PERSONNEL
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CODE.SOFTWARE CODE - FORM TITLE -
REVISION DATE
- AWCASHCL.FP3
- Cash Award for Recruitment of Clerical and Stay-in-School Clerical
Employees - 9/89
- AWEMPLREC.FPx - Obsolete -
Employee Recognition/Award Nomination and Approval Form - Replaced by NIH 2833, NIH Award Nomination (Universal
Form). Please use Adobe Acrobat
version - NH2833.PDF or MS Word version - NH2833.DOC.
- AWEMPLREC.FP3
- Employee Recognition/Award Nomination and Approval Form - None
- AWEMPLREC.FP5 (Version 5) - Employee Recognition/Award
Nomination and Approval Form - None
- AWMERITG.FP3 - Nomination for NIH Merit Award - Group - None
- AWMERITI.FP3 - Nomination for NIH Merit Award - Individual - None
- AWSMPUR.FP3
- Nominations for Outstanding Service in Small Purchases - None
- BPERSONNEL.FP3 - Bundled Form -
Personnel Forms for New and Former Employees (Note - This form contains
the updated Key/Lock Work Request and updated emergency number in the
intercom list. If you have been using it, you will need to download
this new version and import your data into the new file.)
- DKPNKSHT.FP3
- NIDDK Pink Sheet - None
- EXTGRWRK.FP3
- Application for Workshop on Extramural Programs and Grant Support -
None
- EYPRFPLN.FP3
- NEI Individual Performance Plan - None
- FAF.FP3
- Request to FAES for Administration for Fellowship - 8/1/91
- FAFELLOW.FP3
- FAES Fellowship Program - Fellowships - None
- FAG.FP3
- Request to FAES for Administration for Fellowship - 8/1/91
- FAMENTOR.FP3
- FAES Fellowship Program - Mentor-Based Fellowships - None
- FASUMGRT.FP3 - Application for FAES Summer Student Grant - None
- FCJVERC.FP3
- Fogarty Center Request for Extension of J-1 Visa by DOS - 3/21/00
- FCTERM.FP3 -
Fogarty Center Program Termination - 12/14/90
- FCVISA.FP3 -
Fogarty Center Supporting Documentation for Non-NIH Visiting Program
Participant - 1/13/97
- FCVISA01.FP3 -
Fogarty Center Supporting Documentation for Non-NIH Visiting Program
Participant - 2/09/96
- FE6.FP3
- FEGLI Claim for Death Benefits - 6/97
- FE6DEP.FP3
- FEGLI Claim for Option C--Family Life Insurance - 6/99
- FE7.FP3
- FEGLI Claim for Accidental Means Dismemberment Benefits - 1/97
- GRAGREE.FP3
- Guest Researcher Agreement - None
- HDPRFPLN.FP3 -
NICHD Performance Plan - None
- HS33.FP3
- HHS-33 - Probationary Employee Certification and Recommendation - New
Appointments - 9/80
- HS33A.FP3
- HHS-33A - Probationary Employee Certification and Recommendation -
Supervisors/Managers - 9/80
- HS171.FP3
- HHS-171 - DHHS Recommendation for Cash Award - 12/87
- HS311.FP3 -
HHS-311 - Official Personnel Folder Transmittal - 1/81
- HS355.FP3
- HHS-355 - DHHS Employment Agreement for Transfers to and Within the
Continental United States - 3/81
- HS355A.FP3
- HHS-355A - DHHS Employment Agreement for Transfers and Appointments
Overseas - 2/83
- HS355B.FP3
- HHS-355B - DHHS Employment Agreement for Manpower Shortage Positions
in the 50 States and the District of Columbia - 3/81
- HS410.FP3
- HHS-410 - DHHS Supplemental Information - Expert or Consultant -
12/77
- HS419.FP3
- HHS-419 - Clearance of Personnel for Separation or Transfer - 7/90
- HS441.FP3 - Obsolete -
