Architect of the Capitol

 
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    Forms
     
    General Forms
     
     AOC Leave Request Form
    Use for all leave request this form is fillable. Fill in the appropriate infromation, save and print the document. Send to your supervisor for approval.
     
     HR Order 451-1: Supplement - Award Recommendation Form
    Form 451-1: Award Recommendation
     
     HR Order 451-1: Supplement - On The Spot Award Recommendation Form 451-2
    Form 451-2: On the spot award recommendation
     
     Request, Authorization and Certification of Training (SF-182) Form and Class Evaluation
    Request, Authorization and Certification of Training (SF-182) Form, including the class evaluation
     
    Employee Orientation
     
     I-9: Employment Eligibility Verification
    Determines an employee's eligibility to work in the United States
     
     OF-306: Declaration for Federal Employment
    Provides critical employment information. All applicants who do not use an SF-171 must complete this form
     
     SF-181: Race and National Origin Identification
    Identifies race and national origin for statistical purposes only, and is not filed in the Official Personnel Folder. Mark only one box.
     
     SF-61: Appointment Affidavit
    Affirms an employees commitment to the Federal Service
     
     SF-813: Verification of a Military Retiree's Service in Non-wartime
    Verifies military retiree's service in non-wartime campaigns or expeditions
     
     SSI: Selective Service Identification
    Identifies male born after December 31, 1959 who may be required to register with the Selective Service System
     
     TSP - Thrift Savings Plan Loan Statement
    Identifies new employees who transfer from other agencies and have a TSP loan with the prior agency
     
    Payroll
     
     Change of Address Form
    Fill out the form, print and bring to the HR Payroll Department.
     
     D-4: Employee's District of Columbia Withholding Allowance Certificate
    Documents exemptions for D.C. Tax Purposes
     
     MW 507: Employee's Maryland Withholding Exemption Certificate
    Documents exemptions for State Tax Purposes
     
     SB-2362: Savings Bond Authorization Form
    EE Series and I Series
     
     SF-1187: Request for Payroll Deductions for Labor Organization Dues
    SF-1187: Request for Payroll Deductions for Labor Organization Dues
     
     SF-1188: Cancellation of Payroll Deductions for Labor Organization Dues
    SF-1188: Cancellation of Payroll Deductions for Labor Organization Dues
     
     SF-1199A: Direct Deposit Form
    Documents savings/checking account information in order for electronic deposit of salary check. Note: Mandatory for all new hires
     
     VA-4: Employee's Virginia Income Tax Withholding Exemption Certificate
    Documents exemptions for State Tax Purposes
     
     W-4 FORM 2004: Employee's Withholding Allowance Certificate
    Documents exemptions for Federal Tax Purposes
     
    Federal Employee Health Benefits Program (FEHB)
     
     RI 70-1: Permanent Employees - Enrollment Information and Plan Comparison Chart
    Provides information on available Health Plans and their costs
     
     RI 70-5: Temporary Continuation of Coverage and Former Spouse Enrollees - Enrollment Information and Plan Comparison Chart
    Provides information on available Health Plans and their costs
     
     RI 70-9: For Federal Retirees and Their Survivors
    Provides information on available Health Plans and their costs
     
     SF-2809: Health Benefits Registration Form
    Enrolls an employee in Federal Health Benefits Plan
     
    Thrift Savings Plan (TSP)
     
     Interfund Transfer Request
    To change the way the balance currently in your TSP account is invested in the three funds
     
     TSP - In-service Withdrawals
    Explains in-service withdrawals. Contains information on the two types of withdrawals, the application process, spousal requirements and the tax consequences.
     
     TSP - Summary of the Thrift Savings Plan for Federal Employees
    Describes how the plan works, what your investment options are, how to enroll, and withdrawal options
     
     TSP - Thrift Savings Plan Loan Statement
    Identifies new employees who transfer from other agencies and have a TSP loan with the prior agency
     
     TSP-16: Exception to Spousal Requirements
    To request an exception to the TSP spouse notice and signature requirements
     
     TSP-17: Application for Account Balance of Deceased Participant
    To apply for a deceased participants TSP account
     
     TSP-1: Election Form
    To start, change or stop contributions
     
     TSP-20: Loan Application
    To apply for a loan
     
     TSP-3: Designation of Beneficiary (TSP)
    To designate a beneficiary(s) to receive your TSP account after your death
     
     TSP-50 Investment Allocation Message
    TSP-50 Investment Allocation From is not available for download from the TSP web site
     
     TSP-70 and TSP-70T: Withdrawal Request and Transfer Information
    To request a withdrawal of your TSP account, but not before you separate from Federal Service and/or to instruct the TSP to transfer all or a portion of your payment(s) to an Individual Retirement Account (IRA) or other eligible retirement plan.
     
     TSP-75 and TSP-75T: Age-based In-Service Withdrawal and Request Transfer of In-Service Withdrawal
    To apply for an age-based in-service withdrawal and to have the TSP Service Office transfer all or any part of your payment to an IRA or other eligible retirement plan.
     
     TSP-76: Financial Hardship In-Service Withdrawal Request
    To apply for a financial hardship in-service withdrawal
     
     TSP-9: Change of Address for Separated Participants
    To notify the TSP Service Office of a change in your address after you are not longer employed by the Federal government.
     
     TSP-BK02: Withdrawing your TSP Account
    Booklet that explains your withdrawal options once you separate from Federal Service
     
     TSP-BK03: Guide to TSP Investments
    Booklet that explains the TSP investment options and investment operations and procedures
     
     TSP-BK05: Annuitites
    Booklet that describes the types of TSP annuities that are available and provides information to help you choose an annuity
     
     TSP-BK11: Court Orders
    Information about Court Orders and how they relate to the TSP
     
    Federal Employees Group Life Insurance (FEGLI)
     
     FE-6: Claim for Death Benefits
    To file for payment of life insurance
     
     FE-6Dep: Statement of Claim - Option C
    To be used for dependent claims for payment under the FEGLI Program.
     
