Directives and Forms Catalog - USPS.com® - About
Directives and Forms Catalog - USPS.com® - About
Directives and Forms Catalog - USPS.com® - About
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<strong>Directives</strong> <strong>and</strong> <strong>Forms</strong> <strong>Catalog</strong><br />
Form<br />
Edition<br />
Oldest<br />
Usable<br />
Where <strong>USPS</strong> Unit of<br />
Number Date Date Title Stock Number Used Source Issue<br />
SF 86A 9/95 9/95 Continuation Sheet for Questionnaires<br />
SF 86, SF 85P, <strong>and</strong> SF 85<br />
PS OPM<br />
SF 86C 7/02 7/02 St<strong>and</strong>ard Form 86 Certification PS OPM<br />
SF 113-A 8/94 8/94 Monthly Report of Federal Civilian<br />
Employment<br />
PS OPM<br />
SF 144 10/95 10/95 Statement of Prior Federal Service PS OPM<br />
SF 181 5/82 Prev. Race <strong>and</strong> National Origin Identification<br />
PS OPM<br />
Edition FOR USE WITH CURRENT FEDERAL<br />
Usable EMPLOYEES ONLY<br />
SF 256 8/87 8/87 Self-Identification of H<strong>and</strong>icap PS OPM<br />
SF 1152 6/02 11/91 Designation of Beneficiary — Unpaid<br />
Compensation of Deceased Civilian<br />
Employee<br />
7540-00-634-4340 PS GSA HD<br />
SF 1187 3/89 3/89 Request for Payroll Deductions for<br />
Labor Organization Dues<br />
(Note: Available from unions <strong>and</strong><br />
managerial organizations. Each uses a<br />
unique version with different formats<br />
<strong>and</strong> edition dates.)<br />
7540-03-000-1179 PS N/A EA<br />
SF 1188 1/79 1/79 Cancellation of Payroll Deductions for<br />
Labor Organization Dues<br />
PS OPM<br />
SF 2800 5/00 5/00 Application for Death Benefits — Civil<br />
Service Retirement System<br />
7540-00-634-4249 PS GSA HD<br />
SF 2800A 5/00 5/00 Documentation <strong>and</strong> Elections in Support<br />
of Application for Death Benefits When<br />
Deceased Was an Employee at Time of<br />
Death<br />
PS OPM<br />
SF 2800-1 5/00 5/00 Applying for Death Benefits Under the<br />
Civil Service Retirement System<br />
N/A<br />
SF 2801 1/90 1/90 Application for Immediate Retirement<br />
(Civil Service Retirement System)<br />
7540-00-634-4250 PS GSA PG<br />
SF 2802 4/99 1/91 Application for Refund of Retirement<br />
Deductions (CSRS)<br />
7540-00-634-4251 PS GSA HD<br />
SF 2803 2/01 6/92 Application to Make Deposit or<br />
Redeposit<br />
7540-00-634-4252 PS GSA HD<br />
SF 2804 7/99 2/99 Application to Make Voluntary<br />
Contributions (CSRS)<br />
7540-00-634-4253 PS GSA HD<br />
SF 2804a 2/99 2/99 Information Regarding Voluntary<br />
Contributions, CSRS<br />
N/A PS OPM HD<br />
SF 2806 2/80 2/80 Individual Retirement Record (1-part<br />
continuous)<br />
N/A PO GSA HD<br />
SF 2807 7/80 7/80 Register of Separations <strong>and</strong> Transfers 7540-00-634-4257 SC OPM SH<br />
SF 2808 2/99 5/93 Designation of Beneficiary — Civil<br />
Service Retirement System<br />
7540-00-634-4260 PS GSA HD<br />
SF 2809 7/99 7/99 Employees Health Benefits Election<br />
Form<br />
7540-01-231-6227 PS GSA HD<br />
SF 2809-1 7/99 7/99 Annuitant/OWCP Health Benefits<br />
Election Form<br />
N/A<br />
SF 2810 6/95 Prev. Notice of Change in Health Benefits 7540-01-232-1234 PS GSA HD<br />
Edition<br />
Usable<br />
Enrollment<br />
SF 2817 6/00 4/99 Life Insurance Election — Federal<br />
Employees’ Group Life Insurance<br />
Program (3-p)<br />
7540-01-231-4280 PS GSA HD<br />
SF 2818 5/01 5/01 Continuation of Life Insurance Coverage<br />
as an Annuitant or Compensationer<br />
(FEGLI) (25 per package)<br />
7540-01-231-5585 PS MDC PG<br />
SF 2819 5/95 5/95 Notice of Conversion Privilege (FEGLI) 7540-01-231-5586 PS GSA HD<br />
SF 2820 7/00 7/00 Certification of Insured Employee’s<br />
Retired Status (FEGLI Program)<br />
OPM<br />
SF 2821 5/95 5/95 Agency Certification of Insurance Status<br />
(3-part set, FEGLI)<br />
7540-01-231-5587 PS GSA HD<br />
136 Publication 223, May 2013
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