PERSONNEL

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CODE.SOFTWARE CODE - FORM TITLE - REVISION DATE

• AWCASHCL.PDF - Cash Award for Recruitment of Clerical and Stay-in-School Clerical Employees - 9/89
• AWMERITG.PDF - Nomination for NIH Merit Award - Group - None
• AWMERITI.PDF - Nomination for NIH Merit Award - Individual - None
• AWSMPUR.PDF - Nominations for Outstanding Service in Small Purchases - None
• DKPNKSHT.PDF - NIDDK Pink Sheet - None
• EXTGRWRK.PDF - Application for Workshop on Extramural Programs and Grant Support - None
• EYPRFPLN.PDF - NEI Individual Performance Plan - None
• FAF.PDF - Request to FAES for Administration for Fellowship - 8/1/91
• FAFELLOW.PDF - FAES Fellowship Program - Fellowships - None
• FAG.PDF - Request to FAES for Administration for Fellowship - 8/1/91
• FAMENTOR.PDF - FAES Fellowship Program - Mentor-Based Fellowships - None
• FASUMGRT.PDF - Application for FAES Summer Student Grant - None
• FCJVERC.PDF - Fogarty Center Request for Extension of J-1 Visa by DOS - 3/21/00
• FCTERM.PDF - Fogarty Center Program Termination - 12/14/90
• FCVISA.PDF - Fogarty Center Supporting Documentation for Non-NIH Visiting Program Participant - 1/13/97
• FCVISA01.PDF - Fogarty Center Supporting Documentation for Non-NIH Visiting Program Participant - 2/09/96
• FE6.PDF - FEGLI - Claim for Death Benefits (Link takes you to OPM's website)
• FE6DEP.PDF - FEGLI - Settlement of Claim; Option C -- Family Life Insurance (Link takes you to OPM's website)
• FE7.PDF - FEGLI - Claim for Dismemberment Benefits (Link takes you to OPM's website)
• GRAGREE.PDF - Guest Researcher Agreement - None
• HDPRFPLN.PDF - NICHD Performance Plan - None
• HS33.PDF - HHS-33 - Probationary Employee Certification and Recommendation - New Appointments - 9/80
• HS33A.PDF - HHS-33A - Probationary Employee Certification and Recommendation - Supervisors/Managers - 9/80
• HS171.PDF - HHS-171 - DHHS Recommendation for Cash Award - 12/87
• HS311.PDF - HHS-311 - Official Personnel Folder Transmittal - 1/81
• HS355.PDF - HHS-355 - DHHS Employment Agreement for Transfers to and Within the Continental United States - 3/81
• HS355A.PDF - HHS-355A - DHHS Employment Agreement for Transfers and Appointments Overseas - 2/83
• HS355B.PDF - HHS-355B - DHHS Employment Agreement for Manpower Shortage Positions in the 50 States and the District of Columbia - 3/81
• HS410.PDF - HHS-410 - DHHS Supplemental Information - Expert or Consultant - 12/77
• HS419.PDF - HHS-419 - Clearance of Personnel for Separation or Transfer - 7/90
• HS441.PDF - Obsolete - HHS-441 - Assurance fo Compliance with the Department of Health and Human services Regulation Under Title VI fo the Civil Rights Act of 1964 - 12/82
• HS441A.PDF - Obsolete - HHS-441A - Explanation of HHS Form No. 441, Assurance of Compliance with the Department of Health and Human Services Regualtion Under Title VI of the Civil Rights Act of 1964 - 3/81
• HS474.PDF - Obsolete - HHS-474 - Confidential Statement of Employment and Financial Interests - 3/77 - Superseded by OGE Form 450 - “Executive Branch Confidential Financial Disclosure Report”
• HS581.PDF - HHS-581 - DHHS Recommendation for Quality Increase - 3/86
• HS639A.PDF - Obsolete - HHS-639A - Assurance of Compliance with Title IX of the Education Amendments of 1972 and the Regulation Issued by the Department of Health and Human services Implementation Thereof - 3/77
• HS651.PDF - HHS-651 - DHHS Initial Interview and Information EEO Counseling Report - 1/8
• HS652.PDF - HHS-652 - DHHS Final EEO Counseling Report - 1/88
