Click here to skip navigationNew User About the Agency | What's New | Quick Index | Operating Status
Link to the United States Office of Personnel Management Home Page
Strategic Management of Human Capital Employment and Benefits Career Opportunities

You are here: Home > Forms> html

Working for America


Electronic OPM and RI Forms


Codes

Each electronic form is coded with a different icon to indicate if it is a screen fillable PDF or a PDF image. The codes are:

  • PDF Image Version  Adobe Acrobat PDF Image
  • PDF Fillable Version  Screen Fillable Adobe Acrobat (Use only with Adobe Reader 5.0 and above; the Adobe Reader is available free from Adobe.com)   If there is a problem opening an Adobe file through the internet browser, please try this: Using the RIGHT button on the mouse, click on the PDF/F icon and select "Save target as" from the resulting menu. Save the form file to a hard drive or a local network drive. Then open the file using Adobe Reader 5.0 or above. Using this method, avoids opening the file through the internet browser.
Form Title
Format
OPM 71 Request for Leave or Approved Absence
PDF Fillable Version
OPM 630 Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program
PDF Fillable Version
OPM 630A Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Within Agency)]
PDF Fillable Version
OPM 630B Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program (Outside Agency)
PDF Fillable Version
OPM 630C Transfer of Leave Records for Leave Recipient Covered by the Voluntary Transfer Leave Program
PDF Fillable Version
OPM 913B Recognitions and Agreements Change Form
PDF Fillable Version
OPM 1019 Request for Schedule C Appointment Authority
PDF Fillable Version
OPM 1078-A Annual Report of Salary and Wage Distribution of Federal Civilian Employee
PDF Fillable Version
OPM 1078-B Annual Report of Salary and Wage Distribution of Federal Civilian Employees (Wage Pay Plans)
PDF Fillable Version
OPM 1079-A Biennial Survey on Occupations of Federal Civilian Employees Distribution of Paid Full-Time Employees by Occupation
PDF Fillable Version
OPM 1203 FX Occupational Questionnaire The vacancy announcement will specify if you must use this form. The file may take a few minutes to load, it is 2.574 MB.
PDF Fillable Version
OPM 1300 Presidential Management Intern Application
PDF Image Version
OPM 1312 Geographic Distribution of Federal Civilian Employment
PDF Fillable Version
OPM 1351A Work Years and Personnel Costs Report - Basic and Premium Work Years and Pay - Fiscal Year
PDF Fillable Version
OPM 1351B Work Years and Personnel Costs Report - Costs of Employees Benefits - Fiscal Year
PDF Fillable Version
OPM 1351C Work Years and Personnel Costs Report - Leave Earned and Used - Leave Year
PDF Fillable Version
OPM 1386B Applicant Race and National Origin Questionnaire
PDF Fillable Version
OPM 1396 Request to Establish or Discontinue a Personnel Office Identifier, or to Change POI Information
PDF Fillable Version
OPM 1397 Special Salary Rate Request Form
PDF Fillable Version
OPM 1397B Worksheet for Special Salary Rate Annual Review
PDF Fillable Version
OPM 1482 Agency Certification of Status of Reemployed Annuitant - Federal Employees' Group Life Insurance Program
PDF Fillable Version
OPM 1496 Application for Deferred Retirement
(Separations before October 1, 1956)
PDF Fillable Version
OPM 1496A Application for Deferred Retirement
(Separations on or after October 1, 1956)
PDF Fillable Version
OPM 1510 Certification of Agency Officer of Position and Required Documentation for Discontinued Service Retirement Under CSRS or FERS
PDF Fillable Version
OPM 1514 Military Deposit Worksheet
PDF Fillable Version
OPM 1515 Military Service Deposit Election
PDF Fillable Version
OPM 1519 Survivor's Military Service Election - Deceased Employee Covered by Civil Service Retirement System (CSRS) or CSRS Offset
PDF Fillable Version
OPM 1522 Request for Offset for Past-Due Health Benefits Premiums from Monies Payable Under the Civil Service Retirement System (in lieu of SF 2805)
PDF Fillable Version
OPM 1523 Supplemental Semiannual Headcount Report
PDF Fillable Version
OPM 1530 Report of Medical Examination of Person Electing Survivor Benefit Under the Civil Service Retirement System
PDF Fillable Version
OPM 1592 Outstanding Scholar Provision Reporting Form for the Luevano Decree
PDF Fillable Version
OPM 1623 List of Experts and Consultants Hired Under 5 U.S.C. 3109
PDF Fillable Version
OPM 1637 Application to Become a Leave Recipient Under the Emergency Leave Transfer Program
PDF Fillable Version
OPM 1638 Request to Donate Annual Leave Under the Emergency Leave Transfer Program
PDF Fillable Version
OPM 1639 Transfer of Donated Annual Leave To/From the Emergency Leave Transfer Program
PDF Fillable Version
OPM 1643 Child Care Tuition Assistance Application Form
PDF Fillable Version
OPM 1644 Child Care Provider Information for Child Care Tuition Assistance Program for Federal Employees
PDF Fillable Version
OPM 1645 Report on Agency Results of Child Care Subsidy Program
PDF Fillable Version
OPM 1652 Request for SES Noncareer or Limited Appointment Authority
PDF Fillable Version
OPM 1674 Training Nomination and Employee Assessment, Delegated Examining Training
PDF Fillable Version
