Nonwartime Campaigns or Expeditions |
SF 1152 | Designation of Beneficiary — Unpaid Compensation of Deceased Civilian Employee |
SF 1153 | Claim for Unpaid Compensation of Deceased Civilian Employee |
SF 1187 | Request for Payroll Deductions for Labor Organization Dues |
SF-1188 | Cancellation of Payroll Deductions for Labor Organization Dues |
SF-2800 | Application for Death Benefits (Civil Service Retirement System) |
SF-2800A | Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death |
SF-2801 | Application for Immediate Retirement (CSRS) |
SF-2802 | Application for Refund of Retirement Deductions (CSRS) |
SF 2803 | Application to Make Deposit or Redeposit |
SF 2804 | Application to Make Voluntary Contributions, CSRS |
SF 2805 | Request for Recovery of Debt Due the United States |
SF 2806 | Individual Retirement Record |
SF 2807 | Register of Separations and Transfers (CSRS) |
SF 2808 | Designation of Beneficiary, CSRS |
SF 2809 | Employee Health Benefits Registration Form |
SF-2810 | Notice of Change in Health Benefits Enrollment |
SF 2817 | Life Insurance Election: Federal Employees’ Group Life Insurance Program |
SF 2818 | Continuation of Life Insurance Coverage as an Annuitant or Compensationer |
SF 2819 | Notice of Conversion Privilege, Federal Employee’s Group Life Insurance Program |
SF 2820 | Certification of Insured Employee’s Retired Status |
SF 2821 | Agency Certification of Insurance Status |
SF 2822 | Request for Insurance |
SF 2823 | Designation of Beneficiary, Federal Employees’ Group Life Insurance Program |
SF 3101 | Notice of Correction of Individual Retirement Record |
SF 3100 | Individual Retirement Record (FERS) |
SF 3102 | Designation of Beneficiary, Federal Employees Retirement System |
SF 3103 | Register of Separations and Transfers |
SF 3104 | Application for Death Benefit (FERS) |
SF 3104B | Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death (FERS) |
SF 3106 | Application For Refund of Retirement Deductions (Federal Employees Retirement System) (SF 3106A, Current/Former Spouse’s Notification for Refund Retirement Deductions is included with this form.) |
SF-3107 | Application for Immediate Retirement (Federal Employees Retirement System) – |
SF-3108 | Application to Make Service Credit Payment (Federal Employees Retirement System) |
SF-3109 | Election of Coverage (Federal Employees Retirement System) |
SF 3110 | Former Spouse’s Consent to FERS Election |
SF 3111 | Request for Waiver, Extension, or Search in Connection with Election of FERS Coverage, Federal Employees Retirement System |
SF-3112 | Documentation in Support of Disability Retirement Application – |
Optional Forms
Optional Forms are used government wide for various purposes
Form | Title |
OF 5 | Inquiry As To Availability |
OF 8 | Position Description |
OF 69 | Assignment Agreement – Title IV, Intergovernmental Personnel Act |
OF 306 | Declaration for Federal Employment |
OF 311 | Application for Federal Employee Commercial Garnishment |
OF 612 | Optional Application for Federal Employment |
Office of Personal Management (OPM)
Listed below are the forms issued by Office of Personal Management.
Form | Title |
OPM 71 | Request for Leave or Approved Absence |
OPM 630 | Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program |
OPM 630A | Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Within Agency)] |
OPM 630B | Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Outside Agency) |
OPM 630C | Transfer of Leave Records for Leave Recipient Covered by the Voluntary Transfer Leave Program |
OPM 913B | Recognitions and Agreements Change Form |
OPM 1019 | Request for Schedule C Appointment Authority |
OPM 1078-A | Annual Report of Salary and Wage Distribution of Federal Civilian Employee |
OPM 1078-B | Annual Report of Salary and Wage Distribution of Federal Civilian Employees (Wage Pay Plans) |
OPM 1079-A | Biennial Survey on Occupations of Federal Civilian Employees Distribution of Paid Full-Time Employees by Occupation |
OPM 1203 FX | Occupational Questionnaire The vacancy announcement will specify if you must use this form. |
OPM 1312 | Geographic Distribution of Federal Civilian Employment |
OPM 1351A | Work Years and Personnel Costs Report – Basic and Premium Work Years and Pay – Fiscal Year |
OPM 1351B | Work Years and Personnel Costs Report – Costs of Employees Benefits – Fiscal Year |
OPM 1351C | Work Years and Personnel Costs Report – Leave Earned and Used – Leave Year |
OPM 1396 | Request to Establish or Discontinue a Personnel Office Identifier, or to Change POI Information |
OPM 1397 | Special Salary Rate Request Form |
OPM 1397B | Worksheet for Special Salary Rate Annual Review |
OPM 1482 | Agency Certification of Status of Reemployed Annuitant – Federal Employees’ Group Life Insurance Program |
