DLA Human Resources Associated Forms

The majority of these documents are hosted on other federal government websites. By selecting a link you will be leaving the DLA Human Resources Website.

Beneficiary

• SF-2808, CSRS Designation of Retirement Beneficiary:  (PDF)
• SF-3102, FERS Designation of Retirement Beneficiary   (PDF)
• SF-1152, Unpaid Compensation Designation of Beneficiary   (PDF)
• SF-2823, Life Insurance FEGLI Designation of Beneficiary   (PDF)
• TSP-3, Thrift Savings Plan Designation of Beneficiary   (PDF)

Defense Civilian Personnel Data System (DCPDS)

• DD-2875, System Authorization Access Request (SAAR)   (PDF)
• DCPDS User Request Form   (PDF)
• HR Self Service Request for Military Supervisors and All External Users   (PDF)

Employment

• Applicant
  • OF-306, Declaration for Federal Employment   (PDF)
  • SF-15, Application for 10 point Veteran's Preference   (PDF)
     

• Telework
  • DLA Form 1864, Telework Request and Approval Form  (PDF)
  • DLA Form 1865, Telework Agreement  (PDF)
  • DLA Form 1866, Supervisor - Employee Checklist  (PDF)
  • DLA Form 1867, Self-Certification Home Safety Check List   (PDF)

Foreign Allowances

• SF-1190, Foreign Allowances Application, Grant and Report   (PDF)
  • SF-1190, Instructions
  • SF-1190, Addendum  (PDF)
• DSSR 120, TQSA Worksheet   (PDF)
• DSSR 130, LQA Worksheet   (PDF)
• DSSR 240, FTA Worksheet   (PDF)
• LQA Reconciliation Worksheet  (PDF)

Injury Compensation

• CA-1, Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation  (PDF)
• CA-2, Notice of Occupational Disease and Claim for Compensation  (PDF)
• CA-2a, Notice of Recurrence  (PDF)
• CA-5, Claim for Compensation by Widow, Widower, and/or Children   (PDF)
• CA-5b, Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren   (PDF)
• CA-6, Official Superior's Report of Employee's Death   (PDF)
• CA-7, Claim for Compensation  (PDF)
• CA-7a, Time Analysis Form, used for claiming compensation, including repurchase of paid leave   (PDF)
• CA-7b, Leave Buy Back (LBB) Worksheet/Certification and Election  (PDF)
• CA-10, What A Federal Employee Should Do When Injured At Work  (PDF)
• CA-17, Duty Status Report  (PDF)
• CA-20, Attending Physician's Report  (PDF)
• CA-35A, Evidence Required in Support of a Claim for Occupational Disease  (PDF)
• CA-35B, Evidence Required in Support of a Claim for Work-Related Hearing Loss  (PDF)
• CA-35C, Evidence Required in Support of a Claim for Asbestos-Related Illness  (PDF)
• CA-35D, Evidence Required in Support of a Claim for Work Related Coronary/Vascular Condition  (PDF)
• CA-35E, Evidence Required in Support of a Claim for Work Related Skin Disease  (PDF)
• CA-35F, Evidence Required in Support of a Claim for Pulmonary Illness (Not Asbestosis)  (PDF)
• CA-35G, Evidence Required in Support of a Claim for Psychiatric/Psychological Conditions  (PDF)
• CA-35H, Evidence Required in Support of a Claim for Work Related Carpal Tunnel Syndrome  (PDF)
• CA-40, Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a   (PDF)
• CA-41, Claim for Survivor Benefits Under the Federal Employees' Compensation Act Section 8102a Death Gratuity   (PDF)
• CA-42, Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity   (PDF)
• CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act   (PDF)
• DLA Form 1591, Supervisory Mishap Report  (PDF)
• OWCP-915, Claim For Medical Reimbursement  (PDF)
• OWCP-957, Medical Travel Refund Request  (PDF)
• OWCP-1500, Health Insurance Claim Form  (PDF)

