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# DLA Human Resources Associated Forms

Jump To

                                - Beneficiary
                                - DCPDS
                                - Employment
                                - Foreign Allowances
                                - In-processing
                                - Injury Compensation

                                - Leave Administration
                                - Military Personnel
                                - Retirement
                                - Separation
                                - Travel
                                - Other

The majority of these documents are hosted on other federal government websites. By selecting a link you will be leaving the DLA Human Resources Website.

## Beneficiary

                            -  SF-2808, CSRS Designation of Retirement Beneficiary:     (PDF)
                            -  SF-3102, FERS Designation of Retirement Beneficiary      (PDF)
                            -  SF-1152, Unpaid Compensation Designation of Beneficiary      (PDF)
                            -  SF-2823, Life Insurance FEGLI Designation of Beneficiary      (PDF)
                            -  TSP-3, Thrift Savings Plan Designation of Beneficiary      (PDF)

## Defense Civilian Personnel Data System (DCPDS)

                            -  DD-2875, System Authorization Access Request (SAAR)      (PDF)
                            -  DCPDS User Request Form      (PDF)
                            -  HR Self Service Request for Military Supervisors and All External Users      (PDF)

## Employment

                            - Applicant                                - OF-306, Declaration for Federal Employment      (PDF)
                              - SF-15, Application for 10 point Veteran's Preference      (PDF)      
                            - Telework                                -  DLA Form 1864, Telework Request and Approval Form   (PDF)
                              -  DLA Form 1865, Telework Agreement   (PDF)
                              -  DLA Form 1866, Supervisor - Employee Checklist   (PDF)
                              -  DLA Form 1867, Self-Certification Home Safety Check List    (PDF) 

## Foreign Allowances

                            -  SF-1190, Foreign Allowances Application, Grant and Report      (PDF)                                -  SF-1190, Instructions
                              -  SF-1190, Addendum   (PDF) 
                            -  DSSR 120, TQSA Worksheet    (PDF)
                            -  DSSR 130, LQA Worksheet    (PDF)
                            -  DSSR 240, FTA Worksheet    (PDF)
                            - LQA Reconciliation Worksheet   (PDF)

## Injury Compensation

                            -  CA-1, Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation     (PDF)
                            -  CA-2, Notice of Occupational Disease and Claim for Compensation     (PDF)
                            -  CA-2a, Notice of Recurrence     (PDF)
                            -  CA-5, Claim for Compensation by Widow, Widower, and/or Children      (PDF)
                            -  CA-5b, Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren      (PDF)
                            -  CA-6, Official Superior's Report of Employee's Death      (PDF)
                            -  CA-7, Claim for Compensation     (PDF)
                            -  CA-7a, Time Analysis Form, used for claiming compensation, including repurchase of paid leave      (PDF)
                            -  CA-7b, Leave Buy Back (LBB) Worksheet/Certification and Election     (PDF)
                            -  CA-10, What A Federal Employee Should Do When Injured At Work     (PDF)
                            -  CA-17, Duty Status Report     (PDF)
                            -  CA-20, Attending Physician's Report     (PDF)
                            -  CA-35A, Evidence Required in Support of a Claim for Occupational Disease     (PDF)
                            -  CA-35B, Evidence Required in Support of a Claim for Work-Related Hearing Loss     (PDF)
                            -  CA-35C, Evidence Required in Support of a Claim for Asbestos-Related Illness     (PDF)
                            -  CA-35D, Evidence Required in Support of a Claim for Work Related Coronary/Vascular Condition     (PDF)
                            -  CA-35E, Evidence Required in Support of a Claim for Work Related Skin Disease     (PDF)
                            -  CA-35F, Evidence Required in Support of a Claim for Pulmonary Illness (Not Asbestosis)     (PDF)
                            -  CA-35G, Evidence Required in Support of a Claim for Psychiatric/Psychological Conditions     (PDF)
                            -  CA-35H, Evidence Required in Support of a Claim for Work Related Carpal Tunnel Syndrome     (PDF)
                            -  CA-40, Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a      (PDF)
                            -  CA-41, Claim for Survivor Benefits Under the Federal Employees' Compensation Act Section 8102a Death Gratuity      (PDF)
                            -  CA-42, Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity      (PDF)
                            -  CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act      (PDF)
                            -  DLA Form 1591, Supervisory Mishap Report   (PDF)
                            -  OWCP-915, Claim For Medical Reimbursement     (PDF)
                            -  OWCP-957, Medical Travel Refund Request     (PDF)
                            -  OWCP-1500, Health Insurance Claim Form     (PDF)