HHS-441 - Assurance of Compliance with the Department of Health and
Human Services Regulation Under Title VI of the Civil Rights Act of
1964 - 12/82
- HS441A.FP3 - Obsolete -
HHS-441A - Explanation of HHS Form No. 441, Assurance of Compliance
with the Department of Health and Human Services Regulation Under Title
VI of the Civil Rights Act of 1964 - 3/81
- HS474.FP3
- HHS-474 - Confidential Statement of Employment and Financial
Interests - 3/77
- HS581.FP3
- HHS-581 - DHHS Recommendation for Quality Increase - 3/86
- HS639A.FP3 - 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.FP3
- HHS-651 - DHHS Initial Interview and Information EEO Counseling
Report - 1/88
- HS652.FP3
- HHS-652 - DHHS Final EEO Counseling Report - 1/88
- HS691.FP3
- HHS-691 - Request for Special Pay for Physicians and Dentists - 6/98
- HS691_1.FP3
- HHS-691-1 - Employee Agreement to Receive Special Pay for Physicians
and Dentists Under Title 38 - 6/98
- HSPROOBL.FP3
- DHHS Procurement Officials Certification of Continuing Obligation -
8/20/97
- HSRPYAGR.FP3
- DHHS Installment Repayment Agreement for Transferring Personnel -
8/20/97
- IRTAAGRE.FP3 -
NIH Intramural Research Training Award Program IRTA Fellowship
Agreement - 3/13/98
- IRTAPROV.FP3
- NIH Intramural Research Training Award Program Program Provisions -
3/13/98
- IRTASPAG.FP3 - Obsolete - NIH Intramural Research Training
Award Program Supplemental IRTA Fellowship Agreement - None
- IRTASTAG.FP3 - Obsolete - NIH Student Support IRTA Program
Student Support IRTA Fellowship Agreement - 11/1/94
- I-9.FP3
- I-9 - Employment Eligibility Verification - 11/21/91
- NH356.FP5
- (Version 5) NIH-356 - NIH Visiting Program Acceptance Notice - 3/03
- NH489_1.FP3
- NIH-489-1 - Nomination for NIH-Sponsored Courses - 11/88
- NH590.FP5
- NIH-590 - Special Volunteer and Guest Researcher Assignment - 1/99 (Note 1: Includes a version for use with the
Courtesy Contract and a version for NICHD.) (Note
2: File can only be used with version 5. For earlier versions,
use NH590.FP3.)
- NH750_2.FP5
- NIH-750-2 - Request for Medical Determination and Report of Findings
- 6/98
- NH750_3.FP3
- NIH-750-3 - Medical Qualification Determination Questionnaire - None (Click here for FileMaker
Pro 5.0 version.)
- NH829_1.FP3
- NIH-829-1 - Request for Appointment to NIH Visiting Program - 3/99
- NH829_2.FP3 - NIH-829-2 - Request for NIH Visiting
Fellowship Award - Please use Adobe
Acrobat version - NH829_2.PDF.
- NH829_5.FP3
- NIH-829-5 - Notification of Termination of Visiting Program
Participation - 1/90
- NH829_5.FP5
(Version 5) NIH-829-5 - Notification
of Termination of Visiting Program Participation - 1/90
- NH829_6.FP5
(Version 5) NIH-829-6 - J-1 Exchange Visitor
Program--Certification of Health Insurance Coverage - 4/04
- NH829_7.FP3
- NIH-829-7 - Request for NIH Supplemental Visiting Fellowship Award -
5/95
- NH1531_1.FP3 -
NIH-1531-1 - Request for Special Report from Taps - 12/81
- NH1742.FP3 - NIH-1742 - Agency
Agreement and Clearance - 7/99
- Please use Adobe Acrobat version -
NH1742.PDF
- NH2028.FP5
- NIH-2028
- Request for Permanent Change of Station Orders--Civilian Personnel
and Other Appointed Persons - 10/02. This
file is the form only. The pamphlet is here (Adobe Acrobat file).
