Form Approved: 

OMB No. 3206-0032 

United States 

Office of Personnel Management

Retirement Surveys and Students Branch

Washington, D.C. 20415-3563

Information and Instructions for Completing

the Self-Certification of Full-Time School Attendance

The retirement law provides for payment of a monthly annuity to Not included as recognized educational institutions for purposes

unmarried sons and daughters who are: 1) age 18 to 22 and are of receiving student benefits are: correspondence schools,

full-time students in recognized schools or 2) age 18 or older and elementary schools, the Government service academies such as

incapable of self-support because of a mental or physical the U.S. Naval Academy, or any training program where the

disability that began before age 18 and is expected to continue for trainee receives pay primarily as an employee, such as

at least one year. apprenticeship programs or the Job Corps.

Use the enclosed form to apply for the student benefit. Do not Benefits (payments) must stop if the student:

use this form to apply for a student benefit if the son or daughter 1. dies,

is disabled. Instead, write to the Office of Personnel Management, 2. marries,

Retirement Operations Center, Boyers, PA 16017 to ask about a 3. discontinues full-time schooling,

disabled child's benefit. We will send you the instructions you 4. enters military service on active duty,

need to document the child's disability. Adult children who qualify 5. enters any of the service academies,

are paid a benefit as long as they are disabled and are not 6. transfers to a non-recognized school, or

married. 7. attains age 22.

Full-time students must be taking sufficient courses to allow Students who attain age 22 during the school year (between

them to graduate within the minimum time which is considered September 1 and June 30) may receive benefits through the end

normal for a full-time student of the school. For example, usually a of the month preceding the month in which full-time schooling

college student must be enrolled for a minimum of 12 credit hours stops or June 30, whichever occurs first.

per semester to be considered a full-time student. If you need

additional information about what is considered full-time Since you are the payee, you must notify us immediately if 

attendance, please call us at (202) 606-0249. any one of these events occurs. If you are paid benefits after 

any of these events, you will be indebted to the retirement 

A recognized educational institution for the purpose of these system and we will have to recover the money from you.

benefits is a school that: 1) has a faculty and requires study or 

training at the school; and 2) is accredited as an educational If you believe you are eligible to receive survivor benefits for a fullinstitution. Such schools are: high schools, trade schools, time student, complete the enclosed form after you read the back 

technical or vocational schools, colleges, junior colleges, and of this notice. 

universities.

Privacy Act and Public Burden Statements 

The Office of Personnel Management (OPM) administers the Civil Service Retirement System (Chapter 83, of title 5, U.S. Code) and the 

Federal Employees Retirement System (Chapter 84, title 5, U.S. Code). The information requested on the enclosed form is needed to 

document a retirement benefit or claim. The information may be shared and is subject to verification, via paper, electronic media, or through 

the use of computer matching programs, with national, state, local or other charitable or social security administrative agencies in order to 

determine benefits under their programs, to obtain information necessary for determination or continuation of benefits from OPM, or to report 

income for tax purposes. It may also be shared and verified, as noted above, with law enforcement agencies when they are investigating a 

violation or potential violation of civil or criminal law. Executive Order 9397 (November 22, 1943) authorizes use of the Social Security 

Number to distinguish between the applicant and people with similar names. Failure to supply all the requested information may delay or 

prevent action on the benefit or claim. Intentionally false statements and/or suspected illegal activities are reportable by us to appropriate 

law enforcement agencies. 

We estimate the RI 25-14 takes an average 12 minutes per response to complete, including the time for reviewing instructions, getting the 

needed data, and reviewing the completed form. Send comments regarding our estimate or any other aspect of this form, including 

suggestions for reducing completion time, to the U.S. Office of Personnel Management, Retirement Services Publications Team 

(3206-0032), Washington, D.C. 20415-3430. The OMB Number, 3206-0032, is currently valid. OPM may not collect this information, and 

you are not required to respond, unless this number is displayed. 

Please Carefully Review The Example On The Reverse Side 

RI 25-14A

Previous editions are usable. Revised June 2011
Instructions for Completing the Enclosed Form 

It Is Important That You Follow All Of The Instructions Below.

1. The enclosed form has been designed to allow your answers to be read using optical scanning equipment. Therefore, 

please use a pencil to blacken the ovals. If you make a mistake, erase it completely and blacken the correct oval. (Do not 

use a correction fluid on the enclosed form.) 

2. Complete the form as illustrated in the example below:

EXAMPLE 

Item 10 of the form is reproduced here to illustrate how you should make your entries on this form. The example below 

illustrates how this question would be completed for a student whose school year ends or will end on June 7, 2011. 

10. Enter the date this school attendance will end 

Write the month, day, and year in the boxes. 

If the month is June, enter JUN. 

Blacken the corresponding oval below each 

box. For example, if the number is "0," 

blacken the oval with a "0" in it. 

or ended. If the student plans to attend for 

the full school year, you should show the 

ending date of the full school year (NOT the 

semester). This date must be later than the 

date shown in block 9.

Month Day Year

J U N 0 7 1 1

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

0 0 0

1 1

2 

3 

2 

3 

4 

5 

6 

2 

3 

4 

5 

6 

1 

2 

3 

4 

5 

6 

1 

8 

9 

7 

9 

8 

7 

9 

8 

3. Please review your entries to avoid delays in your payments due to errors or incomplete data.

4. DO NOT copy or duplicate the self-certification form. If you need another form, write to the address shown in item 5, call us 

on (202) 606-0249, or go to our website at www.opm.gov/forms. 

DO NOT staple, damage, or mutilate the form.

5. The person who is the payee must be sure to sign the form and submit it within 30 days. To reply by mail, use the enclosed 

envelope addressed to:

U.S. Office of Personnel Management

Surveys and Students Branch - Attn: Room 2309

1900 E Street, NW

Washington, D.C. 20415-3563

Or, you may fax your completed form to (202) 606-0022.

If you need assistance:

If, after carefully reading the instructions, you need assistance to complete the form on regular work days, you may contact 

us from 7:30 a.m. to 5:00 p.m. (Eastern Time) on (202) 606-0249. If you have any other questions regarding student 

benefits, please call us at 1-888-767-6738. Reverse of RI 25-14A 

Revised June 2011