• HS691.PDF - HHS-691 - Request for Special Pay for Physicians and Dentists - 6/98
• HS691_1.PDF - HHS-691-1 - Employee Agreement to Receive Special Pay for Physicians and Dentists Under Title 38 - 6/98
• HSPROOBL.PDF - DHHS Procurement Officials Certification of Continuing Obligation - 8/20/97
• HSRPYAGR.PDF - DHHS Installment Repayment Agreement for Transferring Personnel - 8/20/97
• IRTAAGRE.PDF - NIH Intramural Research Training Award Program IRTA Fellowship Agreement - 3/13/98
• IRTAPROV.PDF - NIH Intramural Research Training Award Program Program Provisions - 3/13/98
• IRTASPAG.PDF - Obsolete - NIH Intramural Research Training Award Program Supplemental IRTA Fellowship Agreement - None
• IRTASTAG.PDF - Obsolete - NIH Student Support IRTA Program Student Support IRTA Fellowship Agreement - 11/1/94
• I-9.PDF - I-9 - Employment Eligibility Verification - 11/21/91
• LEAVE_REC 2008.PDF - Personal Leave Record for 2008
• NH145_2.PDF - NIH-145-2 - Request for Official Personnel Folder (OPF) - 2/87
• NH356.PDF - NIH-356 - NIH Visiting Program Acceptance Notice - 3/03
• NH489_1.PDF - NIH-489-1 - Nomination for NIH-Sponsored Courses - 11/88
• NH590.PDF - NIH-590 - Special Volunteer and Guest Researcher Assignment - 1/99 (Note: Includes a version for use with the Courtesy Contract and a version for NICHD.)
• NH590-2.PDF - NIH-590 - NIH Special Volunteer Agreement - 3/98
• NH750_2.PDF - NIH-750-2 - Request for Medical Determination and Report of Findings - 6/98
• NH750_3.PDF - NIH-750-3 - Medical Qualification Determination Questionnaire - None
• NH829_1.PDF - IH-829-1 - Request for Appointment to NIH Visiting Program - 3/99
• NH829_2.PDF - NIH-829-2 - Request for NIH Visiting Fellowship Award - 3/98
• NH829_5.PDF - NIH-829-5 - Notification of Termination of Visiting Program Participation - 1/90
• NH829_6.PDF - NIH-829-6 - J-1 Exchange Visitor Program--Certification of Health Insurance Coverage - 4/04
• NH829_7.PDF - NIH-829-7 - Request for NIH Supplemental Visiting Fellowship Award - 5/95
• NH1531_1.PDF - NIH-1531-1 - Request for Special Report from Taps - 12/81
• NH1742.PDF - NIH-1742 - Agency Agreement and Clearance - 7/99
• NH2010.PDF - NIH-2010 - Notice of Financial Action on Fellowship Award - 3/93
• NH2028.PDF - NIH-2028 - Request for Permanent Change of Station Orders--Civilian Personnel and Other Appointed Persons - 10/02, pamphlet revised 1/03
• NH2028-1.PDF - NIH-2028 - Request for Permanent Change of Station Orders--Non-FTE Persons - 10/02
• NH2144.PDF - NIH-2144 - Fellowship Termination Notification - 7/90
• NH2245.PDF - NIH-2245 - Application for Continuing Education Program Staff Training in Extramural Programs (STEP) - 9/95
• NH2252_1.PDF - NIH-2252-1 - Knowledges, Skills, and Abilities (KSA) Job Analysis - 3/91
• NH2252_2.PDF - NIH-2252-2 - Knowledges, Skills, and Abilities (KSA) Crediting Plan - 3/91
• NH2252_3.PDF - NIH-2252-3 - Knowledges, Skills, and Abilities (KSA) Supplemental Form - 3/91
• NH2298.PDF - NIH-2298 - Authorization to Release Student Information - 5/95
• NH2539_4.PDF - NIH-2539-4 - Acknowledgment of Application and Report of Action Taken - 11/90
• NH2542_1.PDF - NIH-2542-1 - Election of Health Insurance Plan Through FAES - 5/90 (Electronic versions of this form are unacceptable. If your Administrative Office does not have a copy, contact OFM at 496-5635, 31-B1B06.)
• NH2542_2.PDF - NIH-2542-2 - Election of Health Insurance Plan Through Private Company - 7/90 (Electronic versions of this form are unacceptable. If your Administrative Office does not have a copy, contact OFM at 496-5635, 31-B1B06.)