OPM 1496 | Application for Deferred Retirement (Separations before October 1, 1956) |
OPM 1496A | Application For Deferred Retirement, Civil Service Retirement System (Separations on or after October 1, 1956) |
OPM 1510 | Certification of Agency Officer of Position and Required Documentation for Discontinued Service Retirement Under CSRS or FERS |
OPM 1514 | Military Deposit Worksheet |
OPM 1515 | Military Service Deposit Election |
OPM 1519 | Survivor’s Military Service Election – Deceased Employee Covered by Civil Service Retirement System (CSRS) or CSRS Offset |
OPM 1522 | Request for Offset for Health Benefits Premiums from Monies Payable Under the Civil Service Retirement System or the Federal Employees Retirement System (in lieu of SF 2805) |
OPM 1523 | Supplemental Semiannual Headcount Report |
OPM 1530 | Report of Medical Examination of Person Electing Survivor Benefit Under the Civil Service Retirement System |
OPM 1558 | Annual Senior Executive Service Ratings and Pay-for-Perfomance Summary Data Report |
OPM 1562 | Application For Return of Excess Retirement Deductions |
OPM 1623 | List of Experts and Consultants Hired Under 5 U.S.C. 3109 |
OPM 1637 | Application to Become a Leave Recipient Under the Emergency Leave Transfer Program |
OPM 1638 | Request to Donate Annual Leave Under the Emergency Leave Transfer Program |
OPM 1639 | Transfer of Donated Annual Leave To/From the Emergency Leave Transfer Program |
OPM 1643 | Child Care Subsidy Application Form |
OPM 1644 | Child Care Provider Information for Child Care Subsidy Program for Federal Employees |
OPM 1652 | Request for SES Noncareer or Limited Appointment Authority |
OPM 1654 | 2009 Combined Federal Campaign Model Pledge Form This form is for CFC Campaign Personnel Use Only |
OPM 1655 | Application for Senior Administrative Law Judge |
OPM 1655A | Geographic Preference for Senior Administrative Law Judge |
OPM 1674 | Training Nomination and Employee Assessment, Delegated Examining Training |
OPM 1675 | Individual and Supervisory Assessments, Delegated Examining Training |
OPM 1676 | Coverage Determination Application |
OPM 2809 | Health Benefits Registration Form (ONLY FOR USE BY Annuitants and Former Spouses of Annuitants) |
Retirement and Insurance Forms
These forms are used to process retirement and Insurance benefits.
FORM | TITLE |
RI 16-28 | Authorization for Direct Payments |
RI 20-7 | Representative Payee Application |
RI 20-64 | Letter Reply to Request for Information |
RI 20-64A | Former Spouse Survivor Annuity Election |
RI 20-97 | Estimated Earnings During Military Service |
RI 20-120 | Request for Change to Unreduced Annuity |
RI 20-122 | Certification for Physicians Comparability Allowances (PCA) |
RI 25-14 | Self-Certification of Full-Time School Attendance For The School Year – |
RI 25-15 | Notice of Change in Student’s Status |
RI 25-41 | Initial Certification of Full-Time School Attendance |
RI 25-49 | Verification of Full-Time School Attendance |
RI 30-1 | Request for Information |
RI 30-10 | Disabled Dependent Questionnaire |
RI 34-1 | Financial Resources Questionnaire |
RI 38-31 | We Need More Information About Your Missing Payment |
RI 38-45 | We Need the Social Security Number of the Person Named Below |
RI 38-107 | URGENT – Reply Required Within 30 Days to Avoid Interruption of Your Payments |
RI 38-122 | Alternative Annuity and Rollover Election |
RI 38-124 | Voluntary Contributions Election |
RI 38-128 | It’s Time to Sign-up for Direct Deposit |
RI 38-133 | Certification for Title 38 Physicians and Dentists |
RI 76-10 | Assignment of Federal Employee’s Group Life Insurance |
RI 79-9 | Health Benefits Cancellation/Suspension Confirmation |
RI 92-19 | Application for Deferred or Postponed Retirement – Federal Employees Retirement System (FERS) |
RI 92-22 | Annuity Supplement Earnings Report |
Federal Investigation Forms
These forms are used for federal investigations. Standard Forms (SF) used in the Federal Investigations process is listed on this table as well as the SF table.
FORM | TITLE |
INV 60 | Request for Determination or Advisory |
SF 85 | Questionnaire for Non-Sensitive Positions |
SF 85P | Questionnaire for Public Trust Positions |
SF 85P-S | Supplemental Questionnaire for Selected Positions |
SF 86 | Questionnaire for National Security Positions |
SF 86A | Continuation Sheet for Questionnaires SF 86, SF 85P, and SF 85 |
SF 86C | Standard Form 86 Certification |
Federal Employees Group Life Insurance Forms
FORM | TITLE |
FE-6 | Claim for Death Benefits, Federal Employees’ Group Life Insurance Program |
FE-6 DEP | Settlement of Claim; Option C — Family Life Insurance |
FE-7 | Claim for Dismemberment Benefits |
FE-2004 | Open Season Election Form for 2004 |
Source:
http://www.forms.gov/bgfPortal/openPage.do?fileId=0&u=http://www.doc.gov/forms