Inprocessing

• SF-61, Appointment Affidavit  (PDF)
• SF-1152, Beneficiary Form (Unpaid Compensation)   (PDF)
• OF-306, Declaration for Federal Employment  (PDF)
• SF-2808, Designation of Beneficiary (Civil Service Retirement System)  (PDF)
• SF-2823, Designation of Beneficiary (Federal Employee Group Life Insurance Program)   (PDF)
• SF-3102, Designation of Beneficiary (Federal Employee Retirement System)   (PDF)
• FMS 2231, Direct Deposit Form  (PDF)
• W4, Employees Withholdings  (PDF)
• I-9, Employment Eligibility Verification  (PDF)
• SF-2809, Health Benefits Election Form  (PDF)
• SF-2817, Life Insurance Election Form  (PDF)
• DLA Form 1712, Notice and Consent for Communication Security Telephone Monitoring  (PDF)
• DLA Form 462 ,Personnel Management Information Systems Supplemental Information  (PDF)
• SF-181, Race and National Origin Identification   (PDF)
• Safeguarding Military Information (PDF)
• SF-256, Self-Identification of Disability  (PDF)
• SF-144, Statement of Prior Federal Service  (PDF)
• TSP-3, Thrift Savings Plan (Designation of Beneficiary)  (PDF)
• TSP-1, Thrift Savings Plan (Election Form)  (PDF)
• SF-813, Verification of a Military Retiree Service   (PDF)
• Reserve Status  (PDF)
• TSP-19, Transfer Information Between Agencies  (PDF)
• Transfer Info  (PDF)
• State Tax Withholding Forms   (PDF)
• City or Local Tax Withholding Information  (PDF)
• City/School Tax Election  (PDF)
• Alphabetical Taxing Authorities List (by State)  (PDF)
• DLA No Fear Act Notice  (PDF)

Leave Administration

• OPM-71, Request for Leave or Approved Absence  (PDF)
• OPM-630, Voluntary Leave Transfer Program Forms (Within Agency)  (PDF)
• OPM-630A, Request to Donate Annual Leave  (PDF)
• OPM-630B, Voluntary Leave Transfer Program Forms (Outside Agency)  (PDF)
• FMLA Medical Certification Form   (PDF)

Military Deposits

• RI20-97 Estimated Earnings During Military Service  (PDF)
  • Where to Send Your Completed Form  
  
  The uniformed services must provide Federal employees' estimated basic pay for military service performed after December 31, 1956. This is needed to make a deposit for retirement credit.

Military Personnel

• SF-180, Request Pertaining to Military Records  (PDF)

Retirement

• Civil Service Retirement System (CSRS)

  • SF-2801, Application for Immediate Retirement
  • (PDF)
  • SF-3112, Documentation in Support of Disability Retirement - Application   (PDF)(Only complete if applying for Disability Retirement (In addition to the SF2801 & Attachment to SF2801-2))
  • W-4P, Withholding Certificate for Pension and Annuity Payments   (PDF) (Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
  • If applicable:
    • SF-2803, Application to Make Deposit/Redeposit Form (CSRS)   (PDF)
    • SF-2818, Continuation of Life Insurance Coverage  (PDF)
    • OPM-1510, Discontinued Service Retirement   (PDF)
       

• Federal Employees Retirement System (FERS)

  • SF-3107, Application for Immediate Retirement  (PDF)
  • SF-3112, Documentation in Support of Disability Retirement Application  (PDF)(Only complete if applying for Disability Retirement (In addition to the SF3107))
  • FEDMER, Federal Medical Evidence of Record (FEDMER) Social Security Disability Eligibility Statement   (PDF)(Only complete if applying for Disability Retirement)
  • W-4P, Withholding Certificate for Pension and Annuity Payments   (PDF)(Only complete if you want to change your federal income tax withholding rate before your annuity payments begin)
  • If applicable:
    • SF-2818, Continuation of Life Insurance Coverage  (PDF)
    • SF-3108, Application to Make Service Credit Payment (Federal Employees Retirement System)  (PDF)
    • OPM-1510, Discontinued Service Retirement  (PDF)

Separation

• VSIP (Voluntary Separation Incentive Pay) Agreement and Election Form  (PDF)

Travel

• DD-1617, Transportation Agreement from U.S. to Overseas  (PDF)
• DD-1618, Transportation Agreement from Overseas to U.S.  (PDF)
• Overseas Employment Agreement Assignment to a Foreign Area  (PDF)
• DD-1351-2, Travel Voucher  (PDF)
• DD-1351-2C, Travel Voucher Continuation Sheet   (PDF)
• DLA Return Placement Agreement (PDF)

Other

• Personnel Accountability SITREP Instructions (PDF)
• Personnel Accountability SITREP (PDF)
• Standard Forms (SF)   (PDF)
• Optional Forms (OF)   (PDF)
• Department of Defense Forms (DD)   (PDF)
• DLA Forms  (PDF)
  • DLA36 Suggestion Program (PDF)
  • DLA 37 Suggestion Evaluation and Transmittal (PDF)
  • DLA 38 Incentive Award Nomination and Approval (PDF)
  • DLA Form 1939 Request for Administrative Leave for Fitness Activities (PDF)
  • DLA 1869, Request for Advanced Leaves (PDF)
• OPM Retirement & Insurance Forms (RI Forms)   (PDF)