eOPF Master Forms List v4.0

THIS LIST IS NOT ALL INCLUSIVE. THESE HAVE BEEN SUBMITTED BY PREVIOUS

AGENCIES - YOUR AGENCY MAY HAVE ADDITIONAL FORMS THAT FUNCTION IN AN "IN LIEU OF" CAPACITY

Agency form submissions will not duplicate forms already listed. All Agency-unique forms indicated as Permanent will be submitted to and reviewed by OPM for adherence to exiting policy and, if appropriate, included in the

Permanent Master List.

No form is intended to be listed on more than one worksheet.

Legend eOPF PERMANENT

eOPF TEMPORARY

PURGE from OPF

QUALIFIED DETERMINATION

Definitions Lists Federal-wide and Agency unique forms that document the service history OR protect the rights, benefits and entitlements of the employee. Reference OPM/GOVT-1 General Personnel Records. (Non-Discretionary) With the exception of prohibited forms as described in the GPR/GPPA, lists non-Permanent Federal-wide and Agency-unique forms. Reference OPM/GOVT-2, 3, 5, 6, 7, 9, or 10. (Discretionary) Lists forms specifically prohibited from storage in the OPF/eOPF (either Permanent or Temporary sides). Agency Records Management Officials can determine disposition. (Non-Discretionary) Lists Federal-wide and Agency-unique forms that only document the service history OR protect the rights, benefits and entitlements of the employee when specific criteria are present. OPM/GOVT-1 General Personnel Records. (Non-discretionary)

eOPF_EHRIMasterFormsList_v4.0_2008-07-23.xls eOPF V4.0 Forms List Legend 1 of 49

Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE 11ND NSYLB 12552/4

NOTIFICATION OF WITHIN GRADE INCREASE

PERSONNEL ACTION/SUPPORT DOC

Permanent Reference DG 31 GPR, page 3-29

11ND NWS 12290/2

RECORD OF CREDITABLE SERVICE EMPLOYEE Permanent GPR, page 3-14

13-132 ADJUDICATION OF INVESTIGATION INVESTIGATIONS/S ECURITY CLEARANCE

Permanent Reference DG 04 GPR, page 3-25 (result of investigation)

63D ARCOM-62 STATEMENT OF UNDERSTANDING EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 AAFES 1101-1 AFFIDAVIT EMPLOYEE Permanent Reference SF 61 GPR, page 3-9 AAFES 1200-28 AAFES PERSONNEL ACTION PERSONNEL

ACTION/SUPPORT DOC

Permanent Reference SF 50 GPR, page 3-27

AAFES 1200-75 AAFES PERSONNEL ACTION PERSONNEL ACTION/SUPPORT DOC


AAFES 1550-25 RETROACTIVE PAY ADJUSTMENT PERSONNEL ACTION/SUPPORT DOC


ACTION A-791 CERTIFICATION OF PEACE CORPS SERVICE

BENEFITS Permanent Only if initial or most recent appointment or positive education requirement; Agreement DG 23

AD 1082 VERIFICATION OF RETIREMENT COVERAGE AND SERVICE COMPUTATION WORKSHEET

BENEFITS Permanent File supporting documents directly under the personnel action that reflects the SCD change

GPPA, page 6-19

AD 1083 VERIFICATION OF DEPOSIT/REDEPOSIT OF SERVICE

BENEFITS Permanent Reference DG 66 - only if it documents payments in full

GPR, page 3-20

AD 347 NOTIFICATION OF PERSONNEL ACTION



AD 350 NOTIFICATION OF PERSONNEL ACTION



AD 658 WGI RECORD PERSONNEL ACTION/SUPPORT DOC


AF 1228 NAFI PAYROLL CHANGE SLIP PERSONNEL ACTION/SUPPORT DOC


AF 2545 NAFI NOTIFICATION OF PERSONNEL ACTION



eOPF_EHRIMasterFormsList_v4.0_2008-07-23.xls eOPF Permanent 2 of 49

Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE AF 2584 RECORD OF PERSONNEL

SECURITY INVESTIGATION AND CLEARANCE

INVESTIGATIONS/S ECURITY CLEARANCE


AF 374D PAYROLL CHANGE SLIP PERSONNEL ACTION/SUPPORT DOC


AF 47 CERTIFICATE OF CLEARANCE AND RECORD OF PERSONNEL SECURITY INVESTIGATION



AF1613 STATEMENT OF PRIOR FEDERAL SERVICE EMPLOYEE Permanent

AGUZ 2496 STATEMENT OF SERVICE EMPLOYEE Permanent GPR, page 3-14 AID 4-174 CONDITIONS OF EMPLOYMENT

CERTIFICATION EMPLOYEE Permanent Reference DG 38 GPR, page 3-15

AID 4-520 FEGLI CHANGE PERSONNEL ACTION/SUPPORT DOC

Permanent Reference SF 2823 N/A

AID 500-3 SECURITY INVESTIGATION AND CLEARANCE RECORD



AMC 5 SECURITY CLEARANCE INVESTIGATIONS/S ECURITY CLEARANCE


AO 250 ADMINISTRATIVE OFFICE OF THE UNITED STATES COURTS NOTIFICATION OF PERSONNEL ACTION



AO 80 CLERK'S AND DEPUTY CLERKS OATH (OF OFFICE)

EMPLOYEE Permanent Reference SF 61 GPR, page 3-9

ARS 169 WITHIN GRADE INCREASE CERTIFICATION



BC 201 SERVICE COMPUTATION RECORD BENEFITS Permanent GPPA, page 6-19 BC 50A NOTICE OF SHORT-TERM

EMPLOYMENT PERSONNEL ACTION/SUPPORT DOC


BLS 61 BLS APPOINTMENT AFFIDAVIT EMPLOYEE Permanent Reference SF 61 GPR, page 3-9 BRI 46-401 ELECTION OF COVERAGE (FERS) BENEFITS Permanent GPR, page 3-22 CD 251 NOTIFICATION OF PERSONNEL

ACTION PERSONNEL ACTION/SUPPORT DOC


CD 252 NOTIFICATION OF PERSONNEL ACTION




Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE CD 352 CERTIFICATION OF SATISFACTORY

COMPLETION OF PROBATIONARY PERIOD

EMPLOYEE Permanent

CD 68 CHRONOLOGICAL RECORD OF FEDERAL AND MILITARY SERVICE

EMPLOYEE Permanent GPR, page 3-7

CD 70 STANDARD CONDITIONS OF APPOINTMENT FOR U.S. CITIZENS STATIONED AT OVERSEAS POSTS


CDC 0.279 DETERMINING SERVICE COMPUTATION DATE

EMPLOYEE Permanent File supporting documents directly under the personnel action that reflects the SCD change

GPPA, page 6-19

CSC 1769 AFFIDAVIT AS TO NUMBER OF MEMBERS OF FAMILY IN GOVT SERVICE

EMPLOYEE Permanent Replaced by OF 306 GPR, page 3-11

CSC 258 USCSC APPROVAL OF VETERANS PREFERENCE

EMPLOYEE Permanent Reference DG 39 & 40 GPR, page 3-11

CSC 2800A PROOF OF SELECTION FOR CAREER OR CAREER CONDITIONAL APPOINTMENT (DISCONTINUED)


CSC 2800B AUTHORIZATION OF A CAREER-CONDITIONAL APPOINTMENT (DISCONTINUED)


CSC 329A AUTHORITY FOR RELEASE OF INFORMATION

EMPLOYEE Permanent Reference DG 01 GPR, page 3-34

CSC 492 APPLICATION TO ESTABLISH ELIGIBILITY FOR REINSTATEMENT TO CAREER-CONDITIONAL (DISCONTINUED)

EMPLOYEE Permanent Reference CSC 648 GPR, page 3-9

CSC 493 APPLICATION TO ESTABLISH ELIGIBILITY FOR CONVERSION TO CAREER-CONDITIONAL (DISCONTINUED)


CSC 617 APPLICATION TO ESTABLISH ELIGIBILITY FOR REINSTATEMENT TO CAREER UNDER PL 84-380 & 85-847 (DISCONTINUED)


CSC 618 APPLICATION TO ESTABLISH ELIGIBILITY FOR CONVERSION TO CAREER UNDER PL 84-380 & 85-847 (DISCONTINUED)



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE CSC 648 RECOMMENDATION FOR

CONVERSION TO CAREER APPOINTMENT UNDER REGULATION 315.703A


CSC 775 DIRECT HIRE AUTHORITY AND REPORTING FORM


CSC 813 REQUEST FOR VERIFICATION OF MILITARY SERVICE

EMPLOYEE Permanent Replaced by SF 813 GPR, page 3-11

DA 1616 REQUEST FOR CONVERSION (OR REINS) UNDER C.S. REG 3.101


Permanent GPR, page 3-9

DA 2515 PAY CHANGE OTHER SLIP PERSONNEL ACTION/SUPPORT DOC


DA 2784 REQUESTS FOR/RESULTS OF PERSONNEL SECURITY ACTION



DA 2784R REQUEST FOR COUNTERINTELLIGENCE INVESTIGATION



DA 2962 SECURITY TERMINATION STATEMENT



DA 3434 NOTIFICATION OF PERSONNEL ACTION NONAPPROPRIATED FUNDS EMPLOYMENT



DA 3436 APPOINTMENT AFFIDAVIT (OATH OF OFFICE)


DA 3473 APPLICATION FOR USANAF RETIREMENT PLAN AND/OR GROUP INSURANCE

BENEFITS Permanent GPR, page 3-19

DA 7426 APPLICATION FOR USANAF EMPLOYEE 401(K) SAVINGS PLAN

BENEFITS Permanent Reference TSP 1 GPR, page 3-24

DA 873 CERTIFICATE OF CLEARANCE AND/OR SECURITY DETERMINATION



DARP 3275 STATEMENT OF UNDERSTANDING EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 DCAA 5210-19 PREAPPOINTMENT SECURITY

APPROVAL INVESTIGATIONS/S ECURITY CLEARANCE


DCAA 5210-1R DEFENSE CONTRACT AUDIT AGENCY ACCESS CLEARANCE CERTIFICATE




Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DCAA 5210-43 WAIVER OF REQUIRED

PREAPPOINTMENT SECURITY INVESTIGATION



DCAA 5210-5/R CERTIFICATE OF ELIGIBILITY TO OCCUPY A SENSITIVE POSITION

EMPLOYEE Permanent Reference DG 04 GPR, page 3-25 (result of investigation)

DCASR LA 5025 CONDITION OF EMPLOYMENT EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 DCMDW 5025 CONDITION OF EMPLOYMENT EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 DD 214 CERTIFICATE OF RELEASE OR EMPLOYEE Permanent GPR, page 3-11

DISCHARGE FROM ACTIVE DUTY DD 215 CORRECTION TO DD FORM 214 EMPLOYEE Permanent GPR, page 3-11 DD 220 ACTIVE DUTY REPORT EMPLOYEE Permanent GPR, page 3-11 DD 256 HONORABLE DISCHARGE - EMPLOYEE Permanent GPR, page 3-11

NATIONAL GUARD DD 2587 DEPT OF DEFENSE ACQUISITION EMPLOYEE Permanent Reference DG 75 Per OFFICE OF MANAGEMENT AND

CORP CERTIFICATION OF ADMISSION

BUDGET Letter, DATED 01/20/06: The certification will be issued at the employing agency, but will represent the achievement of government-wide standards.

DD 590 PAYROLL CHANGE SLIP PERSONNEL Permanent Reference DG 31 GPR, page 3-29 ACTION/SUPPORT DOC

DFAS 114 PREAPPOINTMENT INVESTIGATIVE INVESTIGATIONS/S Permanent Reference DG 04 GPR, page 3-25 (result of investigation) REQUIREMENT CHECK ECURITY

CLEARANCE DG 01 ACCOUNTING OF DISCLOSURE EMPLOYEE Permanent GPR, page 3-34 DG 02 INACTIVE - SEE DG 04 INVESTIGATIONS/S Permanent INACTIVE - SEE DG 04; Alias DG 04

ECURITY CLEARANCE

DG 03 BIRTH CERTIFICATE EMPLOYEE Permanent GPR, page 3-32, Right side verifications when conflicting DOBs

DG 04 CERTIFICATION OF INVESTIGATION INVESTIGATIONS/S Permanent GPR, page 3-25 (result of investigation) NOTICE (POST ADJUDICATION) ECURITY

CLEARANCE DG 05 CERTIFIED COPY OF SCHOOL

TRANSCRIPT EMPLOYEE Permanent GPR, page 3-8

DG 06 CLOSED - DISCONTINUED NOTICE INVESTIGATIONS/S Permanent GPR, page 3-25 (result of investigation) OF INVESTIGATION ECURITY

CLEARANCE DG 07 CLOSED INCOMPLETE NOTICE OF INVESTIGATIONS/S Permanent GPR, page 3-25 (result of investigation)

INVESTIGATION ECURITY CLEARANCE


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 08 DEATH CERTIFICATE EMPLOYEE Permanent GPR, page 3-15, Keep on right side with

SF 15 if used to support claim from surviving spouse for veteran’s preference. All others are to be purged.

DG 09 OPM ISSUED DELEGATED APPOINTING AUTHORITY LETTERS


DG 10 DEMONSTRATION PROJECT DOCUMENTS

EMPLOYEE Permanent GPR, page 3-34, Documents that explain impact of demonstration project (for example, paysetting policies to be used when employee leaves project)

DG 11 APPROVAL/DENIAL OF LEO/FIREFIGHTER POSITION

POSITION Permanent GPR, page 3-20

DG 12 DETAILS - INTERAGENCY AGREEMENTS

POSITION Permanent These are actions that are not covered by new NOAs; documents details between federal agencies for service credit

GPPA, page 14-13

DG 14 EMPLOYEE'S WRITTEN AGREEMENT TO ACCEPT VOLUNTARILY THE CONDITIONS ATTENDANT TO A CHANGE FROM CAREER TO NONCAREER OR LIMITED SES APPOINTMENT

EMPLOYEE Permanent GPR, page 3-13, Statement by a career appointee that he/she elects to continue under the provisions of the Senior Executive Service upon receiving an appointment by the President that requires Senate confirmation

DG 17 INACTIVE - SEE DG 74 PERSONNEL ACTION/SUPPORT DOC

Permanent INACTIVE - SEE DG 74; Alias DG 74

DG 20 NOTICE OF APPROVAL OF DISABILITY RETIREMENT (RI 30 - 27 OR LETTER)


DG 21 NOTICE OF ELIGIBILITY -TEMPORARY CONTINUATION OF COVERAGE


DG 22 OPM/CSC, THIRD PARTY OR AGENCY REQUIREMENT FOR LONG-TERM RETENTION

EMPLOYEE Permanent GPR, pg 3-32, Documents specifically approved or required for long-term retention in the personnel folder. These documents may be authorized by OPM, the Merit Systems Protection Board, or similar agency to ensure that the employee’s career history is correctly interpreted.