• NH2581.PDF - Obsolete - NIH-2581 - Tentative Estimate of Foreign Area Allowances and Differentials - 5/86
• NH2585.PDF - NIH-2585 - Individual Performance Plan - 10/90
• NH2590.PDF - NIH-2590 - Request for Intramural Research Training Award (IRTA) - 5/97
• NH2590_1.PDF - NIH-2590-1 - Verification of U.S. Citizenship or Permanent Residency Status NIH Intramural Research Training Award (IRTA) Program - 2/88
• NH2590_2.PDF - NIH-2590-2 - Request for Supplemental Intramural Research Training Award (Supplemental IRTA) - 6/97
• NH2590_3.PDF - NIH-2590-3 - Request for Student Support Intramural Research Training Award (Student Support IRTA) - 11/94
• NH2590_4.PDF - NIH-2590-4 - Request for Technical Intramural Research Training Award (Technical IRTA) - 7/95
• NH2652.PDF - NIH-2652 - Code Sheet for the NIH Special Volunteer Program and Guest Researcher Assignment - 4/88
• NH2666.PDF - NIH-2666 - Request for Summer Intramural Research Training Award (Summer IRTA) - 3/90
• NH2674.PDF - NIH Loan Repayment Programs forms - Please see the NIH Loan Repayment Programs website for all forms.
• NH2696.PDF - NIH-2696 - Evaluation of Employee Suggestion - 6/91
• NH2736_1.PDF - NIH-2736-1 - Justification for Temporary Limited Appointment - 11/93
• NH2736_2.PDF - NIH-2736-2 - Request for Certification of Eligibles for Temporary Limited Positions - 11/93
• NH2736_3.PDF - NIH-2736-3 - Employee's Statement of Understanding Regarding Temporary Appointment - 11/93
• NH2737.PDF - NIH-2737 - Administrative Exit Checklist - Please use NIH 2737-2 below.
• NH2737_1.PDF - NIH-2737-1 - Clearance of Personnel for Separation or Transfer - Please use NIH 2737-2 below.
• NH2737_2.PDF - NIH-2737-2 - Clearance of Personnel for Separation or Transfer - 8/97
• NH2778.PDF - NIH-2778 - Senior Executive Service Performance Plan - 11/97
• NH2833.doc - NIH 2833 - NIH Award Nomination
(Link to MS Word file on OHR Website)
• NH2835_1.PDF - NIH-2835-1 - Telework Application and Agreement - 10/03
• NH2835_2.PDF - NIH-2835-2 - Telework Equipment Inventory - 10/03
• NH2835_3.PDF - NIH-2835-3 - Telework Office Evaluation - 10/03
• NH2835_4.PDF - NIH-2835-4 - Sample Pre-Telework Worksheet - 10/03
• NH2851_1.PDF - Revised - NIH 2851-1 - Request For Student Loan Repayment Benefit - 8/08
  
• NH2851_2.PDF - Revised - NIH 2851-2 - Student Loan Repayment Program Service Agreement - 12/08
• NH2851_3.PDF - NIH 2851-3 - Outstanding Loan Information - 3/06
• NH2851_4.PDF - NIH 2851-4 - Waiver of Student Loan Indebtedness - 3/06
• NH2866.PDF - Revised - NIH-2866 - Position Sensitivity Worksheet - 12/31/08
• NH2866-Instr.PDF - Revised - Instructions Page for Form NIH 2866 - 12/31/08
• NIH_AWARD_NOM.PDF - NIH Award Nomination - Replaced by NH2833.PDF.
