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  **BENEFITS TRAINING & RETIREMENT OPERATIONS CENTER (ROC)**
  **EXPERIENCE**

  **To register for the Benefits Training & ROC Experience, fax this form
  to: (202) 606-4327, or mail to: U.S. Office of Personnel Management,
  ATTN: Benefits Training & ROC Experience, 1900 E St., NW, Room 4351,
  Washington DC 20415-3300.**
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**Attendee Information (Please type or print clearly)**

**First Name M.I. Last Name**

**Agency**

**Address**

**Address (2)**

**City State Zip**

**Phone Fax Email**

**Special Needs**

# Workshop/Tour Selections:

**\[ \] Basics of Assembling Retirement Application Packages \[2-Days,
Tuesday & Wednesday, November, 14 & 15, \$475\]**

**\[ \] Federal Employees Health Benefits (FEHB) for Beginners \[1-Day,
Tuesday, November 14, \$275\]**

**\[ \] Worklife 101 \[1-Day, Tuesday, November 14, \$275\]**

**\[ \] Social Security Basics \[1-Day, Tuesday, November 14, \$275\]**

**\[ \] Disability Overview \[1-Day, Tuesday, November 14, \$275\]**

**\[ \] Annuity Estimates as a Counseling Tool \[1-Day, Tuesday,
November 14, \$275\]**

**\[ \] Retirement Operations Center (ROC) Experience \[1-Day, Tuesday,
November 14, \$100\]**

**\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

**\[ \] Introduction to Federal Employees Group Life Insurance (FEGLI)
\[1-Day, Wednesday, November 15, \$275\]**

**\[ \] FEHB for Experienced HR Professionals \[1-Day, Wednesday,
November 15, \$275\]**

**\[ \] Employee Health and Wellness Programs \[1-day, Wednesday,
November 15, \$275\]**

**\[ \] Military & Civilian Deposits under CSRS & FERS \[1-day,
Wednesday, November 15, \$275\]**

**\[ \] Civil Service Retirement System Offset \[1-day, Wednesday,
November 15, \$275\]**

**\[ \] Retirement Operations Center (ROC) Experience \[1-Day,
Wednesday, November 15, \$100\]**

**\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

**\[ \] Government Pensions & Social Security \[1-Day, Thursday,
November 16, \$275\]**

**\[ \] FEGLI for Experienced HR Professionals \[1-Day, Thursday,
November 16, \$275\]**

**\[ \] Part-time Annuity Computations \[1-Day, Wednesday, November 16,
\$275\]**

**\[ \] Developing a Retirement Financial Education Program \[1-Day,
Thursday, November 16, \$275\]**

**\[ \] Benefits for Former Spouses \[1-Day, Thursday, November 16,
\$275\]**

**\[ \] Understanding Federal Leave Systems \[1-Day, Thursday, November
16, \$275\]**

**\[ \] Retirement Operations Center (ROC) Experience \[1-Day, Thursday,
November 16, \$100\]**

# Payment Information:

**TUITION TOTAL \$**

**Payment Method: VISA MasterCard SF 182 or equivalent Check**

**(NOTE: If payment is by SF 182 or equivalent, the completed form MUST
be attached.)**

**Name on card Cardholder Phone \#**

**Card Number Expiration Date**

**Cardholder Address**

**Cardholder signature**