printable banner

Employment/Benefits

SF-278 Executive Branch Personnel Public Financial Disclosure Report
SF-278 Wizard
User Guide
Training Videos

-Billing Change Form - The Federal Long Term Care Insurance Program  [5 Kb]
-CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation  [34 Kb]
-CA-2 Notice of Occupational Disease and Claim for Compensation  [33 Kb]
-CA-2-A Notice of Recurrence  [32 Kb]
-CA-5 Claim for Compensation by Widow, Widower, and/or Children  [33 Kb]
-CA-5-B Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren  [34 Kb]
-CA-6 Official Superior's Report of Employee's Death  [34 Kb]
-CA-7 Claim for Compensation  [31 Kb]
-CA-7-A Time Analysis Form  [32 Kb]
-CA-7-B Leave Buy Back (LBB) Worksheet/Certification and Election  [33 Kb]
-CA-12 Claim for Continuance of Compensation under the Federal Employees' Compensation Act  [33 Kb]
-CA-17 Duty Status Report  [33 Kb]
-CA-20 Attending Physician's Report  [33 Kb]
-CA-35 Evidence Required in Support of a Claim for Occupational Disease  [34 Kb]
-D-4 Employee Withholding Allowance Certificate (District of Columbia)  [5 Kb]
-DS-578 Danger Pay Factors Form  [398 Kb]
-DS-765 Foreign Service Retirement and Disability System Participant Record  [382 Kb]
-DS-1416 Conversion to Foreign Service Retirement and Disability System (pdf format)  [269 Kb]
-DS-1416 Conversion to Foreign Service Retirement and Disability System (far format)
-DS-1622 Medical History and Examination for Foreign Service (For Children 11 Years and Under)  [741 Kb]
-DS-1843 Medical History and Examination for Foreign Service (For Individuals Age 12 and Older)  [488 Kb]
-DS-1950 Application for Employment  [534 Kb]
-DS-1992 Allotment of Pay/Prior Service Credit (Foreign Service Employees) Application and Authorization to Make, Change, or Discontinue  [52 Kb]
-DS-2008 Notice of Termination of Diplomatic, Consular, or Foreign Government Employment  [190 Kb]
-DS-3076 Application for Child Care Subsidy Program  [261 Kb]
-DS-4002 Disclosure and Authorization Pertaining to Consumer Reports  [181 Kb]
-DS-4017 Statement of Interest Foreign Service Officer  [125 Kb]
-DS-4018 Statement of Interest Student Employment  [44 Kb]
-DS-4095 Subsistence Expense Allowance Application  [265 Kb]
-DS-7601 Authorization to Conduct Criminal History Inquiry  [607 Kb]
-I-9 Employment Eligibility Verification  [5 Kb]
-JF-50 Employee Performance Report (EPR) for Locally Employed Staff  [355 Kb]
-JF-62 Personal Services Contracting Action  [235 Kb]
-JF-62-A Personal Services Agreement Action  [447 Kb]
-MW-507 Employee's Maryland Withholding Exemption Certificate  [22 Kb]
-OF-126 Foreign Service Residence and Dependency Report  [130 Kb]
-OF-306 Declaration for Federal Employment  [5 Kb]
-OPM-71 Request for Leave or Approved Absence  [33 Kb]
-OPM-630 Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program  [35 Kb]
-OPM-630-A Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program  [39 Kb]
-OPM-630-B Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program  [39 Kb]
-OPM-630-C Transfer of Leave Records for Leave Recipient Covered by the Voluntary Leave Transfer Program  [38 Kb]
-OPM-1637 Application to Become a Leave Recipient Under the Emergency Leave Transfer Program  [35 Kb]
-OPM-1638 Request to Donate Annual Leave Under the Emergency Leave Transfer Program  [35 Kb]
-OPM-1639 Transfer of Donated Annual Leave To or From the Emergency Leave Transfer Program  [35 Kb]
-OWCP-5-B Work Capacity Evaluation for Cardiovascular/Pulmonary Conditions  [36 Kb]
-OWCP-5-C Work Capacity Evaluation for Musculoskeletal Conditions  [34 Kb]
-OWCP-16 Rehabilitation Plan and Award  [33 Kb]
-OWCP-17 Rehabilitation Maintenance Certificate  [33 Kb]
-OWCP-20 Overpayment Recovery Questionnaire  [34 Kb]
-OWCP-44 Rehabilitation Action Report  [33 Kb]
-OWCP-915 Claim for Medical Reimbursement  [34 Kb]
-OWCP-957 Medical Travel Refund Request  [34 Kb]
-OWCP-1500 Health Insurance Claim Form  [33 Kb]
-Pre-Appointment Certification Statement for Selective Service Registration  [5 Kb]
-Premium Conversion Waiver/Election Form - Federal Employees Health Benefits Program  [5 Kb]
-SF-61 Appointment Affidavits  [31 Kb]
-SF-85 Questionnaire for Non-Sensitive Positions  [32 Kb]
-SF-85-P Questionnaire for Public Trust Positions  [33 Kb]
-SF-85-P-S Supplemental Questionnaire for Selected Positions  [33 Kb]
-SF-86 Questionnaire for National Security Positions  [34 Kb]
-SF-86-A Continuation Sheet for Questionnaires SF 86, SF 85P, AND SF 85  [34 Kb]
-SF-144 Statement of Prior Federal Service  [5 Kb]
-SF-256 Self-Identification of Handicap  [5 Kb]
-SF-181 Ethnicity and Race Identification  [5 Kb]
-SF-813 Verification of a Military Retiree's Service in NonWartime Campaigns or Expeditions  [6 Kb]
-SF-1152 Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee  [5 Kb]
-SF-1190 Foreign Allowances Application, Grant and Report  [335 Kb]
-SF-1199-A Direct Deposit Sign-Up Form  [5 Kb]
-SF-2809 Health Benefits Election Form - Federal Employees Health Benefits Program  [5 Kb]
-SF-2817 Life Insurance Election - Federal Employees Group Life Insurance Program  [10 Kb]
-SF-2823 Designation of Beneficiary - Federal Employees Group Life Insurance Program  [5 Kb]
-SF-3102 Designation of Beneficiary - Federal Employees Retirement System  [5 Kb]
-TSP-1 Election Form - Thrift Savings Plan  [5 Kb]
-TSP-3 Designation of Beneficiary - Thrift Savings Plan  [5 Kb]
-UB-04 Medicare Claims Processing  [41 Kb]
-VA-4 Employee's Virginia Income Tax Withholding Exemption Certificate  [22 Kb]
-W-4 Employee's Withholding Allowance Certificate  [22 Kb]
-W-5 Earned Income Credit Advance Payment Certificate  [5 Kb]
-WH-380 Certification of Health Care Provider (Family and Medical Leave Act)  [36 Kb]
-WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act)  [37 Kb]
-WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition (Family and Medical Leave Act)  [37 Kb]