eOPF Master Forms List
This interactive database includes four forms lists as part of the eOPF Master Forms List.
The eOPF follows the Guide to Personnel Recordkeeping and the Guide to Processing Personnel
Actions to determine the eOPF forms. In addition, as agencies convert to eOPF, they have identified
agency specific forms. The Master Forms List is not all inclusive; the forms listed therein
have been submitted by agencies migrating to eOPF. Each agency has discretion to define additional
forms to address the agency’s specific needs.
Please select the desired Master Forms List form the drop-down menu below.
EHRI Master Forms List: Permanent
|
Form Number
|
Form Title |
Type |
OPM Verified "Side" |
Comments |
GPR And/Or GPP A Reference |
| ACTION A-791 |
CERTIFICATION OF PEACE CORPS SERVICE |
BENEFITS |
Permanent |
only if initial or most recent appointment or positive education requirement |
ref GPR, page 3-08 |
| 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 |
ref GPPA, page 6-19 |
| AD 1083 |
VERIFICATION OF DEPOSIT/REDEPOSIT OF SERVICE |
BENEFITS |
Permanent |
ref DG 66 - only if it documents payments in full |
ref GPR, page 3-12 |
| AD 2055A |
SERVICE AGREEMENT (CREDITABLE SERVICE FOR ANNUAL LEAVE ACCRUAL) |
BENEFITS |
Permanent |
ref. GPR, page 3-08 |
|
| ASCS 67 |
SERVICE COMPUTATION DATE |
BENEFITS |
Permanent |
ref. GPPA, page 6-19 |
|
| BRI 46-401 |
ELECTION OF COVERAGE (FERS) |
BENEFITS |
Permanent |
ref GPR, page 3-13 |
|
| DA 3473 |
APPLICATION FOR USANAF RETIREMENT PLAN AND/OR GROUP INSURANCE |
BENEFITS |
Permanent |
ref GPR, page 3-13 |
|
| DA 7426 |
APPLICATION FOR USANAF EMPLOYEE 401(K) SAVINGS PLAN |
BENEFITS |
Permanent |
ref TSP 1 |
ref GPR, page 3-14 |
| DG 21 |
NOTICE OF ELIGIBILITY - TEMPORARY CONTINUATION OF COVERAGE |
BENEFITS |
Permanent |
ref GPR, page 3-11 |
|
| DG 43 |
ELECTION OF FERS WITH CREDIT FOR NONAPPROPRIATED FUND INSTRUMENTALITY SERVICE UNDER PUBLIC LAW 104-106 |
BENEFITS |
Permanent |
ref RI 92-34 |
ref GPR, page 3-13 |