• NSAWCASH.PDF - NINDS Cash Award Program for Clerical and Administrative Support Referral Form - None
• NSAWEMMO.PDF - NINDS Employee of the Month Nomination Form - None
• NSBNSEP.PDF - NINDS Clearance of Personnel for Separation or Transfer - None
• NSDEVPLN.PDF - NINDS Individual Development Plan - 8/98
• NSIRTANW.PDF - NINDS New IRTA Package Form - None
• NSPRFPLN.PDF - NINDS Performance Appraisal System - 4/96
• NSPSNEVL.PDF - NINDS Factor Evalaution System Position Evaluation Statement - None
• NSSPVLAG.PDF - NINDS Special Volunteer Program Service Agreement - None
• NSTEMPPO.PDF - NINDS Applicant supply File Referral Temporary Positions - None
• NSVOLEML.PDF - NINDS Employer's Special Volunteer Agreement - None
• OF5.PDF - OF-5 - Inquiry as to Availability - 3/82
• OF8.PDF - OF-8 - Position Description - 1/85 (Link takes you to GSA's website)
• OF69-HHS.PDF - OF-69 - HHS Assignment Agreement IPA - no date
• OF306.PDF - OF-306 - Declaration for Federal Employment - 9/94
• OF510.PDF - OF-510 - Privacy and Public Burden Statements - 9/94
• OF612.PDF - OF-612 - Optional Application for Federal Employment (Link takes you to OPM's website)
• OM0990_31.PDF - OMB-0090-31 - DHHS Applicant Background Survey - None
• OP117017.PDF - Obsolete - OPM-1170/17 - Supplemental Qualifications Statement List of College Courses and Certificate of Scholastic Achievement - None
• OP117029.PDF - Obsolete - OPM-1170/29 - Supplemental Qualifications Statement Medical and Dental Officer - 6/79
• OP1390.PDF - OPM-1390 - Executive Personnel Transaction - 4/79
• OP1397.PDF - OPM-1397 - U.S. OPM Worksheet for Special Salary Rate Requests - 5/98
• OP1482.PDF - OPM-1482 - FEGLI Agency Certification of Status of Reemployed Annuitants - 2/93
• OP1510.PDF - OPM-1510 - Certification of Agency Offer of Position and Required Documentation (for Discontinued Service Retirement Under CSRS or FERS) - 10/94
• OP1515.PDF - OPM-1515 - Military Service Deposit Election - 12/00
• OP1519.PDF - OPM-1519 - Survivor's Military Service Election Deceased Employee Covered by CSRS or CSRS Offset - 1/93
• OP1537.PDF - OPM-1537 - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions - 5/85
• OP1555.PDF - OPM-1555 - Election of Coverage Federal Employees Retirement System - 6/87
• OP1635.PDF - OPM-1635 - Welfare to Work Program - 4/97
• PH50.PDF - PHS-50 - Application for Appointment as a Commissioned Officer in the U.S. Public Health Service Commissioned Corps - 7/97
• PH416_5.PDF - PHS-416-5 - Research Fellowship Activation Notice (Link to NIH Grants Website)
• PH488.PDF - PHS-488 - Claim for Temporary Lodging Allowance (TLA) - 5/99
• PH838.PDF - PHS-838 - Commissioned Officers' Effectiveness Report - 11/01
• PH1485.PDF - PHS-1485 - DHHS Grant Continuation - 6/83
• PH1637_1.PDF - PHS-1637-1 - Public Health Service Commissioned Officer's Request for Dependency Determination - 4/92
• PH1637_3.PDF - PHS-1637-3 - DHHS, PHS Parent's Dependency Affidavit - 09/81
• PH1662.PDF - Request for Personnel Action - Commissioned Officer - 6/97
• PH1813.PDF - PHS-1813 - Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps - 7/97
• PH4392.PDF - PHS-4392 - Billet Description - 11/94
• PH4392_1.PDF - PHS-4392 - Billet Description - 11/94
• PH4469_1.PDF - PHS-4469-1 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Evaluation Questionnaire - 6/94
• PH4772.PDF - PHS-4772 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Status Report - 10/93
• PH5141.PDF - PHS-5141 - Appointment Affidavit - 2/92
  PH5141_1.PDF - PHS-5141-1 - Appointment Affidavit Reserve Corps - 2/00
• PH6059.PDF - PHS-6059 - Request for Overseas Station Allowances - 6/99
• PH6106.PDF - PHS-6106 - Agreement to Receive an Allowance Under the Federal Physicians Comparability Allowance Program - 9/88