DG 23 PEACE CORPS, ACTION, VISTA SERVICE VERIFICATION



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 25 PMRS TERMINATION NOTICE PERSONNEL

ACTION/SUPPORT DOC


DG 26 POST OFFICE CONVERSIONS PERSONNEL ACTION/SUPPORT DOC


DG 27 RECONSTRUCTED OPF NOTICE PERSONNEL ACTION/SUPPORT DOC


DG 28 RETURNED - REQUIREMENTS MET NOTICE (PROCESSED) -ADJUDICATION OF CLEARANCE

EMPLOYEE Permanent GPR, page 3-25 (result of investigation)

DG 29 RESIGNATION DOCUMENTS (OTHER THAN SF 52)



DG 30 SELECTIVE SERVICE REGISTRATION STATEMENT


DG 31 DOCUMENTS, PRODUCED IN LIEU OF SF 50, WHICH RECORD PAY CHANGES



DG 34 SPECIFIC NOTICE OF REDUCTION IN FORCE



DG 36 STATEMENT OF ACCEPTANCE OR DECLINATION OF CONVERSION TO AN SES POSITION


Permanent GPR, page 3-13, Statement by a career appointee that he/she elects to continue under the provisions of the Senior Executive Service upon receiving an appointment by the President that requires Senate confirmation

DG 37 STATEMENT OF SES CAREER APPOINTEE

EMPLOYEE Permanent GPR, page 3-13, Statement by a career appointee that he/she elects to continue under the provisions of the Senior Executive Service upon receiving an appointment by the President that requires Senate confirmation

DG 38 STATEMENT OF UNDERSTANDING OF EMPLOYMENT CONDITIONS



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 39 DOCUMENTATION, SUCH AS A VA

LETTER, CERTIFYING 30% OR MORE DISABILITY COMPENSATION FOR VETERAN'S PREFERENCE

EMPLOYEE Permanent GPR, page 3-15: The list of supporting documentation is not exhaustive. Any material the agency accepts as proof or verification used in determining veterans’ preference may be attached to the Application for 10-Point Veteran Preference.

DG 40 DOCUMENTATION, SUCH AS A VA LETTER, CERTIFYING 10% OR MORE DISABILITY COMPENSATION FOR VETERAN'S PREFERENCE

EMPLOYEE Permanent GPR, page 3-15 & 16: The list of supporting documentation is not exhaustive. Any material the agency accepts as proof or verification used in determining veterans’ preference may be attached to the Application for 10-Point Veteran Preference.

DG 41 ETHICS PLEDGE EMPLOYEE Permanent N/A DG 42 LICENSE, REQUIRED IN

QUALIFICATIONS FOR POSITION, I.E., DOCTOR, BOAT CAPT, ATTORNEY, ACQUISITION, LPN, DRIVERS, HANDGUN, CPA, ETC.


DG 43 ELECTION OF FERS WITH CREDIT FOR NONAPPROPRIATED FUND INSTRUMENTALITY SERVICE UNDER PUBLIC LAW 104-106

BENEFITS Permanent Reference RI 92-34 GPR, page 3-21

DG 44 ELECTION OF RETROACTIVE NONAPPROPRIATED FUND INSTRUMENTALITY RETIREMENT COVERAGE BY FERS EMPLOYEES UNDER PUBLIC LAW 104-106

BENEFITS Permanent Reference RI 92-33 GPR, page 3-21

DG 45 LETTERS FROM POSTMASTER GENERAL, MILITARY ACADEMIES, NATIONAL GUARD BUREAU/RESERVE REPORTS OF SEPARATION, ETC., TO SUPPORT CREDITABLE SERVICE OR CREDITABLE EMPLOYEE



DG 46 DECREE OF ANNULMENT, MARRIAGE LICENSE, OR OTHER DOCUMENTATION SUPPORTING VETERANS PREFERENCE


DG 47 OFFICIAL STATEMENT, CITATION OR CERTIFICATE SHOWING THE AWARD OF THE PURPLE HEART



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 48 NOTICE OF RIGHT TO ELECT

CONTINUED COVERAGE WHILE SERVING IN A NON-FEDERAL ORGANIZATION


DG 49 SUPERVISORY/MANAGERIAL PROBATION - EVIDENCE OF SATISFACTORY COMPLETION



DG 50 AFFIDAVITS ACCEPTED AS PROOF OF SERVICE, ETC.


DG 51 MEDICAL DOCUMENTATION USED IN MAKING A SELF-SUPPORT DETERMINATION


DG 52 EMPLOYEE'S ELECTION TO TERMINATE OR CONTINUE BENEFITS DURING A PERIOD OF NONPAY STATUS OR INSUFFICIENT PAY

BENEFITS Permanent Example: Employees entering military active duty; teachers on summer vacation, for 30 days or more, etc.

GPR, page 3-12

DG 53 AGENCY ANNOTATED VERIFICATION OF PRIOR SERVICE


DG 54 LETTERS VERIFYING ACTIVE SERVICE WITH THE PUBLIC HEALTH SERVICE AND NATIONAL OCEANIC ATMOSPHERIC ADMINISTRATION


DG 56 LATE REGISTRATION OF HEALTH BENEFITS DOCUMENTATION

BENEFITS Permanent Reference SF 2809 GPR, page 3-18

DG 57 INACTIVE - SEE DG 31 PERSONNEL ACTION/SUPPORT DOC

Permanent INACTIVE - SEE DG 31; Alias DG 31

DG 58 WRITTEN DOCUMENTATION OF REASON FOR RETIRING OTHER THAN SF 52



DG 59 DOCUMENT CONTAINING EMPLOYMENT INFORMATION FOR SERVICE IN PERSONNEL SYSTEM NOT UNDER OPM


DG 60 FEHB PREMIUM CONVERSION WAIVER


DG 61 SCD WORKSHEET BENEFITS Permanent File supporting documents directly under the personnel action that reflects the SCD change

GPPA, page 6-19


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 62 FEHB DOCUMENT IN LIEU OF

OFFICIAL FORM PRODUCED BY AN AUTOMATED SYSTEM, E.G. MY PAY, EMPLOYEE EXPRESS, ETC.


DG 63 TSP DOCUMENT IN LIEU OF OFFICIAL FORM PRODUCED BY AN AUTOMATED SYSTEM, E.G. MY PAY, EMPLOYEE EXPRESS, ETC.


DG 64 TSP CATCH UP DOCUMENT IN LIEU OF OFFICIAL FORM PRODUCED BY AN AUTOMATED SYSTEM, E.G. MY PAY, EMPLOYEE EXPRESS, ETC.


DG 65 PAY AND GRADE RETENTION EMPLOYEE Permanent Includes documentation of the application of grade and/or pay retention including copy of a letter to the employee describing the circumstances warranting the grade and/or pay retention and nature of the entitlement.

GPR, page 3-27

DG 66 RECORD FOR PAYMENTS IN FULL FOR MILITARY DEPOSITS


DG 67 TRANSCRIPT OF SERVICE HISTORY EMPLOYEE Permanent GPR, page 3-31, see also GPR, page 2-4 for employer's list

DG 68 BASIS FOR FERCCA DECISION BENEFITS Permanent GPR, page 3-20 DG 69 FERCCA COMPARISON ESTIMATE BENEFITS Permanent GPR, page 3-20 DG 70 FERCCA ELECTION SUMMARY BENEFITS Permanent GPR, page 3-20 DG 71 FERCCA ELECTION FORM BENEFITS Permanent GPR, page 3-20 DG 72 FEDERAL GROUP LIFE INSURANCE

STATEMENT INCONTESTABILITY CLAUSE


DG 73 ELECTION TO RETAIN RETIREMENT COVERAGE UNDER A NONAPPROPRIATED FUND RETIREMENT PLAN


DG 74 DOCUMENTS, PRODUCED IN LIEU OF SF 50, WHICH RECORD POSITION CHANGES (SUCH AS REALIGNMENTS, MASS CHANGES OR TRANSFERS OF FUNCTION)


Permanent NOTE: THESE DO NOT INCLUDE 9XX NOAC CODES

GPPA, page 14-37


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DG 75 ACQUISITION CERTIFICATION EMPLOYEE Permanent Per OFFICE OF MANAGEMENT AND

BUDGET Letter, DATED 01/20/06: The certification will be issued at the employing agency, but will represent the achievement of government-wide standards.

DI 501 NOTIFICATION OF PAY CHANGE PERSONNEL ACTION/SUPPORT DOC


DIA 1557A CLEARANCE DETERMINATION INVESTIGATIONS/S ECURITY CLEARANCE


DL 1101 SUPERVISORY/MANAGERIAL PROBATIONARY REPORT



DL 1-134 PROCESSING FORM-WITHIN GRADE INCREASE



DL 1-188 REPORT OF SECURITY INVESTIGATION



DL 1-189 SECURITY CLEARANCE RECORDS INVESTIGATIONS/S ECURITY CLEARANCE


DL 50 NOTIFICATION OF PERSONNEL ACTION



DLA 1474 DEFENSE LOGISTICS AGENCY PREAPPOINTMENT SECURITY CHECK



DMA 5200-1 PERSONNEL SECURITY INVESTIGATION AND SECURITY CLEARANCE CERTIFICATION



DOT F 1600.8 PERSONNEL SECURITY ACTION REQUEST AND NOTIFICATION



DS 1032 NOTIFICATION OF PERSONNEL ACTION


DS 1042 PAYROLL CHANGE SLIP PERSONNEL ACTION/SUPPORT DOC


DS 1507 NOTIFICATION OF SECURITY CLEARANCE




Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE DSA 11 CERTIF OF CLEARANCE/RECORD

OF PERS SECURITY INVESTIGATION



DSA 1269 CERTIF OF CLEARANCE/RECORD OF PERSONNEL SECURITY INVEST



DSA 67 NOTIFICATION OF SECURITY CLEARANCE



EPA 1480-2 PERSONAL SECURITY ACTION EMPLOYEE


ES 34 NOTIFICATION OF PERSONNEL ACTION



F 5631.1 NOTIFICATION OF CLEARANCE ACTION



FAA 1600-54 NOTIFICATION OF PERSONNEL SECURITY ACTION



FAA 2690 REQUEST FOR INVESTIGATION AND /OR SECURITY DETERMINATION



FAA 3300-30 CREDITABLE SERVICE COMPUTATION RECORD BENEFITS

Permanent Reference DG 61 GPPA, page 6-19

FAA 3300-34 MILITARY STATUS REPORT BENEFITS Permanent Reference DD 214 GPR, page 3-11 FAA 3410.13 OFFICIAL CERTIFICATION OF

PUBLIC LAW 92-297 EARLY RETIREMENT CREDIT DURING THE PERIOD OF AUG. 3, 1981 - AUG. 2,1983 BENEFITS


FE 2004 FEGLI OPEN SEASON ELECTION FORM


FE 8C EXPLANATION OF BENEFITS, FEGLI CLAIM PAYMENT FOR LIVING BENEFITS


FEMA 12-46 CERTIFICATE OF CLEARANCE AND ACCESS SECURITY FORM



FH 28 NOTICE OF APPROVAL OF PERSONNEL ACTION



FORM 2077 SECURITY DETERMINATION ACTION INVESTIGATIONS/S ECURITY CLEARANCE



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE FS 426 PAYROLL CHANGE SLIP PERSONNEL

ACTION/SUPPORT DOC


FSA 282 NOTICE OF PERSONNEL ACTION PERSONNEL ACTION/SUPPORT DOC


FSA 353 NOTICE OF PERSONNEL ACTION COMMITTEE MEMBER/OTHER



FSA 50 NOTICE OF PERSONNEL ACTION COUNTY FSA COMMITTEE EMPLOYEES



FSA 586 COUNTY FARM SERVICE AGENCY COMMITTEE (COC) OATH OF OFFICE AND SERVICE OBLIGATION


FSA 67 SERVICE COMPUTATION DATE AND RETIREMENT COVERAGE WORKSHEET

BENEFITS Permanent Reference DG 61 GPR, page 3-12

FSA 67A STATEMENT OF PRIOR FEDERAL /COUNTY SERVICE


GR 67269 AETNA ENROLLMENT/CHANGE REQUEST

BENEFITS Permanent Reference SF 2809 GPR, page 3-18

GSA 1380 SECURITY DETERMINATION INVESTIGATIONS/S ECURITY CLEARANCE

Permanent GPR, page 3-25 (result of investigation)

GSA 300 TYPING/STENOGRAPHY SELF-CERTIFICATION


GSA 3363 PRIVACY ACT DISCLOSURE EMPLOYEE Permanent Reference DG 01 GPR, page 3-34 GSA 6954 CERTIFICATION OF MILITARY

SERVICE EMPLOYEE Permanent GPR, page 3-11

HRO 422 SCD MANUAL CALCULATION BENEFITS Permanent Reference DG 61 GPPA, page 6-19 HRO 446 SELECTIVE SERVICE AGREEMENT EMPLOYEE Permanent Reference DG 30 GPR, page 3-12

HRO 705 CERTIFICATION FOR FOSTER CHILD BENEFITS Permanent GPR, page 3-18, when attached to SF 2809, Health Benefits Registration Form

HRO 710 FEHB OPTIONS NONPAY STATUS BENEFITS Permanent Reference DG 52 GPR, page 3-12 INV 79A OPM INVESTIGATION FORM INVESTIGATIONS/S

ECURITY CLEARANCE


IRS 2077 SECURITY DETERMINATION ACTION INVESTIGATIONS/S ECURITY CLEARANCE



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE ll-70 ADJUDICATION OF INVESTIGATION INVESTIGATIONS/S

ECURITY CLEARANCE


LOC 13-22 NOTIFICATION OF PERSONNEL ACTION



LW 13/22 NOTIFICATION OF PERSONNEL ACTION



MSC 881 PAYROLL CHANGE NOTICE PERSONNEL ACTION/SUPPORT DOC


NA 10000 PRIVACY ACT DISCLOSURE EMPLOYEE Permanent Reference DG 01 GPR, page 3-34 NA 13041 STATEMENT OF SERVICE EMPLOYEE Permanent Reference DD 214 GPR, page 3-11, Verification by NARA

of military service NA PD 20 SERVICE COMPUTATION DATE

WORK SHEET BENEFITS Permanent Reference DG 61 GPPA, page 6-19

NASA 346 COMPLETION OF INVEST UNDER EO 10450 &/OR CERT OF CLEARANCE



NASA 600 AUTHORIZATION FOR EMERGENCY APPOINTMENT/ASSIGNMENT TO SENSITIVE POSITION


Permanent Reference. DG 04 GPR, page 3-25 (result of investigation)

NASA 839 SECURITY TERMINATION STATEMENT



NASA C 424 SUPERVISOR'S APPRAISAL -PROBATIONARY PERIOD


Permanent Reference. DG 49 GPR, page 3-37

NASA C 467 PUNCH CARDS - AUTHORIZATION FOR AND RECORD OF PERIODIC AND LONGETIVITY STEP INCREASE (LRC)



NASA C 516 CHANGE OF PERSONNEL DATA (9/73) OR CHANGE IN ORGANIZATIONAL ASSIGNMENT (8/67)


Permanent Reference. DG 74 GPPA, page 14-37

NAVAIR 12300/1 SERVICE COMPUTATION RECORD BENEFITS Permanent Reference DG 61 GPPA, page 6-19 NF 1720 STMT. OF UNDERSTANDING -

CONDITIONS OF TERM EMPLOYMENT - COMPETITIVE APPT. EMPLOYEE



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE NF 1721 STMT. OF UNDERSTANDING -

CONDITIONS OF TERM EMPLOYMENT - NON-COMPETITIVE APPT. EMPLOYEE


NF 346 NOTIFICATION OF COMPLETION OF INVESTIGATION UNDER EO 10450 AND/OR CERTIFICATE OF CLEARANCE


Permanent Reference. DG 04 GPR, page 3-25 (result of investigation)

NF 700 STATEMENT OF PRIOR FEDERAL SERVICE EMPLOYEE


NF1669 EXECUTIVE PERSONNEL ACTION DOCUMENT



NGB 22 NATIONAL GUARD BUREAU, REPORT OF SEPARATION & RECORD OF SVS

EMPLOYEE Permanent Reference DD 214 GPR, page 3-11

NOAA 5616 REPORT OF TRANSFER OR DISCHARGE

EMPLOYEE Permanent GPPA, page 6-8

OBD 205 SERVICE COMPUTATION FORM BENEFITS Permanent Reference DG 61 GPPA, page 6-19 OCT 436 STATEMENT OF PRIOR FEDERAL


OF 137 DESIGNATION OF BENEFICIARY FOR STATE DEPARTMENT RETIREMENT SYSTEM


OF 306 DECLARATION FOR FEDERAL EMPLOYMENT


OF 333 PROCUREMENT INTEGRITY CERTIFICATION FOR PROCUREMENT OFFICIAL (10/92)

EMPLOYEE Permanent Per OFFICE OF MANAGEMENT AND BUDGET Letter, DATED 01/20/06: The certification will be issued at the employing agency, but will represent the achievement of government-wide standards.

