my account
$0.00
No products in the cart.
Home
Store
All About Seminars
All About You
All About Us
Blog
Contact
"
*
" indicates required fields
Step
1
of
2
50%
Name
*
First
Last
Email (Please do NOT use a .gov email address)
*
Due to email deliverability issues, we request you not use your .gov email address to complete this form.
Phone
*
Current Age:
*
This field is hidden when viewing the form
Calculating Extra Basic Benefit Logic (Not Seen by Consumer)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (35 and younger))
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (36)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (37)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (38)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (39)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (40)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (41)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (42)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (43)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (44)
This field is hidden when viewing the form
Number for Calculating Extra Basic Benefit (45 or higher)
This field is hidden when viewing the form
Date of Birth
*
Month
Day
Year
1) Benefit Statement Retirement SCD (Service Computation Date)
*
Month
Day
Year
2) Benefit Statement Leave SCD (Service Computation Date)
*
Found on your annual benefit statement from MyEPP.
Month
Day
Year
3) FERS Retirement Code Selector
*
Were you hired...
Please Select One
Before January 1, 2013
During 2013
After December 31, 2013
Choose your occupation: (Hired during 2013)
Regular Employee
USPS Regular Employee
USPS Law Enforcement
Law Enforcement Officer / Agent / OIG
Firefighter
Air Traffic Controller
Choose your occupation: (Before January 1, 2013)
Regular Employee
USPS Regular Employee
USPS Law Enforcement
Law Enforcement Officer / Agent / OIG
Firefighter
Air Traffic Controller
Choose your occupation: (After December 31, 2013)
Regular Employee
USPS Regular Employee
USPS Law Enforcement
Law Enforcement Officer / Agent / OIG
Firefighter
Air Traffic Controller
This field is hidden when viewing the form
FERS Retirement Code Selection ( Not seen by the consumer )
This field is hidden when viewing the form
K
This field is hidden when viewing the form
K Label
This field is hidden when viewing the form
No Code - Before - USPS Law
This field is hidden when viewing the form
No Code - Before - USPS Law Label
This field is hidden when viewing the form
M - law
Law Enforcement, etc.
This field is hidden when viewing the form
M Label - law
Law Enforcement, etc.
This field is hidden when viewing the form
M - fire
Fire Fighters
This field is hidden when viewing the form
M Label - fire
Fire Fighters
This field is hidden when viewing the form
L
This field is hidden when viewing the form
L Label
This field is hidden when viewing the form
This field is hidden when viewing the form
KR
This field is hidden when viewing the form
KR Label
This field is hidden when viewing the form
No Code - During - USPS Law
This field is hidden when viewing the form
No Code - Before - USPS Law Label
This field is hidden when viewing the form
MR - law
Law Enforcement
This field is hidden when viewing the form
MR Label - law
Law Enforcement
This field is hidden when viewing the form
MR - fire
Fire Fighter
This field is hidden when viewing the form
MR Label - fire
Fire Fighter
This field is hidden when viewing the form
LR
This field is hidden when viewing the form
LR Label
This field is hidden when viewing the form
This field is hidden when viewing the form
KF
This field is hidden when viewing the form
KF Label
This field is hidden when viewing the form
No Code - After - USPS Law
This field is hidden when viewing the form
No Code - After - USPS Law Label
This field is hidden when viewing the form
MF - law
Law Enforcement
This field is hidden when viewing the form
MF Label - law
Law Enforcement
This field is hidden when viewing the form
MF - fire
Firefighter
This field is hidden when viewing the form
MF Label - fire
Firefighter
This field is hidden when viewing the form
LF
This field is hidden when viewing the form
LF Label
This field is hidden when viewing the form
4) Social Security Retirement Benefit at Age 62
*
Or a later age if you're already 62 or older.
5) Social Security Disability Benefit
*
Look for it on page 1 of your SSA statement; if not eligible yet, enter $0
6) Current TSP Balance:
Pay Statement
Input Items from Your E&L (Pay) Statement.
7) Your Annual Salary:
*
Special Instructions:
From this point downward, please input your pay period deductions from the P/P column of your pay statement
8) Deduction 75 02 - Retirement
*
9) Agency Retirement Contribution This Pay Period.
*
If you don't have it, it is on MyEPP, the 2nd page of your pay statement, which does not normally print with the 1st page. Go back to MyEpp > E&L Statements>scroll past the 1st page.
10) Add Deduction 75 15 TSP-FERS to 75 24 Catch Up and input your total:
*
11) Deduction 76 Social Security (OASDI)
*
12) Add Deduction 77 FEDERAL TAX to EXTRA TAX (If Applicable) and input your total.
*
If the value is $0 please input "0"
13) Deduction 78 STATE TAX
*
If the value is $0 please input "0"
14) Deduction 81 - Are You Enrolled In FEGLI Basic?
*
Please Select One
Yes
No
15) Employee FEGLI Basic Cost This Pay Period:
*
Since You Are Enrolled In FEGLI Basic, Are You Also Enrolled In Any Of The Following?
Choose all that apply.
Option A
Option B
Option C
This field is hidden when viewing the form
Default Value if B is not selected
This field is hidden when viewing the form
Default Value if C is not selected
Select Your Option B Number of Multiples
*
1
2
3
4
5
Select Your Option C Number of Multiples
*
1
2
3
4
5
16) Deduction 83 FEHBA
*
17) Deduction 97 MEDICARE TAX WITHHELD
*
18) Annual Leave Balance (In Hours):
19) Sick Leave Balance (In Hours):
20) Do You Know Your High 3 Salary Average?
*
If you will retire within 3 years, choose "yes" and provide it. Otherwise, choose "no" and provide your current salary again.
Please Select One
Yes
No
Please enter your Gross Annual Pay Once Again
*
What Is Your High 3 Salary Average?
*
Review
Please make sure all your information looks correct before submitting.
{all_fields}
Δ