• PH6127.PDF - PHS-6127 - Commissioned Corps Inactive Reserve Corps Questionnaire - 11/96
• PH6186.PDF - PHS-6186 - Request for Advance of Station Housing Allowance - 11/91
• PH6342_1.PDF - PHS-6342-1 - PHS Unit Honor Award Nomination Record - 2/97
• PH6342_2.PDF - PHS-6342-2 - PHS Individual Honor Award Nomination Record - 2/97
• PH6363.PDF - PHS-6363 - DHHS-PHS-Commissioned Corps Request to Establish/Change Mailing Address - 3/97
• PH6373.PDF - PHS-6373 - DHHS, PSC, Extramural Training Agreement - 9/96
• PH6374.PDF - PHS-6374 - DHHS, PSC, Intramural Training Agreement - 9/96
• PH6385.PDF - PHS-6385 - Status Report on Commissioned Corps Officers During Probation - 3/93
• PH7017.PDF - PHS-7017 - Reeemployment Priority List Registration - 7/94
• PH7017-1.PDF - PHS-7017-1 - Reemployment Priority List Employee Disposition Record - 7/94
• PH7034.PDF - PHS-7034 - Application for Assimilation into the Regular Corps - 2/98
• PH7036.PDF - PHS-7036 - Reimbursement Request for Adoption Expenses - 4/98
• RETIRANU.PDF - Retirement Annuity Estimate - None
• RI38_124.PDF - RI 38-124 - Voluntary Contributions Election - 9/94 (includes Employee Information pages)
• RI38_128.PDF - RI 38-128 - Direct Deposit
• RI76_10.PDF - RI 76-10 - FEGLI Assignment of Federal Employees' Group Life Insurance - 1/95
• RI83_011.PDF - RI 83-011 - Booklet - Thinking About Retirement
• SESRECRT.PDF - DHHS, NIH, Senior Executive Service Recertification Form - None
• SF8.PDF - SF-8 - Notice to Federal Employee About Unemployment Insurance - 6/87
• SF15.PDF - SF-15 - Application for 10-Point Veteran Preference - 2/90
• SF39.PDF - SF-39 - Request for Referral of Eligibles - 11/88
• SF52.PDF - SF-52 - Request for Personnel Action - 6/30/93 (Link takes you to GSA's website)
• SF59.PDF - SF-59 - Request for Approval of Noncompetitive Action - 1/79
• SF61.PDF - SF-61 - Appointment Affidavits - 6/96
• SF62.PDF - SF-62 - Agency Request to Pass Over a Preference Eligible or Object to an Eligible - 10/79
• SF75.PDF - SF-75 - Request for Preliminary Employment Data - 8/98
• SF78.PDF - SF-78 - U.S. Civil Service Commission Certificate of Medical Examination - 10/69
• SF85P_S.PDF - SF-85P-S - Supplemental Questionnaire for Selected Positions - 9/95
• SF88.PDF - SF-88 - Report of Medical Examination - 3/89
• SF93.PDF - SF-93 - Report of Medical History - 6/96
• SF113A.PDF - SF-113A - Monthly Report of Federal Civilian Employment - 8/94
• SF171.PDF - SF-171 - Application for Federal Employment - 6/88 (Obsolete)
• SF180.PDF - SF-180 - Request Pertaining to Military Records - 7/86
• SF181.PDF - SF-181 - Ethnicity and Race Identification - 8/05 (Link takes you to OPM's website)
• SF256.PDF - SF-256 - Self-Identification of Handicap - 8/87
• SF293.PDF - SF-293 - Notice to Separated Employee Concerning Disposition of Official Personnel Folder/Merged Records Personnel Folder and Employee Medical Folder - 7/89
• SF308.PDF - SF-308 - Request for Wage Determination and Response to Request - 5/85
• SF450.PDF - Obsolete - SF-450 - This has been replaced by form OGE-450
• SF813.PDF - SF-813 - Verification of a Military Retiree's Service in Nonwartime Campaigns or Expeditions (Link takes you to OPM's website)
• SF1152.PDF - SF-1152 - Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee - 11/91
• SF1153.PDF - SF-1153 - Claim for Unpaid Compensation of Deceased Civilian Employee - 4/82
• SF1154.PDF - SF-1154 - Public Voucher for Unpaid Compensation Due A Deceased Civilian Employee - 9/67
• SF1187.PDF - SF-1187 - Request for Payroll Deductions for Labor Organization Dues - 3/89
• SF1190.PDF - SF-1190 - Foreign Allowances Application, Grant and Report - 1/98
• SF2800.PDF - SF-2800 - CSRS Application for Death Benefits - 3/92