OF 69A EXTENSION OF SPECIAL PURPOSE IPA ASSIGNMENT AGREEMENT (RIGHT SIDE OPF)


OF 813 VERIFICATION OF RETIREE'S SERVICE/CAMPAIGNS/EXPEDITIONS


OMB 23 DOCUMENTS DISCLOSURE REQUEST


OP 438 CERTIFICATE OF CLEARANCE EMPLOYEE Permanent Reference DG 04 GPR, page 3-25 (result of investigation)

OPA 1 ADVICE OF PERSONNEL ACTION PERSONNEL ACTION/SUPPORT DOC



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE OPI 79A AGENCY ADJUDICATIVE ACTION ON

OPM PERSONNEL INVESTIGATIONS EMPLOYEE Permanent Reference DG 04 GPR, page 3-25 (result of investigation)

OPM 1201A DESCRIPTION OF SIGNIFICANT EXPERIENCE


OPM 1368 PAY AUTHORIZATION UNDER CIVIL SERVICE REFORM ACT OF 1978



OPM 1390 EXECUTIVE PERSONNEL TRANSACTION


OPM 1514 MILITARY DEPOSIT WORKSHEET EMPLOYEE Permanent GPR, page 3-20 OPM 1515 MILITARY SERVICE DEPOSIT

ELECTION EMPLOYEE Permanent GPR, page 3-20

OPM 1528 NOTIFICATION OF EARNINGS FOR MEDICARE ELIGIBILITY (DISCONTINUED)


OPM 1555 ELECTION OF COVERAGE (FERS) BENEFITS Permanent Replaced by SF 3109 GPR, page 3-22 OPM 1556 FORMER SPOUSE CONSENT TO

FERS ELECTION BENEFITS Permanent Replaced by SF 3110 GPR, page 3-22

OPM 1560 REQUEST FOR WAIVER/EXTENSION/SEARCH (FERS)

BENEFITS Permanent Replaced by SF 3111 GPR, page 3-22

OPM 1561 RETIREMENT ELECTION FOR SENIOR OFFICIALS


OPM 775 DIRECT HIRE AUTHORITY AND REPORTING FORM



OPM 813 VERIFY OF MIL RETIREE SVS IN NONWARTIME CAMPGNS/EXPEDNS


OPNAV 1780/1 STATEMENT OF UNDERSTANDING EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 OPNAV 5211/9 RECORD OF DISCLOSURE EMPLOYEE Permanent Reference DG 01 GPR, page 3-34 OPNAV 5350/1 STATEMENT OF UNDERSTANDING EMPLOYEE Permanent Reference DG 38 GPR, page 3-15 OPNAV 5511 SECURITY TERMINATION

STATEMENT INVESTIGATIONS/S ECURITY CLEARANCE


OPNAV 5520/20 CERTIFICATE OF PERSONNEL INVESTIGATION/CLEARANCE



OPNAV 5521/429 CERTIFICATION OF PERSONNEL SECURITY CLEARANCE



OSS 63A NOTICE OF PERSONNEL ACTION PERSONNEL ACTION/SUPPORT DOC



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE PC 1464 CERTIFICATION OF PEACE CORPS

SERVICE BENEFITS Permanent GPR, page 3-14

PER 61 ADMINISTRATIVE OFFICE OF THE US COURTS APPOINTMENT AFFIDAVITS (OATH OF OFFICE)


PHS 1867 STATEMENT OF SERVICE VERIFICATION OF STATUS OF COMMISSIONED OFFICERS OF THE U.S. PUBLIC HEALTH SERVICE

EMPLOYEE Permanent GPPA, page 6-8 and GPR page 3-14

POD 1303 SALARY CHANGE NOTICE PERSONNEL ACTION/SUPPORT DOC


POD 50 NOTIFICATION OF PERSONNEL ACTION



POD 61 APPOINTMENT AFFIDAVIT (OATH OF OFFICE)


POD 9024 NOTIFICATION FOR PERSONNEL ACTION



PR 194 CHRONOLOGICAL RECORD OF FEDERAL AND MILITARY RECORDS


PR 750 NOTIFICATION OF PERSONNEL ACTION



PR 79 NOTICE OF APPROVAL OF PERSONNEL ACTION


PS 1303 SALARY CHANGE NOTICE PERSONNEL ACTION/SUPPORT DOC


PS 144 STATEMENT OF PRIOR FEDERAL SERVICE EMPLOYEE Permanent

PS 2574 RESIGNATION FROM POSTAL SERVICE



PS 50 NOTIFICATION OF PERSONNEL ACTION

CANCELLATION Permanent Reference SF 50 GPR, page 3-27

PS 61 APPOINTMENT AFFIDAVIT (OATH OF OFFICE)



RI 20-97 ESTIMATED EARNINGS FOR UNIFORMED SERVICE



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE RI 28-145 ELECTION TO USE NAFI SERVICE

TO QUALIFY FOR IMMEDIATE RETIREMENT


RI 30-27 NOTICE OF APPROVAL OF DISABILITY RETIREMENT


RI 38-130 RETIREMENT, LIFE INSURANCE, AND HEALTH BENEFITS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATIONAL ASSISTANCE ACT


RI 38-134 ELECTION TO RETAIN NAFI RETIREMENT COVERAGE AS A RESULT OF A MOVE FROM A NONAPPROPRIATED FUND POSITION TO A CIVIL SERVICE POSITION


RI 38-144 ELECTION TO RETAIN CSRS, CSRS OFFSET, OR FERS


RI 76-10 ASSIGNMENT OF FEGLI BENEFITS Permanent GPR, page 3-19 RI 76-27 FEDERAL EMPLOYEE GROUP LIFE

INSURANCE '99 OPEN ENROLLMENT PERIOD ELECTION FORM


RI 92-33 ELECTION OF RETROACTIVE NONAPPROPRIATED FUND INSTRUMENTALITY RETIREMENT COVERAGE BY FERS EMPLOYEES UNDER PUBLIC LAW 104-106


RI 92-34 ELECTION OF FERS WITH CREDIT FOR NONAPPROPRIATED FUND INSTRUMENTALITY SERVICE UNDER PUBLIC LAW 104-106


SD 176 OFFICE OF THE SECRETARY OF DEFENSE CERTIFICATE OF CLEARANCE



SF 1126 PAYROLL CHANGE SLIP (DISCONTINUED)



SF 1126D PAYROLL CHANGE SLIP (DISCONTINUED)



SF 14 CLAIM FOR VETERANS PREFERENCE (DISCONTINUED)

EMPLOYEE Permanent Replaced by DD 214 GPR, page 3-11


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE SF 144 STATEMENT OF PRIOR FEDERAL


SF 144A STATEMENT OF PRIOR FEDERAL SERVICE WORKSHEET


SF 15 APPLICATION FOR 10 POINT VETERANS PREFERENCE


SF 1555 ELECTION COVERAGE (FERS) BENEFITS Permanent Replaced by SF 3109 GPR, page 3-22 SF 1556 FORMER SPOUSE'S CONSENT TO

FERS ELECTION BENEFITS Permanent Replaced by SF 3110 GPR, page 3-22

SF 176 LIFE INSURANCE COVERAGE (DISCONTINUED)


SF 176T LIFE INSURANCE COVERAGE (DISCONTINUED)


SF 189 CLASSIFIED INFORMATION NON-DISCLOSURE AGREEMENT



SF 2801-1 CERTIFIED SUMMARY OF FEDERAL SERVICE - CSRS


SF 2809 HEALTH BENEFITS REGISTRATION FORM


SF 2810 NOTICE OF CHANGE IN HEALTH BENEFITS


SF 2815 EMPLOYEE SERVICE STATEMENT (DISCONTINUED)


SF 2816 RETIREMENT, LIFE INSURANCE, AND HEALTH BENEFITS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATIONAL ASSISTANCE ACT

BENEFITS Permanent Replaced by RI 38-130 GPR, page 3-22

SF 2817 LIFE INSURANCE ELECTION BENEFITS Permanent GPR, page 3-19 SF 2819 NOTICE OF CONVERSION

PRIVILEGE (FEGLI) BENEFITS Permanent GPR, page 3-19

SF 2820 CERTIFICATION OF INSURED EMPLOYEES RETIRED STATUS (FEGLI)


SF 2821 AGENCY CERTIFICATION OF INSURANCE STATUS (FEGLI)


SF 2822 REQUEST FOR LIFE INSURANCE BENEFITS Permanent GPR, page 3-19 SF 2823 DESIGNATION OF BENEFICIARY

UNDER OFEGLI PROGRAM BENEFITS Permanent GPR, page 3-19

SF 3102 FERS DESIGNATION OF BENEFICIARY


SF 3107-1 CERTIFICATION SUMMARY OF FEDERAL SERVICE - FERS


SF 3109 ELECTION OF COVERAGE (FERS) BENEFITS Permanent GPR, page 3-22


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE SF 3110 FORMER SPOUSE'S CONSENT TO

FERS ELECTION BENEFITS Permanent GPR, page 3-22

SF 3111 REQUEST FOR WAIVER, EXTENSION, OR SEARCH IN CONNECTION WITH ELECTION OF FERS COVERAGE


SF 312 CLASSIFIED INFORMATION NON-DISCLOSURE AGREEMENT



SF 50 NOTIFICATION OF PERSONNEL ACTION

CANCELLATION Permanent All NOA 1XX through 8XX including NOA 825 Separation Incentive and NOA 878 SES Rank, except: 1) 9XX Detail documenting service credit for qualification purposes; 2) NOA Code 790 Realignment; 3) noa 815 Recruitment Bonus, NOA 816 Relocation, NOA 840 Cash, NOA 841Group Cash, NOA 842 Suggestion, NOA 843 Group Suggestion, NOA 844 Foreign Language, NOA 845 Travel

GPR, page 3-27

SF 50A NOTIFICATION OF SHORT-TERM EMPLOYMENT (DISCONTINUED)

CANCELLATION Permanent All NOA 1XX through 8XX including NOA 825 Separation Incentive and NOA 878 SES Rank, except: 1) 9XX Detail documenting service credit for qualification purposes; 2) NOA Code 790 Realignment; 3) noa 815 Recruitment Bonus, NOA 816 Relocation, NOA 840 Cash, NOA 841Group Cash, NOA 842 Suggestion, NOA 843 Group Suggestion, NOA 844 Foreign Language, NOA 845 Travel

GPR, page 3-27


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE SF 50B NOTIFICATION OF PERSONNEL

ACTION (PIN-FEED) CANCELLATION Permanent All NOA 1XX through 8XX

including NOA 825 Separation Incentive and NOA 878 SES Rank, except:1) 9XX Detail documenting service credit for qualification purposes; 2) NOA Code 790 Realignment; 3) noa 815 Recruitment Bonus, NOA 816 Relocation, NOA

GPR, page 3-27

SF 51 REQUEST FOR INSURANCE BENEFITS Permanent Replaced by SF 2822 GPR, page 3-29 SF 53 WAIVER OF LIFE INSURANCE

COVERAGE BENEFITS Permanent Replaced by SF 2817 GPR, page 3-19

SF 54 DESIGNATION OF BENEFICIARY OFEGLI (DISCONTINUED)


SF 55 NOTICE OF CONVERSION PRIVILEGE FEGLI ACT


SF 56 AGENCY CERTIFICATION OF INSURANCE STATUS - FEGLI


SF 59 REQUEST FOR APPROVAL OF NONCOMPETITIVE ACTION


SF 61 APPOINTMENT AFFIDAVITS (OATH OF OFFICE)


SF 61A OATH OF OFFICE, AFFIDAVIT, DECLARATION OF APPOINTEE


SF 61B DECLARATION OF APPOINTEE (DISCONTINUED)

EMPLOYEE Permanent Replaced by OF 306 GPR, page 3-11

SF 8 OATH OF OFFICE, AFFIDAVIT, DECLARATION OF APPOINTEE


SF 813 VERIFICATION OF RETIREE'S SERVICE/CAMPAIGNS/EXPEDITIONS


SF 84 REQUEST FOR REPORT ON LOYALTY DATA (OBSOLETE)

EMPLOYEE Permanent N/A

SO 6 NOTICE OF PERSONNEL SUITABILITY, SECURITY, AND CLEARANCE DETERMINATIONS



SRAFD 0P4 NOTIFICATION OF PERSONNEL ACTION



SS 129 PERSONNEL ACTION PERSONNEL ACTION/SUPPORT DOC


SS 434 EMPLOYEE AFFIDAVIT EMPLOYEE Permanent GPR, page 3-14


Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE STA 4316 NOTIFICATION OF PERSONNEL



TR 3408 INVESTIGATION DATA FOR TEMPORARY SHORT TERM EMPLOYMENT



TREASURY 36-98 EMPLOYEE DATA CHANGE NOTIFICATION

EMPLOYEE Permanent Reference. DG 74 GPPA, page 14-37

TSP 1 THRIFT SAVING PLAN ELECTION FORM


TSP 1C THRIFT SAVINGS PLAN CATCH UP CONTRIBUTION ELECTION


TSP 42 DOCUMENTATION OF REVIEW FOR TSP3, DESIGNATION OF BENEFICIARY

BENEFITS Permanent TSP 42 Instructions

TSP 967AO NOTICE THAT EMPLOYEE CONTRIBUTIONS CANNOT BE MADE BECAUSE A FINANCIAL HARDSHIP IN-SERVICE WITHDRAWAL HAS BEEN ISSUED