     FE-7: Claim for Dismemberment Benefits
    Employees enrolled in the FEGLI Program who lose a limb or eyesight complete this form.
     
     RI 76-10: Assignment of FEGLI
    To transfer ownership of your life insurance coverage to other individual(s)
     
     RI 76-21: FEGLI Program
    Description and certification of enrollment in FEGLI
     
     SF-2817: Life Insurance Election
    Allows an employee to elect or waive life insurance coverage
     
     SF-2818: Continuation of Life Insurance Coverage as a Retiree of Compensationer
    To continue your FEGLI Basic Life Insurance coverage if you will be retiring or receiving compensation
     
     SF-2819: Notice of Conversion Privilege
    Used by HRMD. Only completed whenever an employee's life insurance coverage terminates due to separation, resignation, retirement, death, or end of 12 months in non-pay status.
     
     SF-2821: Agency Certification of Insurance Status
    Used by personnel. Only completed whenever an employee's life insurance coverage terminates due to separation, resignation, retirement, death, or end of 12 months in non-pay status
     
     SF-2822: Request for Insurance
    To apply for cancellation of any waiver or declination of insurance coverage previously filed
     
     SF-2823: Designation of Beneficiary (FEGLI)
    Designates a beneficiary for the disposition of proceeds of insurance under the FEGLI program
     
    Retirement - Civil Service Retirement System (CSRS)
     
     RI 83-1: CSRS Booklet
    To provide an overview of CSRS
     
     SF-1153: Claim for Compensation of Deceased Civilian Employee
    Complete this form and send it to the Federal Government agency that employed the deceased.
     
     SF-2800: Application for Death Benefits
    To apply for survivor benefits based on the death of a CSRS employee, former employee, or annuitant
     
     SF-2800A: Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death
    Package to be completed if the deceased was an employee under the Civil Service Retirement System (CSRS) at the time of death
     
     SF-2801: Application for Immediate Retirement Under CSRS
    To apply for a CSRS retirement with immediate annuity
     
     SF-2803: Application to Make Deposit or Redeposit
    If you are covered under CSRS and you want to pay a deposit or a redeposit for civilian service
     
     SF-2808: Designation of Beneficiary (CSRS)
    To designate beneficiary(s) for a lump-sum benefit (CSRS)
     
    Retirement - Federal Employees Retirement System (FERS)
     
     RI 90-1: FERS Booklet
    To provide an overview of FERS
     
     SF-3102: Designation of Beneficiary (FERS)
    To designate a beneficiary(s) for a lump-sum benefit (FERS)
     
     SF-3104: Application for Death Benefits
    To apply for benefits which may be payable under the FERS because of the death of an employee, former employee or annuitant who was covered by FERS at the time of his/her death or separation from Federal Service
     
     SF-3104B: Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the time of death FERS
    Package to be completed if the deceased was an employee under FERS at the time of death
     
     SF-3107: Application for Immediate Retirement
    To apply for a FERS retirement with immediate annuity
     
     SF-3108: Application to Make Service Credit Payment for Civilian Service
    If you are covered by FERS and you want to pay for civilian service so that you can receive retirement credit for the service
     
    Designation of Beneficiary(ies)
     
     SF-1152: Designation of Beneficiary
    Designates a beneficiary for last salary check, annual leave and any other compensation due from the AOC
     
     SF-2808: Designation of Beneficiary (CSRS)
    To designate beneficiary(s) for a lump-sum benefit (CSRS)
     
     SF-2823: Designation of Beneficiary (FEGLI)
    Designates a beneficiary for the disposition of proceeds of insurance under the FEGLI program
     
     SF-3102: Designation of Beneficiary (FERS)
    To designate a beneficiary(s) for a lump-sum benefit (FERS)
     
     TSP-3: Designation of Beneficiary (TSP)
    To designate a beneficiary(s) to receive your TSP account after your death
     
     
     CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
    Can be initiated by employee or person acting on employee's behalf.
     
     CA-17 Duty Status Report
    Use for the purpose of obtaining a duty status report for named employee.
     
     CA-2 Federal Employee's Notice of Occupation Disease and Claim for Compensation
    Can be completed by employee or person acting on employee's behalf.
     
     CA-20 Attending Physician's Report
    Attending Physician's Report
     
     CA-2a Notice of Employee's Recurrence of Disability and Claim for Pay/Compensation
    For claiming a reocurrence of disability for an occupational illness
     
     CA-35 Evidence Required in Support of a Claim for Occupational Disease
    CA-35 Evidence Required in Support of a Claim for Occupational Disease
     
     CA-5 Claim for Compensation by Widow, Widower and/or Children
    Claim form should be completed and filed by the widow or widower for self and surviving children. If there is no surviving widow or widower, the children's guardian completes the claim form.
     
     CA-5b Claim for Compensation by Parents, Brothers, Sisters, Grandparents or Grandchildren
    Form should be completed and filed by the deceased employee's parents, grandparents or representative (custodian or guardian) of minor brothers, sisters or grandchildren.
     
     CA-6 Official Superior's Report of Employee's Death
    Report of a Federal employee's death as a result of injury in performance of duty or because of an employment-related disease
     
     CA-7 Claim for Compensation on Account of Traumatic Injury or Occupational Disease
    For use if employee does not qualify for continuation of pay (for 45 days) or if employee reaches maximum improvement and claims a schedule award
     
     OWCP-1500a: Health Insurance Claim Form
    Health Insurance Claim Form
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