- NH2028-1.FP5
- NIH-2028
- Request for Permanent Change of Station Orders--Non-FTE Persons -
10/02
- NH2144.FP3
- NIH-2144 - Fellowship Termination Notification - 7/90
- NH2245.FP3
- NIH-2245 - Application for Continuing Education Program Staff
Training in Extramural Programs (STEP) - 9/95
- NH2252_1.FP3
- NIH-2252-1 - Knowledges, Skills, and Abilities (KSA) Job Analysis -
3/91
- NH2252_2.FP3
- NIH-2252-2 - Knowledges, Skills, and Abilities (KSA) Crediting Plan -
3/91
- NH2252_3.FP3
- NIH-2252-3 - Knowledges, Skills, and Abilities (KSA) Supplemental
Form - 3/91
- NH2298.FP3
- NIH-2298 - Authorization to Release Student Information - 5/95
- NH2539_4.FP3 -
NIH-2539-4 - Acknowledgment of Application and Report of Action Taken -
11/90
- NH2542_1.FP3 - 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.FP3 - 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.FP3
- NIH-2581 - Tentative Estimate of Foreign Area Allowances and
Differentials - 5/88
- NH2585.FP3 - Obsolete -
NIH-2585 - Individual Performance Plan - 10/90
- NH2590.FP3
- NIH-2590 - Request for Intramural Research Training Award (IRTA) -
5/97
- NH2590_1.FP3
- NIH-2590-1 - Verification of U.S. Citizenship or Permanent Residency
Status NIH Intramural Research Training Award (IRTA) Program - 2/88
- NH2590_2.FP3
- NIH-2590-2 - Request for Supplemental Intramural Research Training
Award (Supplemental IRTA) - 6/97
- NH2590_3.FP3
- NIH-2590-3 - Request for Student Support Intramural Research Training
Award (Student Support IRTA) - 11/94
- NH2590_4.FP3
- NIH-2590-4 - Request for Technical Intramural Research Training Award
(Technical IRTA) - 7/95
- NH2652.FP3
- NIH-2652 - Code Sheet for the NIH Special Volunteer Program and Guest
Researcher Assignment - 4/88
- NH2666.FP3
- NIH-2666 - Request for Summer Intramural Research Training Award
(Summer IRTA) - 3/90
- NH2674.FP3 - NIH Loan Repayment Programs forms - Please see the NIH
Loan Repayment Programs website for all forms.
- NH2696.FP3 -
NIH-2696 - Evaluation of Employee Suggestion - 6/91
- NH2736_1.FP3 -
NIH-2736-1 - Justification for Temporary Limited Appointment - 11/93
- NH2736_2.FP3 -
NIH-2736-2 - Request for Certification of Eligibles for Temporary
Limited Positions - 11/93
- NH2736_3.FP3 -
NIH-2736-3 - Employee's Statement of Understanding Regarding Temporary
Appointment - 11/93
- NH2737.FP3 - NIH-2737 - Administrative Exit Checklist - Please use NIH 2737-2 below.
- NH2737_1.FP3 - NIH-2737-1 - Clearance of Personnel for
Separation or Transfer - Please use NIH 2737-2
below.
- NH2737_2.FP5 -
NIH-2737-2 - Clearance of Personnel for Separation or Transfer - 8/97
- NH2778.FP3
- NIH-2778 - Senior Executive Service Performance Plan - 11/97
- NH2778.FP5
(Version 5) - NIH-2778 - Senior
Executive Service Performance Plan - 11/97
- NSAWCASH.FP3
- NINDS Cash Award Program for Clerical and Administrative Support
Referral Form - None
- NSAWEMMO.FP3
- NINDS Employee of the Month Nomination Form - None
- NSBNSEP.FP3
- NINDS Clearance of Personnel for Separation or Transfer - None
- NSDEVPLN.FP3 -
NINDS Individual Development Plan - 8/98
- NSIRTANW.FP3
- NINDS New IRTA Package Form - None
- NSPRFPLN.FP3
- NINDS Performance Appraisal System - 4/96
- NSPSNEVL.FP3
- NINDS Factor Evalaution System Position Evaluation Statement - None
- NSSPVLAG.FP3 -
NINDS Special Volunteer Program Service Agreement - None
- NSTEMPPO.FP3 -
NINDS Applicant supply File Referral Temporary Positions - None
- NSVOLEML.FP3
- NINDS Employer's Special Volunteer Agreement - None
- OF5.FP3
- OF-5 - Inquiry as to Availability - 3/82
