U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

SF 2820

July 2000

Use:

Agencies use this form for employees who have (1) retired under any Federal system OTHER THAN the Civil Service Retirement System (CSRS) or Federal Employees' Retirement System (FERS), and who (2) submit a completed SF 2821, Agency Certification of Insurance Status.

Electronic Copies:

PDF Fillable Version [316 KB]

Paper Copies:

Agencies:

Use your internal agency procedures for ordering Standard Forms. Paper copies of this form are NOT available from OPM.