TUS 426D PAYROLL CHANGE SLIP PERSONNEL ACTION/SUPPORT DOC


VA 10-21009 (NR) ACKNOWLEDGEMENT FORM EMPLOYEE Permanent Reference DG 38 GPR, page 3-15

VA 20-8992 COMPENSABLE SERVICE CONNECTED DISABILITY

EMPLOYEE Permanent Reference DG 39 & 40 GPR, page 3-15

VA 2176A DETERMINATION OF RETIREMENT COVERAGE


VA 2176B DETERMINATION OF RETIREMENT COVERAGE


VA 2176C DETERMINATION OF RETIREMENT COVERAGE


VA 4236 CERTIFICATE OF ELIGIBILITY EMPLOYEE Permanent Reference DG 04 GPR, page 3-25 (result of investigation)

VA 4682 CERTIFICATION OF LICENSURE, REGISTRATION, OR BAR MEMBERSHIP


VA 50-4236 VETERANS ADMINISTRATION CERTIFICATE OF CLEARANCE



VA 5-2176b DETERMINATION OF RETIREMENT COVERAGE



Form Number Form Title Type OPM Verified "Side" Comments GPR &/OR GPPA REFERENCE VA 5-4644-4 NOTIFICATION OF PERSONNEL



VA 5-4650 NOTIFICATION OF PERSONNEL ACTION



VA 5-4682 CERTIFICATION OF LICENSURE, REGISTRATION OR BAR MEMBERSHIP


VA 5-4682-2 CERTIFICATION OF LICENSURE, REGISTRATION OR BAR MEMBERSHIP


WD 50 REPORT OF PERSONNEL ACTION EMPLOYEE Permanent Reference SF 50 GPR, page 3-27


Form Number Form Title Type OPM Verified "Side" Qualified Determination Comments GPR &/OR GPPA REFERENCE

13-46 EMPLOYEE'S STATEMENT OF FEDERAL AND MILITARY SERVICE EMPLOYEE Temporary X GPR, page 3-19

13-48 COMPLETION OF QUALIFYING PERIOD NOTICE EMPLOYEE Temporary X N/A AF 1001 RECOMMENDATION FOR RECOGNITION EMPLOYEE Temporary X GPR, page 3-12 CD 133 APPLICATION FOR OPERATORS ID EMPLOYEE Temporary N/A CD 184 CERTIFICATE OF RECOGNITION EMPLOYEE Temporary N/A CD 237 BUYOUT FORM EMPLOYEE Temporary N/A CD 314 STATEMENT RELATING TO EMPLOYEE

RESPONSIBILITIES AND CONDUCT EMPLOYEE Temporary GPR, page 3-7

CD 35 PROBATIONARY OR TRIAL PERIOD REPORT (HISTORICAL)

EMPLOYEE Temporary GPR, page 3-10

CD 383 POSITION SOURCE DOCUMENT POSITION Temporary N/A CD 416 CERTIFICATION OF WGI PERSONNEL

ACTION/SUPP ORT DOC

Temporary DG 31; What type of screening?

CD 416LF CERTIFICATION WITHIN GRADE INCREASE PERSONNEL ACTION/SUPP ORT DOC

Temporary DG 31 N/A

CD 476 DOC COOPERATIVE EDUCATION PROGRAM WORK/STUDY AGREEMENT (2 PAGES)

TRAINING Temporary GPR, page 3-7

CD 516 CLASSIFICATION AND PERFORMANCE MANAGEMENT RECORD

EMPLOYEE Temporary N/A

CD 525 EMPLOYEE ADDRESS EMPLOYEE Temporary N/A CD 541 DEMONSTRATION PROJECT PERFORMANCE

MANAGEMENT RECORD EMPLOYEE Temporary N/A

CD 72 SECRECY AGREEMENT EMPLOYEE Temporary X GPR, page 3-29 CD 79 REQUEST FOR SECURITY CLEARANCE EMPLOYEE Temporary ONLY

ADJUDICATION IS PERMANENT

N/A

CD 852 CERTIFICATION OF SATISFACTORY COMPLETION OF PROBATIONARY PERIOD


CSC 1052 QUALIFICATIONS BRIEF FOR OFFICE ASSISTANT EXAMINATION

EMPLOYEE Temporary X GPR, page 3-4

CSC 1170 SUPPLEMENTAL QUALIFICATIONS STATEMENT/COLLEGE ACHIEVEMENT (DISCONTINUED)


CSC 1200 APPLICATION FOR FEDERAL EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-34 CSC 1276A SUPPLEMENTAL FEDERAL APPLICATION

STATEMENT EMPLOYEE Temporary X GPR, page 3-7

CSC 1279 APPLICATION FOR FEDERAL EMPLOYMENT-PACE EMPLOYEE Temporary X GPR, page 3-7 CSC 226 CERTIFICATION OF SCHOLASTIC ACHIEVEMENT

(DISCONTINUED) EMPLOYEE Temporary X GPR, page 3-7

eOPF_EHRIMasterFormsList_v4.0_2008-07-23.xls eOPF Temporary 25 of 49


CSC 3458 INFORMATION REQUIRED TO COMPLETE APPLICATION


CSC 3636 ANSWER SHEET EMPLOYEE Temporary N/A CSC 4008 UNITED STATES CIVIL SERVICE COMMISSION - EMPLOYEE Temporary X N/A

NOTICE OF RATING CSC 4008C UNITED STATES CIVIL SERVICE COMMISSION -

NOTICE OF RATING EMPLOYEE Temporary X N/A

CSC 4179 US CIVIL SERVICE COMMISSION APPROVAL OF PROPOSED PROMOTION

EMPLOYEE Temporary X N/A

CSC 4907 RATINGS SHEET EMPLOYEE Temporary GPR, page 3-20 CSC 671 SUPPLEMENTAL RECORD OF AERONAUTICAL EMPLOYEE Temporary N/A

EXPERIENCE CSC 680 CERTIFICATION OF PROFICIENCY IN TYPING

AND/OR SHORTHAND EMPLOYEE Temporary X N/A

CSC 733 NOTICE OF RATING EMPLOYEE Temporary X N/A CSC 733A EXPLANATION OF RATINGS EMPLOYEE Temporary X N/A CSC 8 APPLICATION FORM EMPLOYEE Temporary X GPR, page 3-20 CSC 843A APPLICATION FOR FEDERAL SUMMER EMPLOYEE Temporary X GPR, page 3-30

EMPLOYMENT CSC 911B MID-LEVEL PSN QUALIFICATIONS BRIEF EMPLOYEE Temporary X GPR, page 3-7 CSC 920 POSITION ANNOUNCEMENT POSITION Temporary GPR, page 3-7 CSC 944 USCSC ANSWER SHEET EMPLOYEE Temporary X GPR, page 3-7 CSC 953 QUALIFICATIONS BRIEF EMPLOYEE Temporary X N/A DA 1256 AWARDS PRIOR TO 1986 (INCENTIVE AWARD PERSONNEL Temporary X N/A

NOMINATION & APPROVAL) ACTION/SUPP ORT DOC

DA 2496-1 DISPOSITION FORM PERSONNEL Temporary GPR, page 3-7 ACTION/SUPP ORT DOC

DA 3433 APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT

EMPLOYEE Temporary X N/A

DA 5167R INCENTIVE AWARDS EMPLOYEE Temporary X N/A DA 5521 RECORD OF EMERGENCY DATA AND DESIGNATION BENEFITS Temporary SF 1152 GPR, page 3-34

OF BENEFICIARY FOR UNPAID COMPENSATION

DA 7222 SENIOR SYSTEM CIVILIAN EVALUATION REPORT PERFORMAN CE

Temporary N/A

DARCOM REQUEST FOR SECURITY CLEARANCE EMPLOYEE Temporary ONLY N/A 1209 ADJUDICATION

IS PERMANENT DD 1617 TRANSPORTATION AGREEMENT OVERSEA

EMPLOYEE EMPLOYEE Temporary GPR, page 3-7



DD 1618 TRANSPORTATION AGREEMENT EMPLOYEE Temporary GPR, page 3-7 DG 15 EMPLOYMENT APPLICATIONS AND RESUMES EMPLOYEE Temporary X GPR, page 3-7 DG 55 AGENCY FORMS, CERTIFICATES, LETTERS, ETC.,

FOR CASH AWARDS THAT DO NOT AFFECT AN EMPLOYEE'S RATE OF BASIC PAY


DG 76 LETTERS OF REPRIMAND/WARNING EMPLOYEE Temporary GPR, page 3-7 DL 1-231A MERIT STAFFING EXPERIENCE QUALIFICATION

EXPERIENCE PERSONNEL ACTION/SUPP ORT DOC

Temporary X N/A

DL 2034 SUPPLEMENTAL EXPERIENCE STATEMENT EMPLOYEE Temporary X GPR, page 3-12 DOMESTIC VIOLENCE STATEMENT

DOMESTIC VIOLENCE STATEMENT (LAUTENBERG STATEMENT)-QUALIFICATIONS DECLARATION AND INQUIRY FOR POSITIONS REQUIRING THE POSSESSION OF FIREARMS OR AMMUNITION


DS 1030 REQUEST FOR PERSONNEL ACTION PERSONNEL ACTION/SUPP ORT DOC

Temporary N/A

DSP 34 SUPPLEMENT TO PERSONAL QUALIFICATIONS STATEMENT


DSP 80 STATEMENT REGARDING ACTIONS ON BEHALF OF FOREIGN PRINCIPALS


ENF J-IC CERTIFICATE TO CARRY FIREARMS EMPLOYEE Temporary N/A EP 1 SUPPLEMENTAL INFORMATION - EXPERT OR

CONSULTANT EMPLOYEE Temporary N/A

EP 8 POSITION DESCRIPTION COVER SHEET POSITION Temporary N/A EPA 58 STATEMENT RELATIVE TO OUTSIDE INTERESTS EMPLOYEE Temporary N/A FORM 3950 NOTICE OF COMPLETION OF EMPLOYMENT

INQUIRIES INVESTIGATI ONS/SECURIT Y CLEARANCE

Temporary N/A

FSA 675 APPLICATION FOR FSA COUNTY EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-7 GAO 71 PERSONNEL SECURITY ACTION REQUEST INVESTIGATI

ONS/SECURIT Y CLEARANCE

Temporary ONLY ADJUDICATION IS PERMANENT

GPR, page 3-25

GSA 1420-12 PERFORMANCE ASSESSMENT FOR PROMOTION PERFORMAN CE

Temporary N/A

GSA 2160 ACKNOWLEDGEMENT OF RECEIPT OF STANDARDS OF CONDUCT

PERFORMAN CE

Temporary N/A



HUD 840 AWARDS PRIOR TO 1986 (RECOMMENDATION FOR PERFORM AWARD)

PERSONNEL ACTION/SUPP ORT DOC

Temporary X GPR, page 3-17, Retain document that shows an award was granted under a formal awards program if prior to 1986 when SF 50s became the official documentation. Do NOT keep nomination, recommendation or other supporting documents.

NASA C 662 INCENTIVE AWARD NOMINATION AND APPROVAL PERFORMAN CE

Temporary X GPR, page 3-17, Retain document that shows an award was granted under a formal awards program if prior to 1986 when SF 50s became the official documentation. Do NOT keep nomination, recommendation or other supporting documents.

NOAA 51-2 MILITARY STATUS OF EMPLOYEE EMPLOYEE Temporary N/A OF 170 REQUEST, AUTHORIZATION, AGREEMENT AND

CERT. OF TRAINING TRAINING Temporary N/A

OF 37 NOMINATION FOR INTERAGENCY TRAINING TRAINING Temporary N/A OF 612 OPTIONAL APPLICATION FOR FEDERAL

EMPLOYMENT OR RESUME EMPLOYEE Temporary X GPR, page 3-7

OF 69 ASSIGNMENT AGREEMENT TITLE IV OF IPA OF 1970 PERSONNEL ACTION/SUPP ORT DOC

Temporary X GPR, page 3-29

OF 8 POSITION DESCRIPTION POSITION Temporary N/A OIG 400 REQUEST FOR SECURITY CLEARANCE EMPLOYEE Temporary N/A OPM 1170/17 SUPPLEMENTAL QUALIFICATIONS

STATEMENT/COLLEGE ACHIEVEMENT EMPLOYEE Temporary X GPR, page 3-8

OPM 1200 APPLICATION FOR FEDERAL EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-7 OPM 1204 CIVIL SERVICE RATING EMPLOYEE Temporary X GPR, page 3-10 OPM 1206 OPM NOTICE OF TEST RESULTS EMPLOYEE Temporary X GPR, page 3-7 OPM 1279 APPLICATION FOR FEDERAL EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-7 OPM 1282 APPLICATION FOR FEDERAL EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-7 OPM 1300 1986 APPLICATION FORM FOR THE PRESIDENTIAL

MGMT INTERN PROGRAM EMPLOYEE Temporary X GPR, page 3-7

OPM 1398 MODEL VETERANS READJ APPT PLAN TRAINING Temporary N/A OPM 1479 POSITION DESCRIPTION POSITION Temporary N/A OPM 1495 FINANCIAL ELIGIBILITY STMT FOR STUDENT &

SUMMER AID PROGRAMS EMPLOYEE Temporary N/A



OPM 1510 CERTIFICATION OF AGENCY OFFER OF POSITION AND REQUIRED DOCUMENTATION


OPM 1522 INDEBTEDNESS TO HEALTH BENEFITS FUND BENEFITS Temporary PERMANENT only if outstanding debt that began before 9/30/96

GPR, page 3-19

OPM 1562 RETURN OF EXCESS RETIREMENT BENEFITS Temporary N/A OPM 1583 SELECTIVE SERVICE REGISTRATION STATEMENT EMPLOYEE Temporary X GPR, page 3-12 OPM 1652 REQUEST FOR SES NONCAREER OR LIMITED

APPOINTMENT AUTHORITY EMPLOYEE Temporary N/A

OPM 1653 STANDARD FOR EXECUTIVE EXCELLENCE PERFORMAN CE

Temporary N/A

OPM 2927 PERSONNEL LOCATOR CARD EMPLOYEE Temporary N/A OPM 3458 REQUEST FOR ADDITIONAL APPLICATION

INFORMATION EMPLOYEE Temporary X GPR, page 3-7

OPM 4008C CIVIL SERVICE RATING EMPLOYEE Temporary X GPR, page 3-10 OPM 71 REQUEST FOR LEAVE OR APPROVED ABSENCE PAYROLL Temporary N/A OPNAV 5510/414

SCREENING EVALUATION RECORD EMPLOYEE Temporary N/A

PS 2526 REQUEST FOR PERSONNEL ACTION EMPLOYEE Temporary N/A PS 2591 US POSTAL APPLICATION FOR EMPLOYMENT EMPLOYEE Temporary X GPR, page 3-7 PTO 73-4 APPOINTMENT NOTICE (HISTORICAL) EMPLOYEE Temporary N/A PTO 779 PARTIAL SIGNATURE AUTHORITY EMPLOYEE Temporary N/A PTO 780 FULL SIGNATURE AUTHORITY EMPLOYEE Temporary N/A PTO 795 CERTIFICATION FOR WITHIN GRADE INCREASE