- OF8.FP3
- OF-8 - Position Description - 1/85
- OF69.FP3 - OF-69 - HHS
Assignment Agreement IPA - 2/89 - Please use the
Adobe Acrobat file: OF69-HHS.PDF
- OF306.FP3
- OF-306 - Declaration for Federal Employment - 9/94
- OF510.FP3
- OF-510 - Privacy and Public Burden Statements - 9/94
- OF612.FP3
- OF-612 - Optional Application for Federal Employment - 9/94
- OM0990_31.FP3
- OMB-0090-31 - DHHS Applicant Background Survey - None
- OP913B.FP3 -
OPM-913B - Change Form - Recognitions and Agreements - 7/94
- OP117017.FP3 - Obsolete - OPM-1170/17 - Supplemental
Qualifications Statement List of College Courses and Certificate of
Scholastic Achievement - None
- OP117029.FP3 - Obsolete - OPM-1170/29 - Supplemental
Qualifications Statement Medical and Dental Officer - 6/79
- OP1390.FP3
- OPM-1390 - Executive Personnel Transaction - 4/79
- OP1397.FP3
- OPM-1397 - U.S. OPM Worksheet for Special Salary Rate Requests - 5/98
- OP1482.FP3 -
OPM-1482 - FEGLI Agency Certification of Status of Reemployed
Annuitants - 2/93
- OP1510.FP3
- OPM-1510 - Certification of Agency Offer of Position and Required
Documentation (for Discontinued Service Retirement Under CSRS or FERS)
- 10/94
- OP1515.FP3
- OPM-1515 - Military Service Deposit Election - 10/91
- OP1519.FP3 -
OPM-1519 - Survivor's Military Service Election Deceased Employee
Covered by CSRS or CSRS Offset - 1/93
- OP1537.FP3
- OPM-1537 - Current/Former Spouse's Notification of Application for
Refund of Retirement Deductions - 5/85
- OP1555.FP3
- OPM-1555 - Election of Coverage Federal Employees Retirement System -
6/87
- OP1635.FP3 - OPM-1635 - Welfare to Work Program - 4/97
- PH50.FP3 - PHS-50 -
Application for Appointment as a Commissioned Officer in the U.S.
Public Health Service Commissioned Corps - 7/97
- PH416_5.FP3 - PHS-416-5 - Research Fellowship Activation
Notice (For intramural use only) - 3/95
- PH488.FP3 -
PHS-488 - Claim for Temporary Lodging Allowance (TLA) - 5/99
- PH838.FP3 - Commissioned Officers' Effectiveness Report - Please use the Adobe Acrobat file: PH838.PDF
- 11/01
- PH1485.FP3
- PHS-1485 - DHHS Grant Continuation - 6/83
- PH1637_1.FP3
- PHS-1637-1 - Public Health Service Commissioned Officer's Request for
Dependency Determination - 4/92
- PH1637_3.FP3
- PHS-1637-3 - DHHS, PHS Parent's Dependency Affidavit - 9/81
- PH1637_4.FP3
- PHS-1637-4 - DHHS, PHS Child's Dependency Statement - 3/90
- PH1662.FP5
- Request for Personnel Action - Commissioned Officer - 6/97
- PH1813.FP3
- PHS-1813 - Reference Request for Applicants to the U.S. Public Health
Service Commissioned Corps - 7/97
- PH4392.FP3
- PHS-4392 - Billet Description - 11/94
- PH4392_1.FP3
- PHS-4392 - Billet Description - 11/94
- PH4469_1.FP3
- PHS-4469-1 - Junior Commissioned Officer Student Training and Extern
Program (JRCOSTEP) Evaluation Questionnaire - 6/94
- PH4772.FP3
- PHS-4772 - Junior Commissioned Officer Student Training and Extern
Program (JRCOSTEP) Status Report - 10/93
- PH5141.FP3 -
PHS-5141 - Appointment Affidavit - 2/92
- PH5141_1.FP3 -
PHS-5141-1 - Appointment Affidavit Reserve Corps - 2/00
- PH6059.FP3 -
PHS-6059 - Request for Overseas Station Allowances - 6/99
- PH6106.FP3 -
PHS-6106 - Agreement to Receive an Allowance Under the Federal
Physicians Comparability Allowance Program - 9/88
- PH6127.FP3 -
PHS-6127 - Commissioned Corps Inactive Reserve Corps Questionnaire -
11/96
- PH6186.FP3 -
PHS-6186 - Request for Advance of Station Housing Allowance - 11/91
- PH6342_1.FP3 -
PHS-6342-1 - PHS Unit Honor Award Nomination Record - 2/97
