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Office Of Personnel Management

U.S. Office Of Personal Management

Standard Forms

Standard Forms are used government wide for various employment and benefits program purposes.

FORMTITLE
SF 15Application for 10-Point Veteran’s Preference
SF 39Request for Referral of Eligibles
SF 50Notification of Personnel Action
SF 52Request for Personnel Action
SF 59Request for Approval of Non-Competitive Action
SF 61Appointment Affidavits
SF 62Agency Request to Pass Over a Preference Eligible or Object to an Eligible
SF 75Request for Preliminary Employment Data
SF 85Questionnaire for Non-Sensitive Positions
SF 85PQuestionnaire for Public Trust Positions
SF 85P-SSupplemental Questionnaire for Selected Positions
SF 86Questionnaire for National Security Positions
SF 86AContinuation Sheet for Questionnaires SF 86, SF 85P, and SF 85
SF 86CStandard Form 86 Certification
SF-113AMonthly Report of Federal Civilian Employment
SF-113GMonthly Report of Full-Time Equivalent/Work-Year Civilian Employment
SF 144Statement of Prior Federal Service
SF 144AStatement of Prior Federal Service – Worksheet
SF 181Ethnicity and Race Identification
FOR USE WITH CURRENT FEDERAL EMPLOYEES ONLY
SF 182Authorization, Agreement and Certification of Training
SF 256Self-Identification of Reportable Handicap
SF 813Verification of A Military Retiree’s Service in Nonwartime Campaigns or Expeditions
SF 1152Designation of Beneficiary — Unpaid Compensation of Deceased Civilian Employee
SF 1153Claim for Unpaid Compensation of Deceased Civilian Employee
SF 1187Request for Payroll Deductions for Labor Organization Dues
SF-1188Cancellation of Payroll Deductions for Labor Organization Dues
SF-2800Application for Death Benefits (Civil Service Retirement System)
SF-2800ADocumentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death
SF-2801Application for Immediate Retirement (CSRS)
SF-2802Application for Refund of Retirement Deductions (CSRS)
SF 2803Application to Make Deposit or Redeposit
SF 2804Application to Make Voluntary Contributions, CSRS
SF 2805Request for Recovery of Debt Due the United States
SF 2806Individual Retirement Record
SF 2807Register of Separations and Transfers (CSRS)
SF 2808Designation of Beneficiary, CSRS
SF 2809Employee Health Benefits Registration Form
SF-2810Notice of Change in Health Benefits Enrollment
SF 2817Life Insurance Election: Federal Employees’ Group Life Insurance Program
SF 2818Continuation of Life Insurance Coverage as an Annuitant or Compensationer
SF 2819Notice of Conversion Privilege, Federal Employee’s Group Life Insurance Program
SF 2820Certification of Insured Employee’s Retired Status
SF 2821Agency Certification of Insurance Status
SF 2822Request for Insurance
SF 2823Designation of Beneficiary, Federal Employees’ Group Life Insurance Program
SF 3101Notice of Correction of Individual Retirement Record
SF 3100Individual Retirement Record (FERS)
SF 3102Designation of Beneficiary, Federal Employees Retirement System
SF 3103Register of Separations and Transfers
SF 3104Application for Death Benefit (FERS)
SF 3104BDocumentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death (FERS)
SF 3106Application 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-3107Application for Immediate Retirement (Federal Employees Retirement System) –
SF-3108Application to Make Service Credit Payment (Federal Employees Retirement System)
SF-3109Election of Coverage (Federal Employees Retirement System)
SF 3110Former Spouse’s Consent to FERS Election
SF 3111Request for Waiver, Extension, or Search in Connection with Election of FERS Coverage, Federal Employees Retirement System
SF-3112Documentation in Support of Disability Retirement Application –

Optional Forms

Optional Forms are used government wide for various purposes

FormTitle
OF 5Inquiry As To Availability
OF 8Position Description
OF 69Assignment Agreement – Title IV, Intergovernmental Personnel Act
OF 306Declaration for Federal Employment
OF 311Application for Federal Employee Commercial Garnishment
OF 612Optional Application for Federal Employment

Office of Personal Management (OPM)

Listed below are the forms issued by Office of Personal Management.