(HISTORICAL, BECAME CD416L) PERSONNEL ACTION/SUPP ORT DOC

Temporary X GPR, page 3-29

PTO 806 PATENT EXAMINER AUDIT QUESTIONNAIRE EMPLOYEE Temporary N/A PTOL 207 APPOINTMENT NOTICE (HISTORICAL) EMPLOYEE Temporary N/A SF 1150A TRANSFER OF LEAVE RECORDS FOR LEAVE

RECIPIENT COVERED BY THE VOLUNTARY LEAVE TRANSFER PROGRAM

PAYROLL Temporary GPR, page 3-4

SF 1152 DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED EMPLOYEE

BENEFITS Temporary GPR, page 3-4

SF 127 REQUEST FOR OFFICIAL PERSONNEL FOLDER EMPLOYEE Temporary PERMANENT only if used as a DG 01 accounting of disclosure

GPR, page 3-34

SF 171 APPLICATION FOR FEDERAL EMPLOYMENT AND CONTINUATION SHEET/AMENDMENT




SF 171A APPLICATION FOR FEDERAL EMPLOYMENT AND CONTINUATION SHEET/AMENDMENT


SF 172 APPLICATION FOR FEDERAL EMPLOYMENT AND CONTINUATION SHEET/AMENDMENT


SF 173 JOB QUALIFICATIONS STATEMENT (DISCONTINUED) EMPLOYEE Temporary X GPR, page 3-7

SF 180 REQUEST PERTAINING TO MILITARY RECORDS EMPLOYEE Temporary N/A SF 2801 SCH D

AGENCY CHECKLIST OF IMMEDIATE RETIREMENT PROCEDURES FOR CSRS

BENEFITS Temporary N/A

SF 2801-2 SPOUSE'S CONSENT TO SURVIVOR ELECTION BENEFITS Temporary N/A SF 2801-3 ELECTION OF FORMER SPOUSE SURVIVOR

ANNUITY OR COMBINATION CURRENT/FORMER SPOUSE ANNUITY


SF 2803 APPLICATION TO MAKE DEPOSIT OR REDEPOSIT -CSRS


SF 2807 CSRS REGISTER OF SEPARATIONS AND TRANSFERS


SF 2818 FEGLI CONTINUATION OF COVERAGE FOR RETIREES AND COMPENSATIONERS


SF 3103 FERS REGISTER OF SEPARATIONS AND TRANSFERS


SF 3105 DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT

EMPLOYEE Temporary Replaced by SF 3112

N/A

SF 3108 APPLICATION TO MAKE SERVICE CREDIT PAYMENT FOR CIVILIAN SERVICE - FERS


SF 52 REQUEST FOR PERSONNEL ACTION CANCELLATI ON

Temporary Except for a NOA 9XX Detail documenting service credit for qualification purposes; retirement and resignations

GPR, page 3-30

SF 57 JOB APPLICATION (DISCONTINUED) EMPLOYEE Temporary X GPR, page 3-7 SF 58 SUPPLEMENTAL EXPERIENCE AND QUALIFICATIONS

STATEMENT EMPLOYEE Temporary X GPR, page 3-7

SF 60 JOB APPLICATION (DISCONTINUED) EMPLOYEE Temporary X GPR, page 3-7 SF 62 RECORD OF REQUEST FOR APPROVAL OF

PROMOTION AND/OR REASSIGNMENT EMPLOYEE Temporary N/A

SF 63 REQUEST FOR PERSONNEL DATA AND LEAVE TRANSCRIPT


SF 67 FSEE FEDERAL EMPLOYMENT APPLICATION EMPLOYEE Temporary X GPR, page 3-7



SF 7 SERVICE RECORD EMPLOYEE Temporary N/A SF 70 PROOF OF RESIDENCE EMPLOYEE Temporary N/A SF 75 REQUEST FOR PRELIMINARY EMPLOYMENT DATA EMPLOYEE Temporary If used for transfer,

PERMANENT only if used as a DG 01 accounting of disclosure.

GPR, page 3-34

TSP 18 VALIDATION OF RETIREMENT INFORMATION BENEFITS Temporary N/A TSP 19 TRANSFER OF INFORMATION BETWEEN AGENCIES BENEFITS Temporary N/A

VA 10-2850 APPLICATION FOR PHYSICIANS AND DENTISTS EMPLOYEE Temporary X GPR, page 3-7 VA 10-2850A APPLICATION FOR NURSES AND NURSE

ANESTHETISTS EMPLOYEE Temporary X GPR, page 3-7

VA 10-2850B APPLICATION FOR RESIDENTS EMPLOYEE Temporary X GPR, page 3-7 VA 10-2850C APPLICATION FOR ASSOCIATED HEALTH

OCCUPATIONS EMPLOYEE Temporary X GPR, page 3-7

WB 130-5 EDUCATION SUMMARY EMPLOYEE Temporary X GPR, page 3-7 WB 144-1 REPORTS ON CONFLICTS OF INTEREST AND

PRIVATE BUSINESS ACTIVITIES EMPLOYEE Temporary N/A

WF 5226 PRE-APPOINTMENT CERTIFICATION STATEMENT FOR SELECTIVE SERVICE REGISTRATION



Form Number Form Title Type OPM Verified "Side" Recommended Folder Side Comments GPR &/OR GPPA REFERENCE

AD 337 TRANSMITTAL PERSONNEL & PAYROLL FORMS

PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39

AD 343 PAYROLL ACTION REQUEST PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39 AD 349 USDA DECLARATION FORM PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. Based on form owner (USDA)

instruction. AD 354 REQUEST FOR INFORMATION PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. Based on form owner (USDA)

instruction. AD 434 PERFORMANCE APPRAISAL PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39 AD 450 FINANCIAL DISCLOSURE FORM PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-4 AD 581 LUMP SUM LEAVE OR PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36

COMPENSATORY TIME PAYMENTS

AD 582 AUTH OR RESTORED ANNUAL LEAVE


AD 717 LEAVE AUDIT FORM PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 AD 769 REQUEST FOR SES PERSONNEL EMPLOYEE DO NOT FILE IN OPF RECRUITMENT PURGE from OPF. Based on form owner (USDA)

ACTION instruction. AF 308 RECORD OF REQ. FOR INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-26

ASSIGNMENTS OF CIVILIANS TO S/SECURITY SENSITIVE POSITIONS CLEARANCE

BIA 4432 VERIFICATION OF INDIAN PREFERENCE

EMPLOYEE DO NOT FILE IN OPF PURGE PURGE from OPF; LEGAL PURGE

GPR, page 3-38

BRI 49-112A SERVICE CREDIT PAYMENT FORM PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-23

CA 1 EMPLOYEE'S NOTICE OF INJURY OR OCCUPATIONAL DISEASE

EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF.

CD 150 REQUEST FOR AUTHORIZATION OF TRAVEL/MOVING EXPENSES

EMPLOYEE DO NOT FILE IN OPF PCS Travel PURGE from OPF.

CD 314LF STATEMENT RELATING TO PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39 EMPLOYEE RESPONSIBILITIES AND CONDUCT

CD 326 RECOMMENDATION FOR RECOGNITION

PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39

CD 396A PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL RECORD


CD 516LF CLASSIFICATION AND PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39 PERFORMANCE MANAGEMENT RECORD

CD 67 AGREEMENT FOR EMPLOYEES TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. GPR, page 3-40 ASSIGNED TO TRAINING THROUGH NON-GOV FACILITIES

CSC 12 PROOF OF RESIDENCE EMPLOYEE DO NOT FILE IN OPF I 9 PURGE from OPF. GPR, page 3-38 DA 1103 APPLICATION FOR ARMY RELIEF PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 DD 1614 REQUEST & AUTHORIZATION FOR EMPLOYEE DO NOT FILE IN OPF PCS Travel PURGE from OPF. GPR, page 3-4

DOD CIVILIAN PERMANENT DUTY TRAVEL

DA 2790 EARNING & LEAVE STATEMENT PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36

eOPF_EHRIMasterFormsList_v4.0_2008-07-23.xls Purge from OPF 32 of 49


DA 3666 STATEMENT OF PHYSICAL ABILITY FOR LIGHT DUTY WORK

EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF. GPR, page 3-35

DD 1556 REQUEST AUTHORIZATION TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. GPR, page 3-40 AGREEMENT CERTIFICATION OF TRAINING AND REIMBURSEMENT

DD 2366 MONTGOMERY GI BILL ACT OF TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. N/A 1984 (MGIB), BASIC ENROLLMENT, (CHAPTER 30, TITLE 38, U.S. CODE)

DD 2384 NOTICE OF BASIC ELIGIBILITY EMPLOYEE DO NOT FILE IN OPF RECRUITMENT PURGE from OPF. N/A DD 2491 CERTIFICATE OF TRAINING TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. GPR, page 3-40 DG 19 NON-SES RATINGS OF RECORD PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39

AND PERFORMANCE PLANS DG 33 SES - RATINGS OF RECORD AND

PERFORMANCE PLANS PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39

DLA 46 PERFORMANCE RATING PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. FORM 5541 VERIFICATION OF INDIAN

PREFERENCE EMPLOYEE DO NOT FILE IN OPF PURGE PURGE from OPF. GPR, page 3-38

GSA 3162 SECURITY TERMINATION STATEMENT (CLEARANCE SHEET)

EMPLOYEE DO NOT FILE IN OPF SECURITY PURGE from OPF; NOT a DG 04

I 9 EMPLOYMENT ELIGIBILITY VERIFICATION

EMPLOYEE DO NOT FILE IN OPF I 9 PURGE from OPF. GPR, page 3-38 (see explanatory notes)

NG 76 REQUEST FOR CHANGE OR PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 CANCELLATION OF PAYROLL DEDUCTIONS

OFI 36 SPECIAL BACKGROUND INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-26 INVESTIGATIONS ADDITIONAL S/SECURITY DATA CLEARANCE

OGE 450 EXECUTIVE BRANCH EMPLOYEE DO NOT FILE IN OPF DELETED PURGE from OPF. GPR, page 3-4 CONFIDENTIAL FINANCIAL DISCLOSURE REPORT

OPM 1459 EXECUTIVE PERFORMANCE APPRAISAL


OPM 1459B PERFORMANCE APPRAISAL FOR OPM EMPLOYEES


OPM 1468 RACE AND NATIONAL ORIGIN DESIGNATION HAWAII

EMPLOYEE DO NOT FILE IN OPF PURGE PURGE from OPF. GPR, page 3-38

OPM 1482 AGENCY CERTIFICATION OF BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF. Per OPM 1482 instructions: "Send STATUS OF REEMPLOYED ANNUITANT (FEGLI)

to Retirement Operations Center upon completion by reemployed annuitant."

OPM 1635 WELFARE TO WORK PROGRAM EMPLOYEE DO NOT FILE IN OPF RECRUITMENT PURGE from OPF. GPR, page 3-37 PS 2548 NOTICE OF TRAINING RECORD TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. GPR, page 3-40 PTO 516E U.S. PATENT AND TRADEMARK PERFORMANCE DO NOT FILE IN OPF PERFORMANCE PURGE from OPF. GPR, page 3-39

SES PERFORMANCE PLANNING/RATING



RI 38-124 VOLUNTARY CONTRIBUTIONS ELECTION


SB 2151 SERIES EE BOND CARD PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39 SB 2253 SERIES I BOND CARD PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39 SF 1150 RECORD OF LEAVE DATA PAYROLL DO NOT FILE IN OPF PAYROLL PURGE - Do not file in

the OPF. These forms GPR, page 3-4

should be filed on the left side ONLY when the employee leaves the agency.

SF 1187 REQUEST FOR PAYROLL PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39 DEDUCTIONS FOR LABOR ORGANIZATION DUES

SF 1188 CANCELLATION OF PAYROLL PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-39 DEDUCTIONS FOR LABOR ORGANIZATION DUES

SF 1190 FOREIGN ALLOWANCES EMPLOYEE DO NOT FILE IN OPF PCS Travel PURGE from OPF. GPR, page 3-33 APPLICATION, GRANT AND REPORT (BOTH SIDES)

SF 1198 REQUEST BY EMPLOYEE FOR ALLOTMENT OF PAY FOR CREDIT


TO SAVINGS ACCOUNT WITH A FINANCIAL ORGANIZATION

SF 1199A DIRECT DEPOSIT SIGN-UP FORM PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 SF 177 STATEMENT OF PHYSICAL ABILITY EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF. GPR, page 3-35

FOR LIGHT DUTY WORK SF 181 RACE AND NATIONAL ORIGIN

IDENTIFICATION EMPLOYEE DO NOT FILE IN OPF PURGE PURGE from OPF. GPR, page 3-38

SF 182 REQUEST, AUTHORIZATION, TRAINING DO NOT FILE IN OPF TRAINING PURGE from OPF. GPR, page 3-40 AGREEMENT, CERTIFICATION OF TRAINING

SF 256 SELF-IDENTIFICATION OF MEDICAL DISABILITY

EMPLOYEE DO NOT FILE IN OPF PURGE PURGE from OPF. GPR, page 3-38

SF 2801 APPLICATION FOR IMMEDIATE RETIREMENT CSRS

EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF. GPR, page 3-30

SF 2802 APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS


SF 2804 APPLICATION TO MAKE VOLUNTARY CONTRIBUTIONS


SF 2806 INDIVIDUAL RETIREMENT RECORD EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF. GPR, page 3-23

SF 2808 DESIGNATION OF EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF. CSRS/FERS Handbook, Chapter BENEFICIARY/CSRS 1, page 12, and Instructions in

Section C of the form

SF 3100 INDIVIDUAL RETIREMENT RECORD EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF. GPR, page 3-23

SF 3104 APPLICATION FOR DEATH BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF; BENEFITS (FERS) Pamphlet - SF 3114,

Applying for Death Benefits Under FERS



SF 3106 APPLICATION FOR REFUND OF RETIREMENT DEDUCTIONS (FERS)

BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF. GPR, page 3-23

SF 3107 APPLICATION FOR IMMEDIATE RETIREMENT UNDER FERS

EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF; Pamphlet - SF 3113, Applying for Immediate Retirement Under FERS

SF 3107 SCH D AGENCY CHECKLIST OF IMMEDIATE RETIREMENT PROCEDURES FERS

BENEFITS DO NOT FILE IN OPF RETIREMENT PURGE from OPF. GPR, page 3-23

SF 3107-2 SPOUSE'S CONSENT TO SURVIVOR ELECTION FERS

BENEFITS DO NOT FILE IN OPF RETIREMENT PURGE from OPF. GPR, page 3-23

SF 3112 DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (COVER SHEET)


SF 3112A DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (STATEMENT OF DISABILITY)


SF 3112B DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (SUPERVISOR'S STATEMENT)


SF 3112C DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (PHYSICIAN STATEMENT)


SF 3112D DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (CERTIFICATION OF REASSIGNMENT AND ACCOMMODATION EFFORTS)


SF 3112E DOCUMENTATION IN SUPPORT OF DISABILITY RETIREMENT APPLICATION (CHECKLIST)


SF 3113 APPLYING FOR IMMEDIATE RETIREMENT UNDER FERS

EMPLOYEE DO NOT FILE IN OPF RETIREMENT PURGE from OPF. This is a pamphlet - not a "form".

