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  • Opm Sf 2812-a 2013

Get Opm Sf 2812-a 2013

Gency Report No. 1064-OPM-AR Payroll Office Number Report Number Month reported on Statement of Transactions Date Payroll Paid PAY PERIOD From To Telephone number (including area code) To: OFFICE OF PERSONNEL MANAGEMENT ATTN: FUNDS MANAGEMENT POST OFFICE BOX 582 WASHINGTON, DC 20044-0582 Benefit Category Withholdings I certify that the items listed herein are correct and the amount is available to be credited to the OPM receipt account. Signature of authorized Administrative or Certif.

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How to fill out the OPM SF 2812-A online

The OPM SF 2812-A is a vital document for reporting withholdings and contributions related to health benefits, life insurance, and retirement. This guide will provide detailed instructions on how to fill out this form online, ensuring a smooth experience.

Follow the steps to accurately complete the OPM SF 2812-A form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your address, including the department, bureau, location, and ZIP code, in the designated field.
  3. Provide the payroll office number and report number in the appropriate sections to identify your report correctly.
  4. Indicate the month reported on the statement of transactions and the date payroll was paid, utilizing the respective fields.
  5. Document the pay period by specifying the 'From' and 'To' dates, indicating the duration covered by the report.
  6. Enter your telephone number, including area code, in the designated field for contact purposes.
  7. In the benefit category, complete the sections for withholdings, contributions, and any applicable health benefits and life insurance categories, ensuring all figures are accurate.
  8. Under retirement, fill in the relevant details for CSRS and FERS categories, including salary offset and military service credits as necessary.
  9. Verify that all fields are filled out correctly, then affix your signature as the authorized administrative or certifying officer in the signature area.
  10. Review the form for accuracy, then save changes, and proceed to download, print, or share the completed form as required.

Start completing the OPM SF 2812-A form online today to ensure timely reporting.

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OPM SF 2812-A
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