• SF2801.PDF - SF-2801 - CSRS Application for Immediate Retirement Under the Civil Service Retirement System - 1/90
• SF2801_1.PDF - SF-2801-1 - CSRS Certified Summary of Federal Service - 1/90
• SF2801_2.PDF - SF-2801-2 - CSRS Spouse's Consent to Survivor Election - (no date)
• SF2801_3.PDF - SF-2801-3 - CSRS Election of Former Spouse Survivor annuity or Combination Current/Former Spouse Annuity - 1/90
• SF2801D.PDF - SF-2801-Schedule D - CSRS Agency Checklist of Immediate Retirement Procedures - 1/90
• SF2802.PDF - SF-2802 - CSRS Application for Refund of Retirement Deductions - 1/91
• SF2802B.PDF - SF-2802B - CSRS Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Civil Service Retirement System - 1/91
• SF2803.PDF - SF-2803 - FEGLI Application to Make Deposit or Redeposit - 6/92
• SF2804.PDF - SF-2804 - Application to Make Voluntary Contributions, Civil Service Retirement System - 2/99
• SF2805.PDF - SF-2805 - Request for Recovery of Debt Due the United States - 4/80
• SF2806.PDF - SF-2806 - CSRS Individual Retirement Record - 2/80
• SF2806_1.PDF - SF-2806 - CSRS Notice of Correction of Individual Retirement Record - 2/80
• SF2807.PDF - SF-2807 - Register of Separations and Transfers Civilian Service Retirement System - 7/80
• SF2808.PDF - SF-2808 - Designation of Beneficiary - 2/99
• SF2809.PDF - SF-2809 - FEHB Health Benefits Registration Form - 7/99 (Link takes you to GSA's website)
• SF2809A.PDF - Obsolete - SF-2809A - FEHB Information for Federal Civilian Employees and U.S. Postal Service Employees - 6/90
• SF2810.PDF - SF-2810 - FEHB Notice of Change in Health Benefits Enrollment - 6/95
• SF2811.PDF - SF-2811 - Transmittal and Sumary Report to Carrier - 6/84
• SF2812A.PDF - SF-2812A - Report of Withholding and Contributions for Health Benefits by Enrollment Code - 12/21/98
• SF2817.PDF - SF-2817 - FEGLI Life Insurance Election - 4/99
• SF2818.PDF -  Continuation of Life Insurance Coverage as an Annuitant or Compensationer - 5/01
• SF2819.PDF - SF-2819 - FEGLI Notice of Conversion Privilege - 5/95
• SF2820.PDF - SF-2820 - FEGLI Certification Of Insured Employee's Retired Status - 8/94
• SF2821.PDF - SF-2821 - Agency Certification of Insurance Status - 5/95
• SF2822.PDF - SF-2822 - FEGLI Request for Insurance - 1/93
• SF2823.PDF - SF-2823 - FEGLI Designation of Beneficiary - 4/01 (Link takes you to GSA's website)
• SF2824.PDF - Obsolete - SF-2824 - CSRS Documentation in Support of Disability Retirement Application - 1/91
• SF2824A.PDF - SF-2824A - CSRS Applicant's Statement of Disability - 3/31/93
• SF2824B.PDF - SF-2824B - CSRS Supervisor's Statement - 1/91
• SF2824C.PDF - Obsolete - SF-2824C - CSRS Physician's Statement - 1/91
• SF2824D.PDF - SF-2824D - FEGLI Agency Certification of Reassignment and Accommodation Efforts - 1/91
• SF2824E.PDF - SF-2824E - FEGLI Disability Retirement Application Checklist - 1/91
• SF3100A.PDF - SF-3100-A - FERS Individual Retirement Record - 1/87
• SF3101.PDF - SF-3101 - FERS Notice of Correction of Individual Retirement Record - 2/87
• SF3102.PDF - SF-3102 - FERS Designation of Beneficiary - 12/93
• SF3104.PDF - SF-3104 - FERS Application for Death Benefits - 5/98
• SF3104A.PDF - SF-3104A - FERS Survivor Supplement - 12/91
• SF3104B.PDF - SF-3104B - FERS Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death - 5/98
• SF3105.PDF - Obsolete - SF-3105 - FERS Documentation in Support of Disability Retirement Application - 8/87
• SF3105A.PDF - SF-3105A - FERS Applicant's Statement of Disability - 8/87
• SF3105B.PDF - SF-3105B - FERS Supervisor's Statement - 8/87
• SF3105C.PDF - Obsolete - SF-3105C - FERS Physician's Statement - 8/87
• SF3105D.PDF - SF-3105D - FERS Agency Certification of Reassignment and Accommodation Efforts - 8/87