SF 3114 APPLYING FOR DEATH BENEFITS UNDER FERS

BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF. This is a pamphlet - not a "form".

SF 39 REQUEST FOR REFERRAL OF ELIGIBLES

EMPLOYEE DO NOT FILE IN OPF RECRUITMENT PURGE from OPF. SF 39, page 5, "Instructions"

SF 47 PHYSICAL FITNESS INQUIRY FOR MOTOR VEHICLE OPERATORS

EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF. GPR, page 3-35

SF 66 OFFICIAL PERSONNEL FOLDER EMPLOYEE DO NOT FILE IN OPF DELETED PURGE from OPF. SF 66C MERGED RECORDS PERSONNEL

FOLDER EMPLOYEE DO NOT FILE IN OPF DELETED PURGE from OPF.

SF 71 REQUEST FOR LEAVE OR APPROVED ABSENCE




SF 78 UNITED STATES CIVIL SERVICE EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF. GPR, page 3-38 COMMISSION - CERTIFICATE OF MEDICAL EXAMINATION

SF 85 DATA FOR NON-SENSITIVE OR INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-25 (except ones NON-CRITICAL SENSITIVE S/SECURITY completed prior to 4/1/1990 with POSITIONS CLEARANCE "Stamped EO 10450" affixed)

SF 85P DATA FOR PUBLIC TRUST INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-26 POSITIONS S/SECURITY

CLEARANCE SF 86 SECURITY INVESTIGATION DATA INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-26

FOR SENSITIVE POSITIONS S/SECURITY CLEARANCE

SF 87 FINGERPRINT CHART INVESTIGATION DO NOT FILE IN OPF SECURITY PURGE from OPF. GPR, page 3-26 S/SECURITY CLEARANCE

SFXL 1099 REPORT OF SELECTION FROM EMPLOYEE DO NOT FILE IN OPF RECRUITMENT PURGE from OPF. GPR, page 3-1 CLERICAL COMPETITOR INVENTORY (PDS)

TSP 20 THRIFT SAVINGS PLAN LOAN PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 APPLICATION

TSP 22 THRIFT SAVINGS PLAN LIST OF PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36 LOAN PAYMENT ALLOTMENT FORM

TSP 24 THRIFT SAVINGS PLAN LOAN STATEMENT


TSP 3 DESIGNATION OF BENEFICIARY FOR TSP

BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF. TSP 3, page 2, "Instructions"

TSP 41 NOTIFICATION TO TSP OF NONPAY STATUS

BENEFITS DO NOT FILE IN OPF BENEFITS PURGE from OPF. GPR, page 3-36

TSP 9 CHANGE OF ADDRESS PERSONNEL DO NOT FILE IN OPF BENEFITS PURGE from OPF. N/A ACTION/SUPPOR T DOC

VA 21-8332-1 DISABILITY COMPENSATION EMPLOYEE DO NOT FILE IN OPF MEDICAL PURGE from OPF. GPR, page 3-36 W 4 EMPLOYEE'S WITHHOLDING PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36

ALLOWANCE CERTIFICATE W 4P WITHHOLDING CERTIFICATE FOR

PENSION OR ANNUITY PAYMENTS PAYROLL DO NOT FILE IN OPF PAYROLL PURGE from OPF. GPR, page 3-36

On September 28, 2004, President Bush authorized the use of an electronic Form I-9 and signature when he signed H.R. 4603. The Department of Homeland Security (DHS) issued guidance

and interim guidelines for making use of these electronic applications on April 29, 2005, the date the above law became effective.

An employer must retain the original Form I-9 for each employee either for three (3) years after the date of hire, or one (1) year after employment is terminated, whichever is later.

Generally, it is considered a “best practice” to keep I-9 Forms separate from other personnel/HR records (retention date extends one year beyond separation date).

Reference: U.S. Immigration and Customs Enforcement website at http://uscis.gov/graphics/index.htm


Type NOAC From Date To Date

Notification of Personnel

Action Related Side

Request for Personnel

Action Related

Side CANCELLATION 1 1-Jun-1930 Permanent Temporary CORRECTION 2 1-Jun-1930 Permanent Temporary AMENDMENT 3 1-Jun-1930 1-Aug-1972 Permanent Temporary RECREATION OF RESUBMISSION OF A CPDF RECORD 5 1-Jun-1930 1-Jan-1985 Permanent Temporary CORRECTION OR INITIAL INPUT 6 1-Jun-1930 1-Jun-1979 Permanent Temporary CORRECTION OF CURRENT CPDF FILE 7 1-Jun-1930 1-Jan-1985 Permanent Temporary RECREATION OF A CANCELLED SEPARATION ACTION 8 1-Jun-1930 1-Jan-1982 Permanent Temporary RESUBMISSION OR ADDITION TO CPDF 9 1-Jun-1930 1-Dec-1975 Permanent Temporary PERFORMANCE LEVEL UPDATE 9 1-Sep-1986 30-Jun-1987 Permanent Temporary RATING OF RECORD UPDATE 9 1-Jul-1987 1-Oct-1996 Permanent Temporary DELETION FROM FILE 10 1-Jun-1930 1-Jan-1985 Permanent Temporary INPUT INITIAL SUP OF ED DATA 11 1-Jan-1974 1-Jan-1982 Permanent Temporary MINORITY GROUP DESIGNATION CHANGE 12 1-Jan-1976 1-Jan-1982 Deleted Deleted UPDATE OR CORRECT HANDICAP, REPORTABLE 13 1-Apr-1977 1-Jan-1982 Permanent Temporary SPECIAL HANDICAP APPOINTMENT CORRECTION 14 1-Dec-1980 1-Mar-1981 Permanent Temporary CHANGE IN SUPERVISOR/MANAGER INDICATOR 15 1-Apr-1980 1-Nov-1980 Permanent Temporary BARGAINING UNIT STATUS INITIALIZATION 20 1-Oct-1981 1-Jan-1985 Permanent Temporary CURRENT APPOINTMENT AUTHORITY INITIALIZATION 22 1-Jan-1982 1-Jan-1985 Permanent Temporary LONGITUDINAL HISTORY FILE (LHF) RECORD MARKER 23 1-Jun-1930 Permanent Temporary WELFARE TO WORK PROGRAM HIRE 50 1-Mar-1997 1-Dec-2001 Permanent Temporary HIRE NOT UNDER THE WELFARE TO WORK PROGRAM 60 1-Mar-1997 1-Dec-2001 Permanent Temporary FACS UPDATE 99 1-Nov-1974 1-Jan-1982 Permanent Temporary CAREER APPT 100 1-Jun-1930 Permanent Temporary CAREER-COND APPT 101 1-Jun-1930 Permanent Temporary CAREER EXEC ASSIGN 102 1-Jan-1982 1-Oct-1991 Permanent Temporary CAREER EXEC ASSIGN COND 103 1-Jan-1982 1-Oct-1991 Permanent Temporary NONCAREER EXEC ASSIGN 104 1-Jan-1982 1-Oct-1991 Permanent Temporary TEMPORARY APPT - PENDING ACTION ON REO 106 1-Aug-1975 1-Feb-1980 Permanent Temporary EMERGENCY APPT 107 1-Jun-1930 Permanent Temporary TERM APPT NTE 108 1-Jun-1930 Permanent Temporary TEMPORARY APPT 109 1-Jun-1930 1-Jan-1982 Permanent Temporary TEMPORARY APPT NTE 110 1-Jun-1930 1-Jan-1982 Permanent Temporary TEMPORARY APPT 111 1-Jun-1930 1-Jan-1982 Permanent Temporary TEMPORARY APPT PER 112 1-Jun-1930 Permanent Temporary TEMPORARY APPT NTE 113 1-Jun-1930 1-Jan-1982 Permanent Temporary APPOINTMENT NTE 115 1-Jun-1930 Permanent Temporary

eOPF_EHRIMasterFormsList_v4.0_2008-07-23.xls eOPF Standard NOA Codes 37 of 49



Action Related Side


Action Related

Side TEMPORARY APPT 116 1-Jun-1930 1-Jan-1982 Permanent Temporary SUMMER APPT NTE 117 1-Jun-1930 1-Oct-1997 Permanent Temporary TEMPORARY APPT NTE 118 1-Jun-1930 1-Jan-1982 Permanent Temporary TEMPORARY APPT NTE 119 1-Jun-1930 1-Jan-1982 Permanent Temporary OVERSEAS LIMITED APPT 120 1-Jun-1930 Permanent Temporary O/S LTS APPT NTE 121 1-Jun-1930 1-Jan-1982 Permanent Temporary O/S LTD APPT NTE 122 1-Jun-1930 Permanent Temporary INDEFINITE APPOINT 123 1-Jun-1930 1-Jan-1982 Permanent Temporary APPT-STATUS QUO 124 1-Jun-1930 Permanent Temporary LIMITED EXEC ASSIGN 128 1-Jun-1930 1-Oct-1991 Permanent Temporary TRANSFER 130 1-Jun-1930 Permanent Temporary TRANSFER - CAREER COND 131 1-Jun-1930 1-Jan-1982 Permanent Temporary MASS TRANSFER 132 1-Jun-1930 Permanent Temporary REINS CAREER 140 1-Jun-1930 Permanent Temporary REINS CAREER COND 141 1-Jun-1930 Permanent Temporary SES CAREER APPT 142 1-Jul-1979 Permanent Temporary REINS-SES CAREER 143 1-Jul-1979 Permanent Temporary REINSTATEMNT - SES CAREER 144 1-Jul-1979 1-Jan-1982 Permanent Temporary TRANSFER SES CAREER 145 1-Jul-1979 Permanent Temporary SES NONCAREER APPT 146 1-Jul-1979 Permanent Temporary TRANSFER SES NONCAREER 147 1-Jul-1979 Permanent Temporary SES LTD TERM APPT NTE 148 1-Jul-1979 Permanent Temporary SES LTD EMGNCY APPT NT 149 1-Jul-1979 Permanent Temporary CA CAREER-COND APPT 150 1-Jan-1982 1-Oct-2001 Permanent Temporary CA CAREER APPT 151 1-Jan-1982 1-Oct-2001 Permanent Temporary CA ZONE TEMPORARY APPT PENDING ESTA 152 1-Jan-1982 1-Oct-2001 Permanent Temporary CA APPT NTE 153 1-Jan-1982 1-Oct-2001 Permanent Temporary CA TERM APPT NTE 154 1-Jan-1982 1-Oct-2001 Permanent Temporary CA REAPPT 155 1-Jan-1982 1-Oct-2001 Permanent Temporary CA ZONE APPT-STATUS QUO 156 1-Jan-1982 1-Oct-2001 Permanent Temporary CA TRANSFER 157 1-Jan-1982 1-Oct-2001 Permanent Temporary REEMPLOYMENT-MIL 160 1-Jun-1930 1-Jan-1982 Permanent Temporary EXC APPT 170 1-Jun-1930 Permanent Temporary EXC APPT NTE 171 1-Jun-1930 Permanent Temporary EXC APPT-INDEFINITE 172 1-Jun-1930 1-Jan-1982 Permanent Temporary EXC APPT-COND 173 1-Jun-1930 1-Jan-1982 Permanent Temporary




Action Related Side


Action Related

Side EXC APPT-COND 173 1-Sep-1986 1-Aug-1987 Permanent Temporary VETERANS READJUSTMENT APPT 176 1-Jun-1930 1-Jan-1982 Permanent Temporary EXC APPT EXCL FROM CZMS WNTL 177 1-Jun-1930 1-Jan-1982 Permanent Temporary EXC APPT EXCL FROM CZMS WTL 178 1-Jun-1930 1-Jan-1982 Permanent Temporary EXCEPTED APPT - PMIP 179 1-Jul-1978 1-Jan-1982 Permanent Temporary RETURN TO DUTY-MILTARY 181 1-Jun-1930 1-Jan-1982 Permanent Temporary APPT SUBRURAL CARRIER 190 1-Jun-1930 1-Jun-1982 Permanent Temporary PROVISIONAL APPT NTE 190 1-Apr-1991 Permanent Temporary APPT AUX/ASSISTANT EMERGENCY SUB 191 1-Jun-1930 1-Jun-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 192 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 193 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 194 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 195 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 196 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 197 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 198 1-Jun-1930 1-Jan-1982 Permanent Temporary INTERIM APPT NONDUTY STAT 198 1-Jan-1992 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 199 1-Jun-1930 1-Jan-1982 Permanent Temporary INTERIM APPT 199 1-Jan-1992 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 200 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 201 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 202 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 203 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 204 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 205 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 206 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 207 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 208 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 209 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 210 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 211 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 212 1-Jun-1930 1-Jan-1982 Permanent Temporary ACCESSION-U.S. POSTAL SERVICE 213 1-Jun-1930 1-Jan-1982 Permanent Temporary TEMPORARY APPT-ONE MONTH 214 1-Jun-1930 1-Jan-1982 Permanent Temporary PLACEMENT IN PAY STATUS 280 1-Jun-1930 Permanent Temporary RETURN TO DUTY (RTD) 292 1-Jun-1930 Permanent Temporary




Action Related Side


Action Related

Side RETURN TO DUTY-LWOP EXT OVER 80 HR TO 30 DAY 293 1-Jun-1975 1-Jan-1982 Permanent Temporary RETURN TO PAY STATUS 293 1-Jan-1992 Permanent Temporary RETURN TO DUTY - PENDING ACTION ON REOPENING APPEAL 294 1-Aug-1975 1-Feb-1980 Permanent Temporary RETURN TO DUTY 295 1-Apr-1979 1-Jan-1982 Permanent Temporary RETIREMENT-MANDATORY 300 1-Jun-1930 Permanent Permanent RETIREMENT-DISABILITY 301 1-Jun-1930 Permanent Permanent RETIREMENT-VOLUNTARY 302 1-Jun-1930 Permanent Permanent RETIREMENT-SPECIAL OPTION 303 1-Jun-1930 Permanent Permanent RETIREMENT-ILIA 304 1-Jun-1930 Permanent Permanent RETIREMENT-VOL (TRANSFER FUNCTION) 305 1-Jul-1979 1-Jan-1982 Permanent Permanent RETIREMENT-VOL (MAJOR REORGANIZATION) 306 1-Jul-1979 1-Jan-1982 Permanent Permanent RETIREMENT-VOL (SPECIAL AUTHORITY) 307 1-Dec-1979 1-Jan-1982 Permanent Permanent RESIGNATION 309 1-Jan-1979 1-Jan-1982 Permanent Permanent RESIGNATION 310 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION-APPT IN (AGENCY) 311 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION-ILIA 312 1-Jan-1982 Permanent Permanent RESIGNATION-MILITARY 313 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION 314 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION 315 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION 316 1-Jun-1930 1-Jan-1982 Permanent Permanent RESIGNATION 317 1-Jun-1930 Permanent Permanent SEPARATION-APPT IN AMER INS TAIWAN 319 1-Apr-1979 1-Jan-1982 Permanent Temporary SEPARATION - TRANSFER 320 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 321 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION - APPOINTMENT IN (AGENCY) 322 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION-MIL 323 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 324 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 325 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 326 1-Jun-1930 1-Jan-1982 Permanent Temporary REMOVAL 327 1-Jun-1930 1-Jan-1982 Permanent Temporary REMOVAL DURING TRIAL/PROBATION PERIOD 328 1-Jun-1930 1-Jan-1982 Permanent Temporary REMOVAL DURING PROBATION 329 1-Jun-1930 1-Jul-1979 Permanent Temporary REMOVAL 330 1-Jun-1930 Permanent Temporary SEPARATION 331 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 332 1-Jun-1930 1-Jan-1982 Permanent Temporary SEPARATION 333 1-Jun-1930 1-Jan-1982 Permanent Temporary




