§ 839.1206 How do I submit a claim under this subpart?

5 CFR 839.1206(a)(a) No specific form is required. Your request must be in writing and contain the following information:

5 CFR 839.1206(a)(1)(1) It must describe the basis for the claim and state the dollar amount you seek to receive;

5 CFR 839.1206(a)(2)(2) It must include your name, address, and telephone number;

5 CFR 839.1206(a)(3)(3) It must include the name, address, and telephone number of your current or last employer;

5 CFR 839.1206(a)(4)(4) It must be signed by you; and

5 CFR 839.1206(a)(5)(5) It must include any information you believe OPM should consider, such as cancelled checks or other evidence of amounts you paid.

5 CFR 839.1206(b)(b) Send your claim to: Office of Personnel Management, Retirement and Insurance Service, ATTN: FC Section, Washington, DC 20415-3200