Register Of Separation And Transfers {SF 3103}

Register Of Separations and Transfers Federal Employees Retirement System Federal Employees Retirement System 2. Telephone Number 3. Date 4. Page No. 1. Agency 5. Bureau or Reporting Unit 6. Location 7. Payroll Office No. 8. Name, Date of Birth and Social Security No. 9. Current Year Retirement Deductions (for agency use only) 10. Total Retirement 11. Date of Separation Deductions to Credit and Remarks, of Employees if any $ $ Page Totals Totals Brought Forward from Page Accumulated Totals to Date $0.00 $0.00 $0.00 $0.00 INSTRUCTIONS: One copy of this register MUST accompany FERS Retirement Records, SF 3100's, transmitted to the Office of Personnel Management at FERS, P.O. Box 200, Boyers, PA 16020. DO NOT USE this form to cover CSRS SF 2806's; instead use form SF 2807. Use the payroll office number of SUBMITTING office. Office of Personnel Management 5 CFR 841 NSN 7540-01-218-4388 3103-102 FormFlow V2.1 American LegalNet, Inc. www.FormsWorkFlow.com Standard Form 3103 January 1987