Action Related Side


Action Related

Side SEPARATION 335 1-Jun-1930 1-Jan-1982 Permanent Temporary TERMINATION-DURING TRIAL/PROBATION PERIOD 336 1-Jul-1979 1-Jan-1982 Permanent Temporary REMOVAL-DURING TRIAL/PROBATION PERIOD 337 1-Jul-1979 1-Jan-1982 Permanent Temporary REMOVAL-DURING TRIAL/PROBATION PERIOD 338 1-Jul-1979 1-Jan-1982 Permanent Temporary REDUCTION IN FORCE 340 1-Jun-1930 1-Jan-1982 Permanent Temporary TERMINATION-UNACCEPTABLE PERFORMANCE 344 1-Jan-1979 1-Jan-1982 Permanent Temporary TERMINATION-UNACCEPTABLE PERFORMANCE 345 1-Jun-1930 1-Jan-1982 Permanent Temporary TERMINATION 346 1-Jun-1930 1-Jan-1982 Permanent Temporary REMOVAL 347 1-Jan-1979 1-Jan-1982 Permanent Temporary REMOVAL 348 1-Jan-1979 1-Jan-1982 Permanent Temporary REMOVAL 349 1-Jan-1979 1-Jan-1982 Permanent Temporary DEATH 350 1-Jun-1930 Permanent Temporary TERMINATION 351 1-Jun-1930 1-Jan-1982 Permanent Temporary TERMINATION-SPONSOR RELOC 351 1-Feb-1987 Permanent Temporary TERMINATION - APPT IN 352 1-Jun-1930 Permanent Temporary TERMINATION-MILITARY 353 1-Jul-1979 30-Sep-1994 Permanent Temporary SEPARATION-MIL 353 1-Oct-1994 31-Aug-1995 Permanent Temporary SEPARATION-US 353 1-Sep-1995 Permanent Temporary TERMINATION-DISABILITY 354 1-Jul-1979 1-Apr-1995 Permanent Temporary TERMINATION-EXPIRATION OF APPT 355 1-Jun-1930 Permanent Temporary TERMINATION-INVOLUNTARY 356 1-Jan-1982 30-Sep-1994 Permanent Temporary SEPARATION-RIF 356 1-Oct-1994 Permanent Temporary TERMINATION 357 1-Jan-1979 Permanent Temporary REMOVAL 358 1-Jan-1979 1-Jan-1982 Permanent Temporary TERMINATION 359 1-Jan-1979 1-Jan-1982 Permanent Temporary SUSPENSION NTE MSPB, 30 DAYS 360 1-Jan-1979 1-Jan-1982 Permanent Temporary SUSPENSION 365 1-Jun-1930 1-Jan-1982 Permanent Temporary FURLOUGH 371 1-Jun-1930 1-Jan-1982 Permanent Temporary REMOVAL 380 1-Jan-1979 1-Jan-1982 Permanent Temporary TERMINATION-UNACCEPTABLE PERFORMANCE 381 1-Jan-1979 1-Jan-1982 Permanent Temporary REMOVAL 382 1-Jan-1979 1-Jan-1982 Permanent Temporary REMOVAL 383 1-Jan-1979 1-Jan-1982 Permanent Temporary REMOVAL 384 1-Jul-1979 1-Jan-1982 Permanent Temporary DISCHARGE DURING PROBATION/TRIAL PERIOD 385 1-Aug-1981 30-Sep-1994 Permanent Temporary TERMINATION DURING PROB 385 1-Oct-1994 Permanent Temporary DISCHARGE 386 1-Aug-1981 1-Apr-1995 Permanent Temporary




Action Related Side


Action Related

Side SEPARATION-APPT IN 390 1-Mar-1995 Permanent Temporary PLACEMNT IN NONPAY STATUS 430 1-Jan-1982 Permanent Temporary SUSPENSION NTE 450 1-Jan-1982 Permanent Temporary SUSPENSION-INDEFINITE 452 1-Jan-1982 Permanent Temporary LWOP NTE 460 1-Jun-1930 Permanent Temporary LWOP EXT 80 HOURS UP TO 30 DAYS 461 1-May-1975 1-Jan-1982 Permanent Temporary LEAVE WITH PAY NTE 462 1-Jul-1976 1-Jan-1999 Permanent Temporary LWOP NTE 465 1-Apr-1979 1-Jan-1982 Permanent Temporary EXTENSION OF LWOP 466 1-Apr-1979 1-Jan-1982 Permanent Temporary FURLOUGH 470 1-Jun-1930 1-Jan-1982 Permanent Temporary FURLOUGH 471 1-Feb-1982 Permanent Temporary FURLOUGH NTE 472 1-Jun-1930 Permanent Temporary FURLOUGH-MIL 473 1-Jan-1982 30-Jun-1990 Permanent Temporary LWOP-MILITARY 473 1-Jul-1990 31-Aug-1995 Permanent Temporary LWOP-US 473 1-Sep-1995 Permanent Temporary SABBATICAL NTE 480 1-Jul-1979 Permanent Temporary CONV TO CAREER APPT 500 1-Jun-1930 Permanent Temporary CONV TO CAREER COND APPT 501 1-Jun-1930 Permanent Temporary CONV TO CAREER EXEC ASSIGNMENT 502 1-Jan-1982 1-Oct-1991 Permanent Temporary CONV TO CAREER EXEC ASSIGNMENT-COND 503 1-Jul-1978 1-Oct-1991 Permanent Temporary CONV TO NONCAREER EXEC ASSIGNMENT 504 1-Jan-1979 1-Oct-1991 Permanent Temporary CONV TO CAREER COND APPT 505 1-Jan-1979 1-Jan-1982 Permanent Temporary CONV TO EMERGENCY APPT 507 1-Jun-1930 Permanent Temporary CONV TO TERM APPT 508 1-Jun-1930 Permanent Temporary CONV TO CAREER COND APPT 510 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO CAREER COND APPT 511 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO TEMP APPT PER 512 1-Jan-1982 Permanent Temporary CONV FROM PMIP TO CAREER-COND 513 1-Jul-1978 1-Jan-1982 Permanent Temporary CONV TO APPT NTE 515 1-Jun-1930 Permanent Temporary CONV TO SUMMER APPT NTE 517 1-Jun-1930 1-Oct-1997 Permanent Temporary CONV TO TEMPORARY APPT NTE 518 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO TEMPORARY APPT NTE 519 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO OVERSEAS LMT APPT 520 1-Jun-1930 Permanent Temporary CONV TO TEMPORARY APPT 521 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO O/S LTD APPT NTE 522 1-Jun-1930 Permanent Temporary CONV TO TEMPORARY APPT NTE 523 1-Jun-1930 1-Jan-1982 Permanent Temporary




Action Related Side


Action Related

Side CONV TO APPT-STATUS QUO 524 1-Jan-1982 Permanent Temporary CONV TO TEMPORARY APPT 525 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO LTD EXEC ASSIGN 528 1-Jun-1930 1-Oct-1991 Permanent Temporary CONV TO OVERSEAS LIMITED APPT 530 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO OVERSEAS LIMITED APPT NTE 531 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO APPT 532 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO OVERSEAS LIMITED TERM APPT 534 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO REINS CAREER 540 1-Jun-1930 Permanent Temporary CONV TO REINS CAREER-COND 541 1-Jun-1930 Permanent Temporary CONV TO SES CAREER APPT 542 1-Jul-1979 Permanent Temporary CONV TO REINS-SES CAREER 543 1-Jul-1979 Permanent Temporary CONV TO REINS SES CAREER 544 1-Jul-1979 1-Jan-1982 Permanent Temporary CONV TO SES NONCAREER APP 546 1-Jul-1979 Permanent Temporary CONV TO SES LTD TERM APPT NTE 548 1-Jul-1979 Permanent Temporary CONV TO SES LTD EMERGENCY APPT NTE 549 1-Jul-1979 Permanent Temporary CONV TO CA CAREER-COND APPT 550 1-Jan-1982 1-Oct-2001 Permanent Temporary CONV TO CA CAREER APPT 551 1-Jan-1982 1-Oct-2001 Permanent Temporary CONV TO NONCAREER EXEC ASSIGNMENT 552 1-Jun-1930 1-Aug-1985 Permanent Temporary CONV TO CA APPT NTE 553 1-Jun-1930 1-Oct-2001 Permanent Temporary CONV TO CA TERM APPT NTE 554 1-Jan-1982 1-Oct-2001 Permanent Temporary CONV TO CANAL AREA REAPPT 555 1-Jun-1930 1-Oct-2001 Permanent Temporary SEPARATION FROM GS POSITION AND EXC APPT NTE 556 1-Jun-1930 1-Oct-1982 Permanent Temporary SEPARATION FROM GS POS & EXC APPT GS POST 557 1-Jun-1930 1-Oct-1982 Permanent Temporary SEPARATION FROM FS & EXC APPT NTE GS POST 558 1-Jun-1930 1-Oct-1982 Permanent Temporary SEPARATION FROM FSS CORP & LTD APPT FS ST 559 1-Jun-1930 1-Oct-1982 Permanent Temporary CONV TO REEMPLOYMENT 561 1-Jun-1930 1-Oct-1982 Permanent Temporary CONV TO EXC APPT 570 1-Jan-1982 Permanent Temporary CONV TO EXC APPT NTE 571 1-Jan-1982 Permanent Temporary CONV BY EXC APPT 573 1-Sep-1986 1-Aug-1987 Permanent Temporary CONV TO VETERANS READJUSTMENT APPT 576 1-Jun-1930 1-Jan-1982 Permanent Temporary EXC APPT EXCLUDED FROM CZMS 577 1-Feb-1974 1-Jan-1982 Permanent Temporary EXC APPT EXCLUDED FROM CZMS NOT-T 578 1-Feb-1974 1-Jan-1982 Permanent Temporary CONV TO EXC APPT -PMIP 579 1-Jul-1978 1-Jan-1982 Permanent Temporary CONV TO REGULAR RURAL CARRIER APPT 580 1-Jun-1930 1-Jun-1982 Permanent Temporary CONV TO USPS 581 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 582 1-Jun-1930 1-Jan-1982 Permanent Temporary




Action Related Side


Action Related

Side CONV TO USPS 583 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 584 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 585 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 586 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 587 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 588 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO USPS 589 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO PROVISIONAL APPT NTE 590 1-Apr-1991 Permanent Temporary FAA ONLY 600 1-Oct-1998 Permanent Temporary ATC CERTIFICATION (FAA ONLY) 601 1-Oct-1998 Permanent Temporary CONV TO CAREER TENURE 602 1-Jun-1930 1-Jan-1982 Permanent Temporary ATC TRANSFER (FAA ONLY) 602 1-Oct-1998 Permanent Temporary ATC TRANSFER NTE (FAA ONLY) 603 1-Oct-1998 Permanent Temporary TERMINATION OF ATC TRANSFER NTE (FAA ONLY) 604 1-Oct-1998 Permanent Temporary EXTENSION OF ATC TRANSFER NTE (FAA ONLY) 605 1-Oct-1998 Permanent Temporary SHORT-TERM INCENTIVE (FAA ONLY) 606 1-Oct-1998 Temporary Temporary LONG-TERM INCENTIVE (FAA ONLY) 607 1-Oct-1998 Temporary Temporary REASSIGNMENT BONUS (FAA ONLY) 608 1-Oct-1998 Temporary Temporary FAA ONLY 609 1-Oct-1998 Permanent Temporary FAA ONLY 610 1-Oct-1998 Permanent Temporary REASSIGNMENT NTE (DATE). CODE IS FOR USE BY DAF, DA, DOD, DON ONLY. 611 30-Apr-2006 Permanent Temporary

EXT OF REASSIGNMENT NTE (DATE). CODE IS FOR USE BY DAF, DA, DOD, AND DON ONLY.

612 30-Apr-2006 Permanent Temporary

TERM OF REASSIGNMENT NTE (DATE). DAF, DA, DOD, DON ONLY. 613 30-Apr-2006 Permanent Temporary CONV TO TEMPORARY APPT -ONE MONTH 614 1-Jun-1930 1-Jan-1982 Permanent Temporary CONV TO EXC APPT NTE 651 1-Jun-1930 1-Jan-1982 Permanent Temporary PROMOTION 701 1-Aug-1979 1-Jan-1982 Permanent Temporary PROMOTION 702 1-Jun-1930 Permanent Temporary PROMOTION NTE 703 1-Jan-1982 Permanent Temporary CHG TO REGULAR 705 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG TO LOWER GRADE-FAILURE TO COMPLETE PROBATIONARY PERIOD FOR SUP. POS. 710 1-Jan-1979 1-Jan-1982 Permanent Temporary

CHG TO LOWER GRADE-UNACCEPTABLE PERFORMANCE 711 1-Jan-1979 1-Jan-1982 Permanent Temporary CHG TO LOWER GRADE 712 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG TO LOWER GRADE 713 1-Jun-1930 29-Apr-2006 Permanent Temporary




