Defense Logistics Agency

DLA Human Resources Associated Forms

Categories of Forms

The majority of these documents are hosted on other federal government websites. By selecting a link you will be leaving the DLA Human Resources Website.

Employment

• Applicant
• OF-306, Declaration for Federal Employment
• SF-15, Application for 10 point Veteran's Preference
• Telework
• DLA Form 1864, Telework Request and Approval Form
• DLA Form 1865, Telework Agreement
• DLA Form 1866, Supervisor - Employee Checklist
• DLA Form 1867, Self-Certification Home Safety Check List

Inprocessing

• SF-61, Appointment Affidavit
• SF-1152, Beneficiary Form (Unpaid Compensation)
• OF-306, Declaration for Federal Employment
• SF-2808, Designation of Beneficiary (Civil Service Retirement System)
• SF-2823, Designation of Beneficiary (Federal Employee Group Life Insurance Program)
• SF-3102, Designation of Beneficiary (Federal Employee Retirement System)
• FMS 2231, Direct Deposit Form
• W4, Employees Withholdings
• I-9, Employment Eligibility Verification
• SF-2809, Health Benefits Election Form
• SF-2817, Life Insurance Election Form
• DLA Form 1712, Notice and Consent for Communication Security Telephone Monitoring
• DLA Form 462 ,Personnel Management Information Systems Supplemental Information
• SF-181, Race and National Origin Identification
• Safeguarding Military Information
• SF-256, Self-Identification of Disability
• SF-144, Statement of Prior Federal Service
• TSP-3, Thrift Savings Plan (Designation of Beneficiary)
• TSP-1, Thrift Savings Plan (Election Form`)
• SF-813, Verification of a Military Retiree Service
• Reserve Status
• TSP-19, Transfer Information Between Agencies
• Transfer Info
• State Tax Withholding Forms
• City or Local Tax Withholding Information
• City/School Tax Election
• Alphabetical Taxing Authorities List (by State)
• DLA No Fear Act Notice

Injury Compensation

• CA-1, Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
• CA-2, Notice of Occupational Disease and Claim for Compensation
• CA-2a, Notice of Recurrence
• CA-5, Claim for Compensation by Widow, Widower, and/or Children
• CA-5b, Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
• CA-6, Official Superior's Report of Employee's Death
• CA-7, Claim for Compensation
• CA-7a, Time Analysis Form, used for claiming compensation, including repurchase of paid leave
• CA-7b, Leave Buy Back (LBB) Worksheet/Certification and Election
• CA-10, What A Federal Employee Should Do When Injured At Work
• CA-17, Duty Status Report
• CA-20, Attending Physician's Report
• CA-35A, Evidence Required in Support of a Claim for Occupational Disease
• CA-35B, Evidence Required in Support of a Claim for Work-Related Hearing Loss
• CA-35C, Evidence Required in Support of a Claim for Asbestos-Related Illness
• CA-35D, Evidence Required in Support of a Claim for Work Related Coronary/Vascular Condition
• CA-35E, Evidence Required in Support of a Claim for Work Related Skin Disease
• CA-35F, Evidence Required in Support of a Claim for Pulmonary Illness (Not Asbestosis)
• CA-35G, Evidence Required in Support of a Claim for Psychiatric/Psychological Conditions
• CA-35H, Evidence Required in Support of a Claim for Work Related Carpal Tunnel Syndrome
• CA-40, Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a
• CA-41, Claim for Survivor Benefits Under the Federal Employees' Compensation Act Section 8102a Death Gratuity
• CA-42, Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity
• CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
• DLA Form 1591, Supervisory Mishap Report
• OWCP-915, Claim For Medical Reimbursement
• OWCP-957, Medical Travel Refund Request
• OWCP-1500, Health Insurance Claim Form
• OWCP-92(UB-92), Uniform Health Insurance Claim Form

Retirement

• Civil Service Retirement System (CSRS)
• SF-2801, Application for Immediate Retirement
• SF-3112, Documentation in Support of Disability Retirement - Application (Only complete if applying for Disability Retirement (In addition to the SF2801 & Attachment to SF2801-2))
• W-4P, Withholding Certificate for Pension and Annuity Payments (Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
• If applicable:
• SF-2803, Application to Make Deposit/Redeposit Form (CSRS)
• SF-2818, Continuation of Life Insurance Coverage
• OPM-1510, Discontinued Service Retirement
  
  
• Federal Employees Retirement System (FERS)
• SF-3107, Application for Immediate Retirement
• SF-3112, Documentation in Support of Disability Retirement Application(Only complete if applying for Disability Retirement (In addition to the SF3107))
• FEDMER, Federal Medical Evidence of Record (FEDMER) Social Security Disability Eligibility Statement (Only complete if applying for Disability Retirement)
• W-4P, Withholding Certificate for Pension and Annuity Payments (Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
• If applicable:
• SF-2818, Continuation of Life Insurance Coverage
• SF-3108, Application to Make Service Credit Payment (Federal Employees Retirement System)
• OPM-1510, Discontinued Service Retirement

Beneficiary

• SF-2808, CSRS Designation of Retirement Beneficiary:
• SF-3102, FERS Designation of Retirement Beneficiary
• SF-1152, Unpaid Compensation Designation of Beneficiary
• SF-2823, Life Insurance FEGLI Designation of Beneficiary
• TSP-3, Thrift Savings Plan Designation of Beneficiary

Separation

• VSIP (Voluntary Separation Incentive Pay) Agreement and Election Form

Defense Civilian Personnel Data System (DCPDS)

• DD-2875, System Authorization Access Request (SAAR)
• DCPDS User Request Form
• HR Self Service Request for Military Supervisors and All External Users

Military Personnel

• SF-180, Request Pertaining to Military Records

Military Deposits

• RI20-97 Estimated Earnings During Military Service
  • Where to Send Your Completed Form
  
  The uniformed services must provide Federal employees' estimated basic pay for military service performed after December 31, 1956. This is needed to make a deposit for retirement credit.

Foreign Allowances

• SF-1190, Foreign Allowances Application, Grant and Report
• SF-1190, Instructions
• SF-1190, Addendum
• DSSR 120, TQSA Worksheet
• DSSR 130, LQA Worksheet
• DSSR 240, FTA Worksheet

Travel

• DD-1617, Transportation Agreement from U.S. to Overseas
• DD-1618, Transportation Agreement from Overseas to U.S.
• Overseas Employment Agreement Assignment to a Foreign Area
• DD-1351-2, Travel Voucher
• DD-1351-2C, Travel Voucher Continuation Sheet
• DLA Return Placement Agreement

Leave Administration

• OPM-71, Request for Leave or Approved Absence
• OPM-630, Voluntary Leave Transfer Program Forms (Within Agency)
• OPM-630A, Request to Donate Annual Leave
• OPM-630B, Voluntary Leave Transfer Program Forms (Outside Agency)
• FMLA Medical Certification Form

Other

• Personnel Accountability SITREP Instructions
• Personnel Accountability SITREP
• Standard Forms (SF)
• Optional Forms (OF)
• Department of Defense Forms (DD)
• DLA Forms
• DLA36 Suggestion Program
• DLA 37 Suggestion Evaluation and Transmittal
• DLA 38 Incentive Award Nomination and Approval
• DLA Form 1939 Request for Administrative Leave for Fitness Activities
• DLA 1869, Request for Advanced Leaves
• OPM Retirement & Insurance Forms (RI Forms)