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U.S. Office of Personnel Management - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People

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This page can be found on the web at the following url:
http://www.opm.gov/forms/html/RI.asp

Retirement and Insurance Forms

Browse and download your choice of form(s) used to process retirement and insurance benefits.

Form	Title	File Size
RI 10-125	Federal Employee Retirement Coverage Corrections Act (FERCCA) Election Form	145.59 KB
RI 16-28	Authorization for Direct Payments	240.51 KB
RI 20-7	Representative Payee Application – Read More at: RI 20-59	388.87 KB
RI 20-64	Letter Reply to Request for Information	55.76 KB
RI 20-64A	Former Spouse Survivor Annuity Election – Read More at: RI 20-64B	130.05 KB
RI 20-97	Estimated Earnings During Military Service – Read More at: RI 83-2	321.84 KB
RI 20-120	Request for Change to Unreduced Annuity – Read More at: RI 20-59	386.21 KB
RI 20-122	Certification for Physicians Comparability Allowances (PCA)	238.52 KB
RI 25-14	Self-Certification of Full-Time School Attendance For The School Year – Read More at: RI 25-27, RI 90-12, Get Instructions:RI 25-14A	772.04 KB
RI 25-15	Notice of Change in Student's Status – Read More at: RI 25-27, RI 90-12	153.09 KB
RI 25-41	Initial Certification of Full-Time School Attendance – Read More at: RI 25-27, RI 90-12	106.88 KB
RI 25-49	Verification of Full-Time School Attendance – Read More at: RI 25-27, RI 90-12	322.82 KB
RI 30-1	Request for Information – Read More at: RI 30-13, RI 90-8	357.46 KB
RI 30-10	Disabled Dependent Questionnaire – Read More at: RI 20-59, RI 90-8, RI 25-27, RI 90-12	143.67 KB
RI 34-1	Financial Resources Questionnaire	480.41 KB
RI 34-17	Financial Resources Questionnaire (FEGLI)	479.22 KB
RI 34-18	Financial Resources Questionnaire (FEHB)	301.77 KB
RI 38-31	We Need More Information About Your Missing Payment	667.91 KB
RI 38-45	We Need the Social Security Number of the Person Named Below	335.38 KB
RI 38-107	URGENT - Reply Required Within 30 Days to Avoid Interruption of Your Payments	113.91 KB
RI 38-122	Alternative Annuity and Rollover Election – Read More at: RI 38-123, RI 37-22	324.86 KB
RI 38-124	Voluntary Contributions Election – Read More at: RI 38-125, RI 37-22	183.2 KB
RI 38-128	It's Time to Sign-up for Direct Deposit	298.55 KB
RI 38-133	Certification for Title 38 Physicians and Dentists	146.57 KB
RI 38-147	Verification of Who is Getting Payments	112.16 KB
RI 76-10	Assignment of Federal Employee's Group Life Insurance - Read More at:RI76-10.asp	1.14 MB
RI 79-9	Health Benefits Cancellation/Suspension Confirmation– Read More at: RI 79-2	155.33 KB
RI 92-19	Application for Deferred or Postponed Retirement - Federal Employees Retirement System (FERS) – Read More at: RI 92-19A	962.59 KB
RI 92-22	Annuity Supplement Earnings Report – Read More at: RI 90-8	214.3 KB

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