Action Related Side


Action Related

Side CHG TO LOWER GRADE, LEVEL OR BAND 713 30-Apr-2006 Permanent Temporary CHG TO LOWER GRADE-DIRECTED BY MSPB 714 1-Jan-1979 1-Jan-1982 Permanent Temporary CHG TO LOWER GRADE 715 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG TO PART-TIME FIXED 716 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG TO PART TIME-FIXED SCHEDULE 717 1-Jun-1930 1-Jan-1982 Permanent Temporary REASSIGNMENT 720 1-Jun-1930 1-Jan-1982 Permanent Temporary REASSIGNMENT 721 1-Jun-1930 Permanent Temporary REASSIGNMENT 722 1-Jan-1979 1-Jan-1982 Permanent Temporary SEP FS RES/FS STAFF & APFS OFST 724 1-Jun-1930 1-Jan-1982 Permanent Temporary APPT BY PRES AS AMBASS/MINIS ST 725 1-Jun-1930 1-Jan-1982 Permanent Temporary REASS WASH TO FIELD, FILD TO W ST 726 1-Jun-1930 1-Jan-1982 Permanent Temporary TRANSFER 727 1-Jun-1930 1-Jan-1982 Permanent Temporary TRANSFER FROM OVERSEAS TO U.S. 728 1-Jun-1930 1-Jan-1982 Permanent Temporary TRANSFER FROM U.S. TO OVERSEAS 729 1-Jun-1930 1-Jan-1982 Permanent Temporary DETAIL NTE 730 1-Apr-1979 1-Mar-1987 Permanent Temporary DETAIL NTE 730 1-Dec-2004 Permanent Permanent EXT OF DETAIL NTE 731 1-Apr-1979 1-Mar-1987 Permanent Temporary EXT DETAIL NTE 731 1-Dec-2004 Permanent Permanent TERMINATION OF DETAIL 732 1-Apr-1979 1-Mar-1987 Permanent Temporary TERM OF DETAIL NTE 732 1-Dec-2004 Permanent Temporary GRADE RESTORATION 735 1-Feb-1979 1-Jan-1985 Permanent Temporary GRADE RETENTION 736 1-Feb-1979 1-Jan-1985 Permanent Temporary GRADE RETENTION 737 1-Feb-1979 1-Jan-1982 Permanent Temporary GRADE RETENTION 738 1-Feb-1979 1-Jan-1982 Permanent Temporary POSITION CHANGE (PSN CHG) 740 1-Feb-1979 Permanent Temporary POSITION CHANGE NTE 741 1-Feb-1979 Permanent Temporary POSITION CHANGE 742 1-Feb-1979 1-Jan-1982 Permanent Temporary POSITION CHANGE 744 1-Feb-1979 1-Jan-1982 Permanent Temporary POSITION CHANGE 745 1-Feb-1979 1-Jan-1982 Permanent Temporary POSITION CHANGE 746 1-Feb-1979 1-Jan-1982 Permanent Temporary POSITION CHANGE 747 1-Feb-1979 1-Jan-1982 Permanent Temporary CONTINUANCE NTE 750 1-Jan-1982 Permanent Temporary EXCEPTION TO RIF RELEASE 755 1-Jan-1993 Permanent Temporary EXT OF APPT NTE 760 1-Jun-1930 Permanent Temporary EXT OF SUMMER APPT NTE 761 1-Jun-1930 1-Oct-1997 Permanent Temporary EXT OF SES APPT 762 1-Jul-1979 30-Jun-1990 Permanent Temporary




Action Related Side


Action Related

Side EXT OF SES LIMITED APPT NTE 762 1-Jul-1990 Permanent Temporary EXT OF SES APPT NTE 763 1-Dec-1980 1-Jan-1982 Permanent Temporary EXT OF TERM APPT NTE 765 1-Jan-1982 Permanent Temporary EXT OF POSITION CHG NTE 768 1-Apr-1980 1-Jan-1982 Permanent Temporary EXT OF PROMOTION NTE 769 1-Jun-1930 Permanent Temporary EXT OF PSN CHG NTE 770 1-Jan-1974 Permanent Temporary CHG TO US CITIZENSHIP CZ MSYS 771 1-May-1975 1-Jan-1982 Permanent Temporary EXT OF FURLOUGH NTE 772 1-Jan-1982 Permanent Temporary EXT OF LWOP NTE 773 1-Jan-1982 Permanent Temporary NAME CHANGE FROM 780 1-Jun-1930 Permanent Temporary CHG IN WORK SCHEDULE 781 1-Jan-1982 Permanent Temporary CHG IN HOURS 782 1-Jan-1982 Permanent Temporary REALIGNMENT 790 1-Jun-1930 31-Dec-1998 Permanent Temporary REALIGNMENT 790 1-Jan-1999 Permanent Temporary CHG IN DUTY STATION 792 1-Jun-1930 Permanent Temporary CHG IN AGENCY CODE 794 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG IN DATA ELEMENT 800 1-Jun-1930 Permanent Temporary TERMINATION 801 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG IN RETIREMENT PLAN 803 1-Sep-1986 Permanent Temporary CHANGE TO MERIT PAY SYSTEM 805 1-Oct-1980 1-Jan-1982 Permanent Temporary ELECTED FULL LIVING BENEFITS 805 1-Jul-1995 Permanent Temporary MERIT INCREASE 806 1-Oct-1980 1-Jan-1982 Permanent Temporary ELECTED PARTIAL LIVING BENEFITS 806 1-Jul-1995 Permanent Temporary MERIT PAY CASH AWARD 807 1-Oct-1980 1-Jan-1982 Permanent Temporary CHG IN ALLOWANCE/DIFFER 810 1-Mar-1991 31-Dec-2006 Permanent Temporary CHG IN DIFF 810 1-Jan-2007 Permanent Temporary RECRUITMENT BONUS 815 1-Mar-1991 31-Dec-1998 Permanent Temporary RECRUITMENT BONUS 815 1-Jan-1999 30-Apr-2005 Permanent Temporary RECRUITMENT INCENTIVE 815 1-May-2005 Permanent Temporary RELOCATION BONUS 816 1-Mar-1991 31-Dec-1998 Permanent Temporary RELOCATION BONUS 816 1-Jan-1999 30-Apr-2005 Permanent Temporary RELOCATION INCENTIVE 816 1-May-2005 Permanent Temporary STUDENT LOAN REPAYMENT 817 1-Oct-2003 Permanent Temporary AUTHORIZED AUO 818 1-Mar-1991 31-Dec-2006 Permanent Temporary AUO 818 1-Jan-2007 Permanent Temporary AVAILABILITY PAY 819 1-Sep-1994 Permanent Temporary




Action Related Side


Action Related

Side CHG IN OCCUPATIONAL CODE 820 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG IN RETIREMENT CODE 821 1-Feb-1981 1-Jan-1982 Permanent Temporary SEPARATION INCENTIVE 825 1-Dec-1992 Permanent Temporary REDESIGNATION BONUS (NASA ONLY) 826 1-Jun-2004 Permanent Temporary RETENTION BONUS 827 1-Jun-2004 30-Apr-2005 Permanent Temporary RETENTION INCENTIVE 827 1-May-2005 Permanent Temporary SUSPENSION 830 1-Jun-1930 1-Jan-1979 Permanent Temporary SUSPENSION NTE AGENCY REQUEST 831 1-Jan-1979 1-Jan-1982 Permanent Temporary SUSPENSION NTE AGENCY REQUEST 832 1-Jan-1979 1-Jan-1982 Permanent Temporary SUSPENSION NTE -MSPB, 30 DAYS 833 1-Jan-1979 1-Jan-1982 Permanent Temporary PLC EMPLOYEE IN NONPAY STATUS 835 1-Jun-1930 1-Jan-1982 Permanent Temporary FURLOUGH 840 1-Jun-1930 1-Jan-1982 Permanent Temporary INDIVIDUAL CASH AWARD 840 1-Oct-2000 31-Dec-2006 Permanent Temporary INDIVIDUAL CASH AWARD RB 840 1-Jan-2007 Permanent Temporary GROUP CASH AWARD 841 1-Oct-2000 31-Dec-2006 Permanent Temporary GROUP AWARD 841 1-Jan-2007 Permanent Temporary INDIVIDUAL SUGGESTION/INVENTION AWARD 842 1-Oct-2000 Permanent Temporary GROUP SUGGESTION/INVENTION AWARD 843 1-Oct-2000 Permanent Temporary FOREIGN LANGUAGE AWARD 844 1-Oct-2000 Permanent Temporary PLC EMPLOYEE IN PAY STATUS 845 1-Jun-1930 1-Jan-1982 Permanent Temporary TRAVEL SAVINGS INCENTIVES 845 1-Oct-2000 31-Dec-2006 Permanent Temporary TRAVEL SAVINGS INCENTIVE 845 1-Jan-2007 Permanent Temporary INDIVIDUAL TIME-OFF AWARD 846 1-Oct-2000 Permanent Temporary GROUP TIME-OFF AWARD 847 1-Oct-2000 Permanent Temporary REFERRAL BONUS 848 1-Apr-2001 Permanent Temporary SENIOR CAREER EMPLOYEE RANK AWARD 849 1-Sep-2003 29-Apr-2006 Permanent Temporary INDIVIDUAL CASH AWARD NRB 849 1-Jan-2007 Permanent Temporary MD/DDS SPECIAL PAY 850 1-Jan-1995 Permanent Temporary RETURN TO DUTY 852 1-Jun-1930 1-Jan-1982 Permanent Temporary HEAD NURSE PAY 855 1-Jan-1995 Permanent Temporary EXPIRATION OF GRADE RETENTION 862 1-Feb-1979 1-Jan-1982 Permanent Temporary TERMINATION OF GRADE RETENTION 863 1-Feb-1979 1-Jan-1982 Permanent Temporary TERMINATION OF GRADE RETENTION 864 1-Feb-1979 1-Jan-1982 Permanent Temporary TERMINATION OF PAY RETENTION 865 1-Feb-1979 1-Jan-1982 Permanent Temporary TERMINATION OF GRADE RET 866 1-Jan-1982 31-Dec-2006 Permanent Temporary TERMINATION OF GRADE RETENTION 866 1-Jan-2007 Permanent Temporary




Action Related Side


Action Related

Side INTERIM WGI 867 1-Jan-1992 Permanent Temporary TERMINATION OF INTERIM WGI 868 1-Jan-1992 Permanent Temporary CONTINUANCE 870 1-Jun-1930 1-Jan-1982 Permanent Temporary EXEMPLARY PERFORMANCE AWARD 871 1-Feb-1994 31-Dec-1998 Permanent Temporary EXEMPLARY PERFORMANCE AWARD. CODE IS FOR USE BY CIPMS, DAF, DA, DOD, DON ONLY.

871 1-Jan-1999 Permanent Temporary

TIME OFF AWARD 872 1-Jun-1991 31-Dec-1998 Permanent Temporary TIME OFF AWARD 872 1-Jan-1999 1-Oct-2000 Permanent Temporary FOREIGN LANGUAGE AWARD 873 1-Jan-1992 31-Dec-1998 Permanent Temporary FOREIGN LANGUAGE AWARD 873 1-Jan-1999 1-Oct-2000 Permanent Temporary GAINSHARING AWARD 874 1-Jan-1988 31-Dec-1998 Permanent Temporary GAINSHARING AWARD 874 1-Jan-1999 1-Oct-2000 Permanent Temporary CHG IN DESIGNATED POSITION OCCUPIED 875 1-Jul-1979 1-Jan-1982 Permanent Temporary SUGGESTION AWARD 875 1-Sep-1986 31-Dec-1998 Permanent Temporary SUGGESTION AWARD 875 1-Jan-1999 1-Oct-2000 Permanent Temporary INVENTION AWARD 876 1-Sep-1986 31-Dec-1998 Permanent Temporary INVENTION AWARD 876 1-Jan-1999 1-Oct-2000 Permanent Temporary SPECIAL ACT OR SVS AWARD 877 1-Sep-1986 31-Dec-1998 Permanent Temporary SPECIAL ACT OR SVS AWARD 877 1-Jan-1999 1-Oct-2000 Permanent Temporary CHG IN BUS 878 1-Oct-1981 1-Jan-1982 Permanent Temporary SES RANK AWARD 878 1-Sep-1986 29-Apr-2006 Permanent Temporary PRESIDENTIAL RANK AWARD 878 30-Apr-2006 Permanent Temporary CHG IN SUPERVISORY/MANAGERIAL INDICATOR 879 1-Jul-1980 1-Jan-1982 Permanent Temporary SES PERFORMANCE AWARD 879 1-Jan-1989 Permanent Temporary CHG IN TENURE GROUP 880 1-Jul-1979 Permanent Temporary FEGLI CHG 881 1-Jun-1930 Permanent Temporary CHG IN SCD 882 1-Jun-1930 Permanent Temporary CHG IN VET PREFERENCE 883 1-Jun-1930 31-Oct-1998 Permanent Temporary CHG IN VET PREF-RIF 883 1-Nov-1998 Permanent Temporary CHG IN WORK SCHEDULE 884 1-Jun-1930 1-Jan-1982 Permanent Temporary CHG IN FUNCTIONAL CLASSIFICATION 885 1-Jun-1930 1-Jan-1982 Permanent Temporary PERFORMANCE AWARD 885 1-Sep-1986 31-Dec-1998 Permanent Temporary PERFORMANCE AWARD 885 1-Jan-1999 1-Oct-2000 Permanent Temporary LUMP SUM PERFORMANCE PAYMENT RB-ILPA 885 1-Jan-2007 Permanent Temporary CHG IN PAY RATE DETERMINANT 886 1-Jun-1930 1-Jan-1982 Permanent Temporary LUMP SUM PERFORMANCE PAYMENT RB-NILPA 886 1-Jan-2007 Permanent Temporary




Action Related Side


Action Related

Side CHG IN SPECIAL PROGRAM INDICATOR 887 1-Jun-1930 1-Jan-1982 Permanent Temporary LUMP SUM PERFORMANCE PAYMENT NRP 887 1-Jan-2007 Permanent Temporary DENIAL OF WITHIN-GRADE IN 888 1-Jul-1975 31-Dec-2006 Permanent Temporary DENIAL OF WGI 888 1-Jan-2007 Permanent Temporary PAY REDUCTION 889 1-Jan-1979 1-Feb-1980 Permanent Temporary PMRS PERFORMANCE AWARD 889 1-Jan-1985 1-Nov-1993 Permanent Temporary GROUP AWARD - OTHER 889 1-Jan-2007 Permanent Temporary PMRS PERFORMANCE AWARD 890 1-Jun-1930 1-Oct-1986 Permanent Temporary MISC PAY ADJ 890 1-Jan-2007 Permanent Temporary PMRS Merit Increase 891 1-Jan-1985 31-Oct-1993 Permanent Temporary GM WGI 891 1-Nov-1993 29-Apr-2006 Permanent Temporary REG PERF PAY 891 30-Apr-2006 Permanent Temporary QUALITY INCREASE 892 1-Jun-1930 29-Apr-2006 Permanent Temporary IRREG PERF PAY 892 30-Apr-2006 Permanent Temporary WITHIN-GRADE INC 893 1-Jun-1930 29-Apr-2006 Permanent Temporary REG WRI 893 30-Apr-2006 Permanent Temporary PAY ADJ 894 1-Jun-1930 31-Dec-2006 Permanent Temporary GEN ADJ 894 1-Jan-2007 Permanent Temporary PAY ADJUSTMENT-LEGISLATIVE 895 1-Jun-1930 1-Aug-1975 Permanent Temporary LOCALITY ADJUSTMENT 895 1-Jan-1992 28-Feb-1994 Permanent Temporary LOCALITY PAYMENT 895 1-Mar-1994 31-Dec-2006 Permanent Temporary ADM PAY INC 896 1-Jun-1930 1-Jan-1982 Permanent Temporary GROUP INC 896 1-Jan-2007 Permanent Temporary ADM PAY DEC 897 1-Jun-1930 1-Jan-1982 Permanent Temporary PAY REDUCT 897 1-Jan-2007 Permanent Temporary PAY SYSTEM CHANGE 898 1-Jun-1930 1-Jan-1982 Permanent Temporary STEP ADJUSTMENT 899 1-Jun-1930 31-Dec-2006 Permanent Temporary STEP ADJ 899 1-Jan-2007 Permanent Temporary