• SF3105E.PDF - SF-3105E - FERS Disability Retirement Application Checklist - 8/87
• SF3106.PDF - SF-3106 - Application for Refund of Retirement Deductions Federal Employees Retirement System - 3/96
• SF3106A.PDF - SF-3106A - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Federal Employee's Retirement System - 2/97
• SF3107.PDF - SF-3107 - FERS Application for Immediate Retirement - 4/00
• SF3107_1.PDF - SF-3107-1 - FERS Certified Summary of Federal Service - 1/97
• SF3107_2.PDF - SF-3107-2 - FERS Spouse's Consent to Survivor Election - 3/88
• SF3108.PDF - SF-3108 - Application to Make Service Credit Payment for Civilian Service - 5/88
• SF3109.PDF - SF-3109 - FERS Election of Coverage - 7/89
• SF3110.PDF - SF-3110 - FERS Former Spouse's Consent to FERS Election - 6/90
• SF3111.PDF - SF-3111 - FERS Request for Waiver, Extension, or Search 6/90
• SF3112.PDF - SF-3112 - Applicant's Statement of Disability In Connection With Disability Retirement Under the Civil Service Retirement System or the Federal Employees Retirement System - 12/95
• SF3112-1.PDF - SF-3112-1 - Information about Disability Retirement (CSRS) - 3/96
• SF3112-2.PDF - SF-3112-2 - Information about Disability Retirement (FERS) - 3/96
• SF3112A.PDF - SF-3112A - CSRS/FERS Applicant's Statement of Disability - 11/96
• SF3112B.PDF - SF-3112B - CSRS/FERS Supervisor's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112C.PDF - SF-3112C - CSRS/FERS Physician's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112D.PDF - SF-3112D - CSRS/FERS Agency Certification of Reassignment and Accommodation Efforts In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112E.PDF - SF-3112E - CSRS/FERS Disability Retirement Application Checklist - 11/96
• SOCIAL SECURITY ADMINISTRATION - Link to SSA Web Site
• SS5.PDF - SS-5 - Social Security Administration Application for a Social Security Card - 9/89
• SS7004SM.PDF - SS-7004-SM - Social Security Administration Request for Earnings and Benefits Statement - 6/98
• STATE DEPARTMENT - Visa and Passport Information - Link to Web Site
• THRIFT SAVINGS PLAN - Link to Web Site
• TSP1.PDF - TSP-1 - Thrift Savings Plan - Election Form - 5/01
• TSP3.PDF - TSP-3 - Thrift Savings Plan Designation of Beneficiary - 10/96
• TSP9.PDF - TSP-9 - Thrift Savings Plan Change of Address for Separated Participants - 6/94
• TSP16.PDF - TSP-16 - Thrift Savings Plan Exception to Spousal Requirements - 10/97
• TSP17.PDF - TSP-17 - Federal Retirement Thrift Savings Plan Application for Account Balance of Deceased Participant - 3/98
• TSP20.PDF - TSP-20 - Thrift Savings Plan Loan Application - 2/98
• TSP30.PDF - TSP-30 - Thrift Savings Plan Interfund Transfer Request - 9/98
• TSP32.PDF - TSP-32 - Thrift Savings Plan Acknowledgement of Risk for Thriftline Interfund Transfers - 11/94
• TSP70.PDF - TSP-70 - Thrift Savings Plan Withdrawal Request - 3/01
• TSP70T.PDF - TSP-70-T - Thrift Savings Plan Transfer Information - 11/94
• TSP75.PDF - TSP-75 - Thrift Savings Plan Age Based In-Service Withdrawal Request - 05/98
• TSP75T.PDF - TSP-75 - Thrift Savings Plan Transfer of In-Service Withdrawal - 05/98
• TSP76.PDF - TSP-76 - Thrift Savings Plan Financial Hardship In-Service Withdrawal Package - 05/98
• TSP1013.PDF - TSP-1013 - Important Tax Information About TSP In-Service Withdrawal Payments - 05/98
• TSPBK02.PDF - TSP Booklet 02 - TSP Withdrawal - 2/02
• TSPBK05.PDF - TSP Booklet 05 - TSP Annuities - 1/02
• VFSUPAGR.PDF - NIH Supplemental Visiting Fellow Award Program Supplemental Fellowship Agreement - 7/17/95
• VFSUPPRV.PDF - NIH Supplemental Visiting Fellow Award Program Statement of Supplemental Program Provisions - 7/17/95
• VOLAGREE.PDF - NIH Special Volunteer Agreement - None