- PH6342_2.FP3 -
PHS-6342-2 - PHS Individual Honor Award Nomination Record - 2/97
- PH6363.FP3 - PHS-6363 - DHHS-PHS-Commissioned Corps
Request to Establish/Change Mailing Address - 3/97
- PH6373.FP3
- PHS-6373 - DHHS, PSC, Extramural Training Agreement - 9/96
- PH6374.FP3
- PHS-6374 - DHHS, PSC, Intramural Training Agreement - 9/96
- PH6385.FP3 - PHS-6385 - Status Report on Commissioned Corps
Officers During Probation - 3/93
- PH7017.FP3
- PHS-7017 - Reeemployment Priority List Registration - 7/94
- PH7017-1.PDF
- PHS-7017-1 - Reemployment Priority List Employee Disposition Record -
7/94
- PH7034.FP3 - PHS-7034 - Application for Assimilation into the
Regular Corps - 2/98
- PH7036.FP3
- PHS-7036 -
Reimbursement Request for Adoption Expenses - 4/98
- RETIRANU.FP3
- Retirement Annuity Estimate - None
- RI38_124.FP3
- RI 38-124 - Voluntary Contributions Election - 9/94 (includes
Employee Information pages)
- RI76_10.FP3
- RI 76-10 - FEGLI Assignment of Federal Employees' Group Life
Insurance - 1/95
- SESRECRT.FP3 -
DHHS, NIH, Senior Executive Service Recertification Form - None
- SF8.FP3
- SF-8 - Notice to Federal Employee About Unemployment Insurance - 6/87
- SF15.FP3
- SF-15 - Application for 10-Point Veteran Preference - 2/90
- SF39.FP3 - SF-39 -
Request for Referral of Eligibles - 11/88
- SF52.FP3
- SF-52 - Request for Personnel Action - 6/30/93
- SF52.FP5
(Version 5) - SF-52 - Request for
Personnel Action - 6/30/93
- SF59.FP3 - SF-59 -
Request for Approval of Noncompetitive Action - 1/79
- SF61.FP3 - SF-61 -
Appointment Affidavits - 6/96
- SF62.FP3 - SF-62 -
Agency Request to Pass Over a Preference Eligible or Object to an
Eligible - 10/79
- SF75.FP3
- SF-75 - Request for Preliminary Employment Data - 8/98
- SF78.FP3
- SF-78 - U.S. Civil Service Commission Certificate of Medical
Examination - 10/69
- SF85P_S.FP3
- SF-85P-S - Supplemental Questionnaire for Selected Positions - 9/95
- SF88.FP3 - SF-88 -
Report of Medical Examination - 3/89
- SF93.FP3
- SF-93 - Report of Medical History - 6/96
- SF113A.FP3 -
SF-113A - Monthly Report of Federal Civilian Employment - 8/94
- SF171.FP3
- SF-171 - Application for Federal Employment - 6/88 (Obsolete)
- SF180.FP3
- SF-180 - Request Pertaining to Military Records - 7/86
- SF181.FP3 - SF-181
- Race and National Origin Identification - 5/82
- SF256.FP3 - SF-256
- Self-Identification of Handicap - 8/87
- SF293.FP3
- SF-293 - Notice to Separated Employee Concerning Disposition of
Official Personnel Folder/Merged Records Personnel Folder and Employee
Medical Folder - 7/89
- SF308.FP3 - SF-308
- Request for Wage Determination and Response to Request - 5/85
- SF450.FP3 - Obsolete - SF-450 - This has been replaced by
form OGE-450
- SF813.FP3 - SF-813
- Verification of a Military Retiree's Service in Nonwartime Campaigns
or Expeditions - 8/94
- SF1152.FP3
- SF-1152 - Designation of Beneficiary Unpaid Compensation of Deceased
Civilian Employee - 11/91
- SF1153.FP3 -
SF-1153 - Claim for Unpaid Compensation of Deceased Civilian Employee -
4/82
- SF1154.FP3 -
SF-1154 - Public Voucher for Unpaid Compensation Due A Deceased
Civilian Employee - 9/67
- SF1187.FP3
- SF-1187 - Request for Payroll Deductions for Labor Organization Dues
- 3/89
- SF1190.FP3 -
SF-1190 - Foreign Allowances Application, Grant and Report - 1/98
- SF2800.FP3 -
SF-2800 - CSRS Application for Death Benefits - 3/92
- SF2801.FP3
- SF-2801 - CSRS Application for Immediate Retirement Under the Civil
Service Retirement System - 1/90
- SF2801_1.FP3
