For the CERTIFIED SUMMARY OF FEDERAL SERVICE:
CSRS complete pages 17-18 only
FERS complete pages 9-10 only
Fill out sections A&E only, and don’t sign it.
Turn it into HR.
If HR pushes back, let them know you can request this because of the verbiage at the top of the form, #2.
(A possible alternative is to mail it straight to OPM. This method has not been verified, however. We have two possible mailing addreses:
U.S.Office of Personnel Management
1900 E Street, NW
Washington DC 20415-1000
Use this form to request your agency to pay for your time in our workshop instead of taking leave to attend.
Other Useful References
Create your personal My Social Security account.
FEHB: To make changes midyear to your FEHB because of a Qualifying Life Event (QLE), use OPM form 2809, the Health Benefits Election Form.