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

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Retirement Information & Services

Form Approved: OMB No. 3206-0187

Report a Missing Payment

Please enter the information below and press the Submit button. Note: Form fields which are required will be noted with this icon " " or the message that "This field is required."

Enter identifying information about the retirement benefits record. If this information is not available, please call us.

Claim Number:	(include both the "A" or"F" prefix and the first seven numbers)
Name of the Former Federal Employee:	(First, Middle Initial, Last)

Enter information about the payment.

Name of Payee:	(First, Middle Initial, Last)
Date of Birth:	(Format: mm/dd/yyyy)
Date of Missing Check:	(Format: mm/dd/yyyy)
Net Amount:	$ (include Dollars and Cents)
Pick how payment was sent:

Enter information about yourself.

Name:
Street Address:
City and State:
Zip Code:
Telephone Number:	Call: AM or PM? (with Area Code)
Email Address:
Additional Information:

U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532