- SF-2801-1 - CSRS Certified Summary of Federal Service - 1/90
- SF2801_2.FP3
- SF-2801-2 - CSRS Spouse's Consent to Survivor Election - 1/90
- SF2801_3.FP3
- SF-2801-3 - CSRS Election of Former Spouse Survivor annuity or
Combination Current/Former Spouse Annuity - 1/90
- SF2801D.FP3 -
SF-2801-Schedule D - CSRS Agency Checklist of Immediate Retirement
Procedures - 1/90
- SF2802.FP3
- SF-2802 - CSRS Application for Refund of Retirement Deductions - 1/91
- SF2802B.FP3 -
SF-2802B - CSRS Current/Former Spouse's Notification of Application for
Refund of Retirement Deductions Under the Civil Service Retirement
System - 1/91
- SF2803.FP3 -
SF-2803 - FEGLI Application to Make Deposit or Redeposit - 6/92
- SF2804.FP3
- SF-2804 - Application to Make Voluntary Contributions, Civil Service
Retirement System - 2/99
- SF2805.FP3 -
SF-2805 - Request for Recovery of Debt Due the United States - 4/80
- SF2806.FP3 -
SF-2806 - CSRS Individual Retirement Record - 2/80
- SF2806_1.FP3 -
SF-2806 - CSRS Notice of Correction of Individual Retirement Record -
2/80
- SF2807.FP3 - SF-2807 - Register of
Separations and Transfers Civilian Service Retirement System - 7/80
- SF2808.FP3
- SF-2808 - Designation of Beneficiary - 2/99
- SF2809.FP3 -
SF-2809 - FEHB Health Benefits Registration Form - 8/92
- SF2809_1.FP3
- SF-2809-1 - FEHB Health Benefits Election Form - 7/99
- SF2809A.FP3 - Obsolete - SF-2809A - FEHB Information for
Federal Civilian Employees and U.S. Postal Service Employees - 6/90
- SF2810.FP3 -
SF-2810 - FEHB Notice of Change in Health Benefits Enrollment - 6/95
- SF2811.FP3 -
SF-2811 - Transmittal and Sumary Report to Carrier - 6/84
- SF2812A.FP3 -
SF-2812A - Report of Withholding and Contributions for Health Benefits
by Enrollment Code - 12/21/98
- SF2817.FP3 -
SF-2817 - FEGLI Life Insurance Election - 4/99
- SF2818.FP3 - Continuation of Life Insurance Coverage as an Annuitant
or Compensationer - Please use the updated form
on the Office of
Personnel Management website.
- SF2818.FP3
- SF-2818 - FEGLI Continuation of Life Insurance Coverage as a Retiree
or Compensationer - 2/1996
- SF2819.FP3 -
SF-2819 - FEGLI Notice of Conversion Privilege - 5/95
- SF2820.FP3 -
SF-2820 - FEGLI Certification Of Insured Employee's Retired Status -
8/94
- SF2821.FP3 -
SF-2821 - Agency Certification of Insurance Status - 5/95
- SF2822.FP3 -
SF-2822 - FEGLI Request for Insurance - 1/93
- SF2823.FP3 - SF-2823 - FEGLI Designation of Beneficiary -
4/01 - Please use the Adobe Acrobat file from
the GSA website: SF2823.PDF.
- SF2824.FP3 - Obsolete - SF-2824 - CSRS Documentation in
Support of Disability Retirement Application - 1/91
- SF2824A.FP3 -
SF-2824A - CSRS Applicant's Statement of Disability - 3/31/93
- SF2824B.FP3 -
SF-2824B - CSRS Supervisor's Statement - 1/91
- SF2824C.FP3 - Obsolete -
SF-2824C - CSRS Physician's Statement - 1/91
- SF2824D.FP3 -
SF-2824D - FEGLI Agency Certification of Reassignment and Accommodation
Efforts - 1/91
- SF2824E.FP3 -
SF-2824E - FEGLI Disability Retirement Application Checklist - 1/91
- SF3100A.FP3 -
SF-3100-A - FERS Individual Retirement Record - 1/87
- SF3101.FP3 -
SF-3101 - FERS Notice of Correction of Individual Retirement Record -
2/87
- SF3102.FP3 -
SF-3102 - FERS Designation of Beneficiary - 12/93
- SF3104.FP3 -
SF-3104 - FERS Application for Death Benefits - 5/98
- SF3104A.FP3 -
SF-3104A - FERS Survivor Supplement - 12/91
- SF3104B.FP3 -
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.FP3 - Obsolete -
SF-3105 - FERS Documentation in Support of Disability Retirement
Application - 8/87
