Form 3119 (SF3119) – Application for Court‑Ordered Benefits for Former Spouses

The Standard Form 3119 (SF3119) is the official application used by former spouses of federal employees or annuitants to request court‑ordered retirement benefits. This form is required when a court order directs the Federal Employees’ Retirement System (FERS) or the Civil Service Retirement System (CSRS) to provide a benefit to a former spouse.

On this page you can instantly access a fillable PDF version of Form 3119, complete it in your browser, and download a saved copy for your records. No extra software is needed – the Formize PDF Filler loads directly in the page.

What Is Form 3119?

Form 3119, titled “Application for Court‑Ordered Benefits for Former Spouses,” collects personal information, details of the court order, and the type of benefit being requested. The Office of Personnel Management (OPM) processes the form and forwards it to the appropriate retirement system.

Who Must Use Form 3119?

• Former spouses of current or former federal employees covered by CSRS or FERS.
• Anyone who has a valid court order that mandates a retirement benefit.
• Beneficiaries who need to specify the type of benefit (e.g., survivor annuity, health benefits).

How to Complete the Fillable PDF Online

Follow the simple steps below – you won’t need to download the file first.

Common Mistakes to Avoid

• Leaving the "Court Order Number" blank – the exact number from the judgment must be entered.
• Using an outdated form version – always use the latest PDF provided here.
• Signing the form before all required fields are filled – OPM will reject incomplete applications.

Where to Submit Your Completed Form

After you finish the online fillable form, download the completed PDF and mail it to the address listed in the form’s instructions, or fax it if you have a fax number on file. Keep a copy for your records.

Need help? Review the official instructions PDF for detailed guidance.