OPM 1675 Individual and Supervisory Assessments, Delegated Examining Training
PDF Fillable Version
OPM 1676 Retirement Systems Modernization Coverage Determination Application
PDF Fillable Version
OPM 2809 Health Benefits Registration Form (ONLY FOR USE BY Annuitants and Former Spouses of Annuitants)
PDF Fillable Version
RI 16-28 Authorization for Direct Payments
PDF Fillable Version
RI 20-7 Representative Payee Application
PDF Image Version
RI 20-59 Information for Annuitants - Civil Service Retirement System
PDF Image Version
RI 20-64 Former Spouse Survivor Annuity Election
PDF Fillable Version
RI 20-97 Estimated Earnings During Military Service
PDF Fillable Version
RI 20-120 Request for Change to Unreduced Annuity
PDF Fillable Version
RI 20-122 Certification for Physicians Comparability Allowances (PCA)
PDF Fillable Version
RI 25-7 Marital Status Survey
PDF Image Version
RI 25-14 Self-Certification of Full-Time School Attendance For The School Year
PDF Fillable Version
RI 25-15 Notice of Change in Student's Status
PDF Fillable Version
RI 25-27 Survivor Benefits for Children
PDF Image Version
RI 25-41 Initial Certification of Full-Time School Attendance
PDF Fillable Version
RI 25-49 Verification of Full-Time School Attendance
PDF Fillable Version
RI 30-3 Information Necessary for a Competency Determination
PDF Image Version
RI 30-10 Disabled Dependent Questionnaire
PDF Fillable Version
RI 30-13 Information for Disability Annuitants - Civil Service Retirement System
PDF Image Version
RI 34-1 Financial Resources Questionnaire
PDF Fillable Version
RI 37-22 Special Tax Notice Regarding Rollovers
PDF Image Version
RI 38-31 We Need More Information About Your Missing Payment
PDF Fillable Version
RI 38-45 We Need the Social Security Number of the Person Named Below
PDF Fillable Version
RI 38-107 URGENT - Reply Required Within 30 Days to Avoid Interruption of Your Payments
PDF Fillable Version
RI 38-115 Representative Payee Survey
PDF Image Version
RI 38-124 Voluntary Contributions Election
PDF Fillable Version
RI 38-125 Voluntary Contributions Notice
PDF Image Version
RI 38-126 Life Events and Your Retirement and Insurance Benefits (for Annuitants)
PDF Image Version
RI 38-128 It's Time to Sign-up for Direct Deposit
PDF Fillable Version
RI 38-133 Certification for Title 38 Physicians and Dentists
PDF Fillable Version
RI 76-10 Assignment of Federal Employee's Group Life Insurance
 PDF Fillable Version
RI 79-2 Information for Retirees and Survivor Annuitants about the Federal Employees Health Benefits Program
PDF Image Version
RI 79-9 Health Benefits Cancellation/Suspension Confirmation
 PDF Fillable Version
RI 83-1 Retirement Facts 1 - Civil Service Retirement System
PDF Image Version
RI 83-2 Retirement Facts 2 - Military Service Credit under the Civil Service Retirement System
PDF Image Version
RI 83-3 Retirement Facts 3 - Deposits and Redeposits under the Civil Service Retirement System
PDF Image Version
RI 83-4 Retirement Facts 4 - Disability Retirement under the Civil Service Retirement System
PDF Image Version
RI 83-5 Retirement Facts 5 - Survivor Benefits under the Civil Service Retirement System
PDF Image Version
RI 83-6 Retirement Facts 6 - Early Retirement under the Civil Service Retirement System
PDF Image Version
RI 83-7 Retirement Facts 7 - Computing Retirement Benefits under the Civil Service Retirement System
PDF Image Version
RI 83-8 Retirement Facts 8 - Credit for Unused Sick Leave under the Civil Service Retirement System
PDF Image Version
RI 83-9 Retirement Facts 9 - Refunds under the Civil Service Retirement System
PDF Image Version
RI 83-10 Retirement Facts 10 - Voluntary Contributions under the Civil Service Retirement System
PDF Image Version
RI 83-11 Thinking About Retirement?
PDF Image Version
RI 83-13 Retirement Facts 11 - Information for Separating CSRS Employees Who Are Not Eligible for an Immediate Annuity
PDF Image Version
RI 83-18 Retirement Facts 12 - Information About Reemployment for Civil Service Retirement System Annuitants
PDF Image Version
RI 83-19 Retirement Facts 13 - CSRS Offset Retirement
PDF Image Version
RI 83-20 Retirement Facts 14 - Law Enforcement and Firefighter CSRS Retirement
PDF Image Version
RI 84-1 Court-ordered Benefits for Former Spouses
PDF Image Version
RI 84-3 Life Events and Your Retirement and Insurance Benefits (for Employees)
PDF Image Version
RI 90-8 Information for FERS Annuitants
PDF Image Version
RI 90-11 FERS Facts 1 - Information for Separating Federal Employees Retirement System (FERS) Employees Who Are Not Eligible for an Immediate Annuity
PDF Image Version
RI 90-12 Information for Survivor Annuitants under the Federal Employees Retirement System (FERS)
PDF Image Version
RI 90-18 FERS Facts 2 - Information About Reemployment for Federal Employees Retirement System Annuitants
PDF Image Version
RI 92-19 Application for Deferred or Postponed Retirement - Federal Employees Retirement System (FERS)
PDF Fillable Version
RI 92-19A Applying for Deferred or Postponed Retirement under the Federal Employees Retirement System (FERS)
PDF Image Version
RI 92-22 Annuity Supplement Earnings Report
PDF Fillable Version
RI 98-2 Information for Disability Annuitants(FERS)
PDF Image Version

| |  FE Forms   | |  Optional Forms   | |  Standard Forms   | |  Electronic Forms Home Page