FormTitle
OPM 71Request for Leave or Approved Absence
OPM 630Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program
OPM 630ARequest to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Within Agency)]
OPM 630BRequest to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Outside Agency)
OPM 630CTransfer of Leave Records for Leave Recipient Covered by the Voluntary Transfer Leave Program
OPM 913BRecognitions and Agreements Change Form
OPM 1019Request for Schedule C Appointment Authority
OPM 1078-AAnnual Report of Salary and Wage Distribution of Federal Civilian Employee
OPM 1078-BAnnual Report of Salary and Wage Distribution of Federal Civilian Employees (Wage Pay Plans)
OPM 1079-ABiennial Survey on Occupations of Federal Civilian Employees Distribution of Paid Full-Time Employees by Occupation
OPM 1203 FXOccupational Questionnaire The vacancy announcement will specify if you must use this form.
OPM 1312Geographic Distribution of Federal Civilian Employment
OPM 1351AWork Years and Personnel Costs Report – Basic and Premium Work Years and Pay – Fiscal Year
OPM 1351BWork Years and Personnel Costs Report – Costs of Employees Benefits – Fiscal Year
OPM 1351CWork Years and Personnel Costs Report – Leave Earned and Used – Leave Year
OPM 1396Request to Establish or Discontinue a Personnel Office Identifier, or to Change POI Information
OPM 1397Special Salary Rate Request Form
OPM 1397BWorksheet for Special Salary Rate Annual Review
OPM 1482Agency Certification of Status of Reemployed Annuitant – Federal Employees’ Group Life Insurance Program
OPM 1496Application for Deferred Retirement
(Separations before October 1, 1956)
OPM 1496AApplication For Deferred Retirement, Civil Service Retirement System
(Separations on or after October 1, 1956)
OPM 1510Certification of Agency Officer of Position and Required Documentation for Discontinued Service Retirement Under CSRS or FERS
OPM 1514Military Deposit Worksheet
OPM 1515Military Service Deposit Election
OPM 1519Survivor’s Military Service Election – Deceased Employee Covered by Civil Service Retirement System (CSRS) or CSRS Offset
OPM 1522Request 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 1523Supplemental Semiannual Headcount Report
OPM 1530Report of Medical Examination of Person Electing Survivor Benefit Under the Civil Service Retirement System
OPM 1558Annual Senior Executive Service Ratings and Pay-for-Perfomance Summary Data Report
OPM 1562Application For Return of Excess Retirement Deductions
OPM 1623List of Experts and Consultants Hired Under 5 U.S.C. 3109
OPM 1637Application to Become a Leave Recipient Under the Emergency Leave Transfer Program
OPM 1638Request to Donate Annual Leave Under the Emergency Leave Transfer Program
OPM 1639Transfer of Donated Annual Leave To/From the Emergency Leave Transfer Program
OPM 1643Child Care Subsidy Application Form
OPM 1644Child Care Provider Information for Child Care Subsidy Program for Federal Employees
OPM 1652Request for SES Noncareer or Limited Appointment Authority
OPM 16542009 Combined Federal Campaign Model Pledge Form
This form is for CFC Campaign Personnel Use Only
OPM 1655Application for Senior Administrative Law Judge
OPM 1655AGeographic Preference for Senior Administrative Law Judge
OPM 1674Training Nomination and Employee Assessment, Delegated Examining Training
OPM 1675Individual and Supervisory Assessments, Delegated Examining Training
OPM 1676Coverage Determination Application
OPM 2809Health 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.

FORMTITLE
RI 16-28Authorization for Direct Payments
RI 20-7Representative Payee Application
RI 20-64Letter Reply to Request for Information
RI 20-64AFormer Spouse Survivor Annuity Election
RI 20-97Estimated Earnings During Military Service
RI 20-120Request for Change to Unreduced Annuity
RI 20-122Certification for Physicians Comparability Allowances (PCA)
RI 25-14Self-Certification of Full-Time School Attendance For The School Year –
RI 25-15Notice of Change in Student’s Status
RI 25-41Initial Certification of Full-Time School Attendance
RI 25-49Verification of Full-Time School Attendance
RI 30-1Request for Information
RI 30-10Disabled Dependent Questionnaire
RI 34-1Financial Resources Questionnaire
RI 38-31We Need More Information About Your Missing Payment
RI 38-45We Need the Social Security Number of the Person Named Below
RI 38-107URGENT – Reply Required Within 30 Days to Avoid Interruption of Your Payments
RI 38-122Alternative Annuity and Rollover Election
RI 38-124Voluntary Contributions Election
RI 38-128It’s Time to Sign-up for Direct Deposit
RI 38-133Certification for Title 38 Physicians and Dentists
RI 76-10Assignment of Federal Employee’s Group Life Insurance
RI 79-9Health Benefits Cancellation/Suspension Confirmation
RI 92-19Application for Deferred or Postponed Retirement – Federal Employees Retirement System (FERS)
RI 92-22Annuity 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.

FORMTITLE
INV 60Request for Determination or Advisory
SF 85Questionnaire for Non-Sensitive Positions
SF 85PQuestionnaire for Public Trust Positions
SF 85P-SSupplemental Questionnaire for Selected Positions
SF 86Questionnaire for National Security Positions
SF 86AContinuation Sheet for Questionnaires SF 86, SF 85P, and SF 85
SF 86CStandard Form 86 Certification

Federal Employees Group Life Insurance Forms

FORMTITLE
FE-6Claim for Death Benefits, Federal Employees’ Group Life Insurance Program
FE-6 DEPSettlement of Claim; Option C — Family Life Insurance
FE-7Claim for Dismemberment Benefits
FE-2004Open Season Election Form for 2004

Source:

http://www.forms.gov/bgfPortal/openPage.do?fileId=0&u=http://www.doc.gov/forms


Inside Office Of Personnel Management