- SF3105A.FP3 -
SF-3105A - FERS Applicant's Statement of Disability - 8/87
- SF3105B.FP3 -
SF-3105B - FERS Supervisor's Statement - 8/87
- SF3105C.FP3 - Obsolete -
SF-3105C - FERS Physician's Statement - 8/87
- SF3105D.FP3 -
SF-3105D - FERS Agency Certification of Reassignment and Accommodation
Efforts - 8/87
- SF3105E.FP3 -
SF-3105E - FERS Disability Retirement Application Checklist - 8/87
- SF3106.FP3
- SF-3106 - Application for Refund of Retirement Deductions Federal
Employees Retirement System - 3/96
- SF3106A.FP3
- SF-3106A - Current/Former Spouse's Notification of Application for
Refund of Retirement Deductions Under the Federal Employee's Retirement
System - 2/97
- SF3107.FP3 -
SF-3107 - FERS Application for Immediate Retirement - 3/88
- SF3107_1.FP3 -
SF-3107-1 - FERS Certified Summary of Federal Service - 1/97
- SF3107_2.FP3 -
SF-3107-2 - FERS Spouse's Consent to Survivor Election - 3/88
- SF3108.FP3
- SF-3108 - Application to Make Service Credit Payment for Civilian
Service - 5/88
- SF3109.FP3
- SF-3109 - FERS Election of Coverage - 7/89
- SF3110.FP3
- SF-3110 - FERS Former Spouse's Consent to FERS Election - 6/90
- SF3111.FP3
- SF-3111 - FERS Request for Waiver, Extension, or Search 6/90
- SF3112.FP3 -
SF-3112 - CSRS/FERS Documentation in Support of Disability Retirement
Application - 11/96
- SF3112A.FP3 -
SF-3112A - CSRS/FERS Applicant's Statement of Disability - 11/96
- SF3112B.FP3
- 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.FP3
- 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.FP3
- 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.FP3 -
SF-3112E - CSRS/FERS Disability Retirement Application Checklist -
11/96
- SS5.FP3 - SS-5 -
Social Security Administration Application for a Social Security Card -
9/89
- SS7004SM.FP3 -
SS-7004-SM - Social Security Administration Request for Earnings and
Benefts Statement - 6/98
- STATE
DEPARTMENT - Visa and Passport Information
- Link to Web Site
- THRIFT SAVINGS
PLAN - Link to Web Site
- TSP1.FP3 - TSP-1 - Thrift Savings
Plan - Election Form - 3/01 -
Please use Adobe Acrobat version - TSP1.PDF.
- TSP3.FP3
- TSP-3 - Thrift Savings Plan Designation of
Beneficiary - 10/96
- TSP9.FP3
- TSP-9 - Thrift Savings Plan Change of Address
for Separated Participants - 6/94
- TSP16.FP3
- TSP-16 - Thrift Savings Plan Exception to
Spousal Requirements - 10/97
- TSP17.FP3 - TSP-17 - Federal Retirement Thrift Savings Plan
Application for Account Balance of Deceased Participant - 3/98
- TSP20.FP3
- TSP-20 - Thrift Savings Plan Loan Application
- 2/98
- TSP30.FP3
- TSP-30 - Thrift Savings Plan Interfund
Transfer Request - 9/98
- TSP32.FP3
- TSP-32 - Thrift Savings Plan Acknowledgement
of Risk for Thriftline Interfund Transfers - 11/94
- TSP70.FP3
- TSP-70 - Thrift Savings Plan Withdrawal
Request - 11/94
- TSP70T.FP3
- TSP-70-T - Thrift Savings Plan Transfer
Information - 11/94
- TSP75.FP3
- TSP-75 - Thrift Savings Plan Age Based
In-Service Withdrawal Request - 05/98
- TSP75T.FP3
- TSP-75-T - Thrift Savings Plan Transfer of
In-Service Withdrawal - 05/98
- TSP76.FP3
- TSP-76 - Thrift Savings Plan Financial
Hardship In-Service Withdrawal Package - 05/98
- TSP1013.FP3
- TSP-1013 - Important Tax Information About TSP
In-Service Withdrawal Payments - 05/98
- VFSUPAGR.FP3 -
NIH Supplemental Visiting Fellow Award Program Supplemental Fellowship
Agreement - 7/17/95
- VFSUPPRV.FP3 -
NIH Supplemental Visiting Fellow Award Program Statement of
Supplemental Program Provisions - 7/17/95
- VOLAGREE.FP3 -
NIH Special Volunteer Agreement - None