United States
Office of 		OPM Seal and Link to OPM Home Page
Personnel Management

The Federal Government's Human Resources Agency
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 "This field is required. " 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): 		Required field icon.
Name of the Former Federal Employee
(First, Middle Initial, Last):
Enter information about the payment.
Name of Payee
(First, Middle Initial, Last): 		Required field icon.
Date of Birth (MM/DD/YYYY):
Social Security Number (with dashes):
Date of Missing Check (MM/DD/YYYY): Required field icon.
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 (with Area Code): Required field icon. Call:
Email Address: Required field icon.
Additional Information: