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Human Resources Forms
This area of the NRCS New York Human Resources Web site provides commonly used forms for employment with NRCS.
Applications
These documents require
Adobe Reader.
OF 612, Optional
Application for Federal Employment
(PDF; 728 KB)
OF 306, Declaration for Federal
Employment
(PDF; 93 KB)
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Awards
These documents require
Adobe Reader.
AD-287-2, Recommendation
and Approval of Awards
(PDF; 113 KB)
SF-1164, Claim for Reimbursement
for Expenditures on Official Business
(PDF; 651 KB)
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Benefits
These documents require
Adobe Reader.
SF-2818, Continuation
of Life Insurance Coverage
(PDF; 148 KB)
SF-2823, Designation of
Beneficiary
(PDF; 120 KB)
SF-2817, Life Insurance
Election
(PDF; 517 KB)
Must be submitted within 31 days of appointment.
SF-3102, Designation of
Beneficiary, FERS
(PDF; 660 KB)
SF-1152, Designation of Beneficiary - Unpaid Compensation of Deceased Civilian
Employee (PDF; 219 KB)
SF-2809, Health
Benefits Election Form (PDF; 849 KB)
Must be submitted within 60 days of appointment.
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Civil Service Retirement System (CSRS)
These documents require
Adobe Reader.
SF-2801, Application
for Immediate Retirement
(PDF; 1.3 MB)
Must be submitted with application for immediate retirement.
SF-2802, Application
for Refund of Retirement Contributions
(PDF; 1.0 MB)
SF-2803, Application to
Make Deposit or Redeposit
(PDF; 512 KB)
SF-2808, Designation of
Beneficiary
(PDF; 230 KB)
W-4P, Withholding
Certificate for Pension or Annuity Payments (PDF; 276 KB)
Must be submitted with application for immediate retirement.
SF-1199A, Direct Deposit
Sign-Up Form
(PDF; 113 KB)
Must be submitted with application for immediate retirement.
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Enter on Active Duty
These documents require
Adobe Reader.
SF 61, Appointment
Affidavits
(PDF; 348 KB)
AD-582,
Authorization for Restored Annual Leave
(PDF; 310 KB)
SF-1199A, Direct Deposit
Sign-Up Form
(PDF; 113 KB)
I-9, Employment Eligibility
Verification
(PDF; 158 KB)
SF-2809, Health
Benefits Election Form (PDF; 849 KB)
Must be submitted within 60 days of appointment.
W-4, Employee Withholding
Allowance Certificate
(PDF; 237 KB)
IT-2104 NYS Tax Withholding
(PDF; 98 KB)
SF-256,
Self-Identification of Handicap
(PDF; 187 KB)
SF-181, Ethnicity and
Race Identification (PDF; 62 KB)
SF-2817, Life Insurance
Election (PDF; 517 KB)
Must be submitted within 31 days of appointment.
SF-144, Statement of
Prior Federal Service (PDF; 214 KB)
Only if applicable.
SF-2823, Designation of
Beneficiary (PDF; 120 KB)
OPM 1635, Welfare to Work Program
(PDF; 43 KB)
SF-85, Questionnaire for
Non-Sensitive Positions (PDF; 336 KB)
TSP-1, Thrift Savings Plan
Election Form (PDF; 56 KB)
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Federal Employees Retirement System (FERS)
These documents require
Adobe Reader.
SF-3107, Application
for Immediate Retirement
(PDF; 1.1 MB)
Must be submitted with application for immediate retirement.
SF-3102, Designation of Beneficiary
(PDF; 660 KB)
Must be submitted with application for immediate retirement.
SF-3108, Application to
Make Service Credit Payment
(PDF; 491 KB)
SF-3106 and SF-3106A, Application for Refund of Retirement
Deductions (PDF; 415 KB)
Must be submitted with application for immediate retirement, if applicable.
SF-3107, Application
for Immediate Retirement
(PDF; 1.0 MB)
Includes the following documents:
SF-3107-1, Certified Summary of Federal Service
SF-3107-2, Spouse's Consent to Survivor Election
Must be submitted with application for immediate retirement, if applicable.
SF-3108, Application to
Make Service Credit Payment
(PDF; 491 KB)
W-4P, Withholding
Certificate for Pension or Annuity Payments (PDF; 276 KB)
Must be submitted with application for immediate
retirement.
SF-3109, Election of
Coverage
(PDF; 149 KB)
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Leave
These documents require
Adobe Reader.
OPM Form 71, Request for
Leave or Approved Absence
(PDF; 181 KB)
AD-532,
Authorization for Restored Annual Leave
(PDF; 310 KB)
AD-717, Leave Audit
Form
(PDF; 543 KB)
AD-1043, Leave
Transfer Program - Donor Application
(PDF; 35 KB)
AD-1046, Leave
Transfer Program - Recipient Application
(PDF; 29 KB)
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Personnel and Payroll
These documents require
Adobe Reader.
SF-52,
Request for Personnel Action (PDF; 103 KB)
AD-349,
Employee Address
(PDF; 16 KB)
SF-1199A, Direct Deposit
Sign-Up Form
(PDF; 113 KB)
SF-2809, Health
Benefits Election Form
(PDF; 849 KB)
W-4 Employee's Withholding
Allowance Certificate
(PDF; 237 KB)
IT-2104,
Employee's Withholding Allowance Certificate (PDF; 98 KB)
New York State Department of Taxation and Finance
SF-2817, Life Insurance
Election
(PDF; 517 KB)
SF-144, Statement of
Prior Federal Service
(PDF; 214 KB)
I-9, Employment Eligibility
Verification
(PDF; 158 KB)
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Thrift Savings Plan
These documents require
Adobe Reader.
TSP-1, Thrift Savings Plan
Election Form (PDF; 56 KB)
TSP-3, Designation of Beneficiary
(PDF; 137 KB)
TSP-20, Loan Application
(PDF; 61 KB)
Contact Information
If you encounter any problems with files provided on this page, have questions, suggestions, or find a broken link, please contact Gary Vandawalker
at 315-477-6546.
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