Forms Used by GSA that Require SSN Information Sponsoring Department/Agency

e-Verify Department of Homeland Security DHS

Form I-9 Employment Eligibility Verifcation DHS/USCIS
DD 214 - Discharge Papers and Separation Documents DoD
Reserve Status Identification Form DoD/Navy
GSA 182X - Documents the nomination of trainees and completion of
training as part of the Federal Training Program GSA
GSA 2578 - Documents employee claims for waivers or erroneous
overpayments of pay and allowances GSA
GSA 2908 - Certifies an employee's withholdings for local taxes GSA
GSA 3467 - Formal complaint of discrimination GSA
GSA 3601 - Monthly Home-to-Work Transportation Log GSA
GSA 3665 - Authorization to Obtain Credit Report GSA
GSA 850 – Contractor Information Worksheet GSA
SF 1038 - Facilitates the review, approval, accounting, and advancement of
funds for travel and certain relocaiton allowance expense GSA
SF 91 - Motor Vehicle Accident Report GSA
FE-6 DEP, Settlement of Claim, Option C - Family Life Insurance OPM
FE-6, Claim for Death Benefits, FEGLI OPM
FE-7, Claim for Dismemberment Benefits OPM
No form number: Foster Child Certification OPM
OF 306 Declaration for Federal Employment check for two signatures OPM
OPM 1514, Military Deposit Worksheet (to PSB) OPM
OPM 1515, Military Service Deposit Election OPM
OPM 1562, Application for Return of Excess Retirement Deductions OPM
RI 10-125, FERCCA Election Form OPM
RI 20-97, Estimated Earnings During Military Service OPM
RI 76-10, Assignment of FEGLI OPM
RI 79-9, Health Benefit Cancellation/Suspension Confirmation OPM
RI 92-19, Application for Deferred or Postponed Retirement (FERS) OPM
SF 1150 - RECORD OF LEAVE DATA Transfer of leave between agencies OPM
SF 1152, Designation of Beneficiary, Unpaid Compensation of Deceased
Civilian Employee OPM
SF 1153, Claim for Unpaid Compensation of Deceased Civilian Employee OPM
Forms Used by GSA that Require SSN Information Sponsoring Department/Agency
SF 144 Statement of Prior Federal Service OPM
SF 15 - Application for 10-point Veteran Preference DOCUMENTATION
REQUIRED with SF 15 form (see reverse of SF15 on required documents) OPM
SF 181 Ethnicity/Race IdentificationEthnicity/Race Identification OPM
SF 256 Identification of HandicapIdentification of Handicap OPM
SF 2800, Application for Death Benefits (CSRS) OPM

SF 2800A, Documentation and Elections in Support of Application for Death

Benefits when Deceased was an Employee at the Time of Death (CSRS) OPM
SF 2801- ABC, Schedules A, B, and C (part of CSRS retirement application) OPM
SF 2801- Schedule D, Agency Checklist of Immediate Retirement Procedures
(CSRS) OPM
SF 2801-1, Certified Summary of Federal Service (CSRS) OPM
SF 2801-2, Spouse's Consent to Survivor Election (CSRS) OPM
SF 2801, Application for Immediate Retirement (CSRS) OPM
SF 2802, Application for Refund of Retirement Contributions OPM
SF 2803, Application to Make Deposit or Redeposit OPM
SF 2804, Application to Make Voluntary Contributions, CSRS OPM
SF 2809 - Health Benefits Election Form - Federal Employees Health Benefits
Program - For new or newly eligible employees who elect to enroll, coverage
will be effective on the first day of the first pay period that begins after your
agency receives your enrollment. OPM

SF 2809, Employee Health Benefits Registration Form (for TCC enrollments) OPM
SF 2810, Notice in Change in Health Benefits Enrollment OPM

SF 2810, SF 2810, Notice in Change in Health Benefits Enrollment (transfers) OPM

SF 2817 - Life Insurance Election Federal Employees' Group Life Program OPM
SF 2818, Continuation of Life Insurance Coverage as an Annuitant or
Compensationer OPM
SF 2819, Notice of Conversion Privilege, FEGLI Program OPM
SF 2821, Agency Certification of Insurance Status OPM
SF 2822, Request for Insurance OPM
Forms Used by GSA that Require SSN Information Sponsoring Department/Agency

SF 2823 - Designation of Beneficiary Federal Employees' Group Life Program OPM

SF 3102 - Designation of Beneficiary Federal Employees Retirement System OPM

SF 3104, Application for Death Benefits (FERS) OPM

SF 3104A, Documentation and Elections in Support of Application for Death

Benefits when Deceased was an Employee at the Time of Death (FERS) OPM
SF 3106, Application for Refund of Retirement Deductions (FERS) OPM
SF 3106A, Current/Former Spouse's Notification for Refund Retirement
Deductions OPM
SF 3107- ABC, Schedules A, B, and C (part of FERS retirement application) OPM
SF 3107-1, Certified Summary of Federal Service (FERS) OPM
SF 3107-2, Spouse's Consent to Survivor Election (FERS) OPM
SF 3107-Schedule D, Agency Checklist of Immediate Retirement Procedures
(FERS) OPM
SF 3107, Application for Immediate Retirement (FERS) OPM
SF 3108, Application to Make Service Credit Payment (FERS) OPM
SF 3109, Election of Coverage (FERS) OPM
SF 3112-A: Applicants Statement OPM
SF 3112-B: Supervisor's Statement OPM
SF 3112-C: Physician's Statement OPM
SF 3112-D: Agency Certification of Reassignment and Accommodation
Efforts OPM
SF 3112-E: Disability Retirement Application Checklist OPM
SF 3112, Documentation in Support of Disability Retirement Application OPM
SF 75 Request for Preliminary Employement Data OPM
SF 813, Verification of a Military Retiree's Service in Nonwartime Campaigns
or Expeditions OPM
SF 1199A Direct Deposit Treasury/Bureau of the Fiscal Service
Form W-4 Employee's Withholding Allowance Certificate Treasury/IRS
Tax Withholding Forms, W4, State (if applicable), and City (if applicable) Treasury/IRS
W-4P, Withholding Certificate for Pension or Annuity Treasury/IRS
Forms Used by GSA that Require SSN Information Sponsoring Department/Agency

TSP 1 - Thrift Savings Plan Election Form - Use this form to start, stop, or
change the amount of your contributions to the Thrift Savings Plan (TSP). TSP/FRTIB
TSP 1 C - Catch up contribution election - For participants age 50 or older to
start, stop, or change "catch-up" contributions to the TSP TSP/FRTIB
TSP-17, Information Relating to Deceased Participant TSP/FRTIB
TSP-19 Transfer of Information between Agencies TSP/FRTIB
TSP-3, Designation of Beneficiary, TSP (employee sends directly to TSP) TSP/FRTIB
TSP-3. Designation of Beneficiary, TSP TSP/FRTIB
TSP-41, Notification to TSP of nonpay status TSP/FRTIB
TSP-60-R, Request for a Roth Transfer into the TSP (HR initiates for
employee) TSP/FRTIB
TSP-60, Request for a Transfer into the TSP (HR initiates for employee) TSP/FRTIB