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Phone Short Form

Include with documentation: Pay Stub, TSP Statement, Social Security Statement, Employee Benefits Statement, DD214 (record of military service).

Step 1 of 12

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This field is for validation purposes and should be left unchanged.

Employee & Spouse Information

Please provide 3 days for processing and ensure that due date is at least 1 day before customer appointment.
Please enter a number from 0 to 100.
Is the employee married?(Required)
Please enter a number from 0 to 100.
Was (is) the spouse a Federal Employee?
Address

Retirement System & Employee Type

Retirement System(Required)
Employment Type(Required)

Pension and Eligibility

Retirement Type

When does employee want to retire? (Select One)(Required)
Please enter a number from 50 to 75.

Income and Pension Values

Will the employee’s High-3 be based on their CURRENT salary?

Social Security Income and Special Retirement Supplement (SRS)

Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
Please enter a number greater than or equal to 0.

Part Time Service

Has the employee worked Part-Time while contributing to CSRS or FERS?(Required)

Non-Deduction Service

Has the employee ever worked in a Non-Deduction Status when contributions were NOT taken from their pay?(Required)
Was a deposit paid?
Please enter a number greater than or equal to 0.

BREAK IN SERVICE / REFUNDED SERVICE

Did the employee ever have a Break in Service of more than 3 days?(Required)
During break: Did the employee take a Refund of retirement contributions?
Was a Redeposit made after returning to federal service?
Please enter a number greater than or equal to 0.

Military Service Details

Fill in below if Military service = Yes.
Has the employee ever had Military service?(Required)
If yes, what type of service was it?
Active-Duty: Deposit paid?
Please enter a number greater than or equal to 0.
Reserve: Deposit paid?
Please enter a number greater than or equal to 0.
Reserve: Deposit paid?
Please enter a number greater than or equal to 0.
Reserve Academy
Please enter a number greater than or equal to 0.
If the employee Retired from Military service, which type was it?
Is the employee collecting VA pay?

THRIFT SAVINGS PLAN (TSP)

WHILE WORKING
Does the employee contribute to Traditional TSP?
Please enter a number from 0 to 100.
Please enter a number greater than or equal to 0.
Does the employee contribute to Roth TSP?
Please enter a number from 0 to 100.
Please enter a number greater than or equal to 0.

Assets

Fund Choices
Current Balance ($)
Future Allocation (%)
G
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
F
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
C
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
S
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
I
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L INCOME
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2025
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2030
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2035
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2040
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2045
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2050
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2055
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2060
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
L 2065
Please enter a number greater than or equal to 0.
Please enter a number from 0 to 100.
Total
Total current balance dollar amount
Total future allocation percentage
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