Directives and Forms Catalog - USPS.com® - About

Form
Number
Edition
Date
Oldest
Usable
Date Title Stock Number
SF 2822 1/02 1/02 Request for Insurance (Federal
Employees’ Group Life Insurance
Program)
7540-01-231-5588 PS GSA HD
SF 2823 4/01 4/01 Designation of Beneficiary (2-part set) 7540-01-231-6228 PS GSA HD
SF 3102 6/00 12/93 Designation of Beneficiary — Federal
Employees Retirement System (2-part
set)
7540-01-246-9252 PS GSA HD
SF 3104 8/02 8/02 Federal Employees Retirement System
— Application for Death Benefits (25 per
package)
N/A PS OPM PG
SF 3104B 5/98 12/95 Documentation and Elections in Support
of Application for Death Benefits When
Deceased Was an Employee at the Time
of Death (FERS)
N/A PS OPM PG
SF 3106 8/00 8/98 Application for Refund of Retirement
Deductions (FERS) (SF 3106A, Current/
Former Spouse’s Notification
Retirement Deductions is included with
this form.)
7540-01-249-5576 PS MDC EA
SF 3107 4/00 4/00 Application for Immediate Retirement
(Federal Employees Retirement System)
N/A OPM EA
SF 3108 11/00 2/99 Applicant to Make Service Credit
Payment (Federal Employees
Retirement System)
N/A OPM EA
SF 3109 7/89 7/89 Election of Coverage, Federal
Employees Retirement System (formerly
OPM Form 1555)
7540-01-280-5503 N/A EA
SF 3110 6/90 6/90 Former Spouse’s Consent to FERS
Election, Federal Employees Retirement
System
N/A OPM EA
SF 3111 6/90 6/90 Request for Waiver, Extension, or
Search in Connection with Election of
DERS Coverage
N/A OPM EA
SF 3112 12/95 12/95 Documentation in Support of Disability
Retirement Application: CSRS/FERS
7540-01-385-7215 PS MDC PG
SF 3112-1 3/96 3/96 Information About Disability Retirement
(CSRS)
7540-01-385-7304 PS MDC EA
SF 3112-2 12/95 12/95 Information About Disability Retirement
(FERS) (This form supersedes SFs 12/95
2824A and 3105A.)
7540-01-385-7340 PS MDC EA
SF 3113 5/01 5/01 Applying for Immediate Retirement
under the FERS
N/A OPM EA
SSS 1M 10/96 Registration Form 7530-04-000-5367 PO MDC EA
SSS Box 45 Dispenser — Display Box for SSS Forms 7690-03-000-3813
SSS Form 2 8/80 Change of Information 7530-03-000-3658 PO MDC EA
SSS POS46 10/02 N/A Selective Service (Poster) 7690-03-000-3746 PO MDC P/F
TD 941 3/58 3/58 Employer’s Quarterly Federal Tax
Return
7530-03-000-1182 SC TRE SH
TD 1099 1/86 1/86 U.S. Information Return for Calendar
Year 1986 (2-part set)
7530-03-000-1185 SC GSA SE
TD 1099-R 1/02 1/02 Distributions From Pensions, Annuities,
Retirement or Profit-Sharing Plans,
IRAs, Insurance Contracts, etc.
7530-03-000-1186 SC GSA SE
TD 2440 7/71 7/71 Statement to Support Exclusion of Sick
Pay
7530-03-000-1187 PO TRE SH
TFS 1133 3/79 3/79 Claim Against the United States for the
Proceeds of a Government Check
(pad/100)
7530-03-000-1188 SC HQO PD
TSP 3 10/96 10/96 Thrift Savings Plan Designation of
Beneficiary (2-part set) (Must be printed
on buff paper.)
7530-01-000-9647 PS MDC SE
TSP 9 6/94 6/94 Thrift Savings Plan Change of Address
for Separated Participants (Must be
printed on buff paper.)
7530-01-000-9452 PS MDC EA
Publication 223, May 2013 137
Where
Used
USPS
Source
Unit of
Issue