## Inprocessing

                            -  SF-61, Appointment Affidavit     (PDF)
                            -  SF-1152, Beneficiary Form (Unpaid Compensation)      (PDF)
                            -  OF-306, Declaration for Federal Employment     (PDF)
                            -  SF-2808, Designation of Beneficiary (Civil Service Retirement System)     (PDF)
                            -  SF-2823, Designation of Beneficiary (Federal Employee Group Life Insurance Program)      (PDF)
                            -  SF-3102, Designation of Beneficiary (Federal Employee Retirement System)      (PDF)
                            -  FMS 2231, Direct Deposit Form     (PDF)
                            -  W4, Employees Withholdings     (PDF)
                            - I-9, Employment Eligibility Verification     (PDF)
                            -  SF-2809, Health Benefits Election Form     (PDF)
                            -  SF-2817, Life Insurance Election Form     (PDF)
                            -  DLA Form 1712, Notice and Consent for Communication Security Telephone Monitoring   (PDF)
                            -  DLA Form 462 ,Personnel Management Information Systems Supplemental Information   (PDF)
                            -  SF-181, Race and National Origin Identification     (PDF)
                            -  Safeguarding Military Information  (PDF)
                            -  SF-256, Self-Identification of Disability     (PDF)
                            -  SF-144, Statement of Prior Federal Service     (PDF)
                            -  TSP-3, Thrift Savings Plan (Designation of Beneficiary)     (PDF)
                            -  TSP-1, Thrift Savings Plan (Election Form)     (PDF)
                            -  SF-813, Verification of a Military Retiree Service      (PDF)
                            -  Reserve Status   (PDF)
                            -  TSP-19, Transfer Information Between Agencies   (PDF)
                            -  Transfer Info   (PDF)
                            -   State Tax Withholding Forms      (PDF)
                            -   City or Local Tax Withholding Information   (PDF)
                            -   City/School Tax Election   (PDF)
                            -   Alphabetical Taxing Authorities List (by State)   (PDF)
                            -   DLA No Fear Act Notice   (PDF)

## Leave Administration

                            -  OPM-71, Request for Leave or Approved Absence     (PDF)
                            -  OPM-630, Voluntary Leave Transfer Program Forms (Within Agency)     (PDF)
                            -  OPM-630A, Request to Donate Annual Leave     (PDF)
                            -  OPM-630B, Voluntary Leave Transfer Program Forms (Outside Agency)     (PDF)
                            -  FMLA Medical Certification Form      (PDF)

## Military Deposits

                            -  RI20-97 Estimated Earnings During Military Service     (PDF)                                - Where to Send Your Completed Form         The uniformed services must provide Federal employees' estimated basic pay for military service performed after December 31, 1956. This is needed to make a deposit for retirement credit.

## Military Personnel

                            -  SF-180, Request Pertaining to Military Records     (PDF)

## Retirement

                            -  **Civil Service Retirement System (CSRS)**                                -  SF-2801, Application for Immediate Retirement
                              - (PDF)
                              -  SF-3112, Documentation in Support of Disability Retirement - Application      (PDF)(Only complete if applying for Disability Retirement (In addition to the SF2801 & Attachment to SF2801-2))
                              -  W-4P, Withholding Certificate for Pension and Annuity Payments      (PDF) (Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
                              - If applicable:                                   -  SF-2803, Application to Make Deposit/Redeposit Form (CSRS)      (PDF)
                                -  SF-2818, Continuation of Life Insurance Coverage     (PDF)
                                -  OPM-1510, Discontinued Service Retirement      (PDF)       
                            -  **Federal Employees Retirement System (FERS)**                                -  SF-3107, Application for Immediate Retirement     (PDF)
                              -  SF-3112, Documentation in Support of Disability Retirement Application     (PDF)(Only complete if applying for Disability Retirement (In addition to the SF3107))
                              -  FEDMER, Federal Medical Evidence of Record (FEDMER) Social Security Disability Eligibility Statement      (PDF)(Only complete if applying for Disability Retirement)
                              -  W-4P, Withholding Certificate for Pension and Annuity Payments      (PDF)(Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
                              - If applicable:                                   -  SF-2818, Continuation of Life Insurance Coverage     (PDF)
                                -  SF-3108, Application to Make Service Credit Payment (Federal Employees Retirement System)     (PDF)
                                -  OPM-1510, Discontinued Service Retirement     (PDF) 

## Separation

                            -  VSIP (Voluntary Separation Incentive Pay) Agreement and Election Form     (PDF)

## Travel

                            -  DD-1617, Transportation Agreement from U.S. to Overseas     (PDF)
                            -  DD-1618, Transportation Agreement from Overseas to U.S.     (PDF)
                            -  Overseas Employment Agreement Assignment to a Foreign Area     (PDF)
                            -  DD-1351-2, Travel Voucher     (PDF)
                            -  DD-1351-2C, Travel Voucher Continuation Sheet      (PDF)
                            -  DLA Return Placement Agreement  (PDF)

## Other

                            -  Personnel Accountability SITREP Instructions  (PDF)
                            -  Personnel Accountability SITREP  (PDF)
                            -   Standard Forms (SF)      (PDF)
                            -   Optional Forms (OF)      (PDF)
                            -   Department of Defense Forms (DD)      (PDF)
                            -  DLA Forms     (PDF)                                -  DLA36 Suggestion Program  (PDF)
                              -  DLA 37 Suggestion Evaluation and Transmittal  (PDF)
                              -  DLA 38 Incentive Award Nomination and Approval  (PDF)
                              -  DLA Form 1939 Request for Administrative Leave for Fitness Activities  (PDF)
                              -  DLA 1869, Request for Advanced Leaves  (PDF) 
                            -   OPM Retirement & Insurance Forms (RI Forms)      (PDF)

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