RI 92-22 – 2021 FERS Annuity Supplement Earnings Report (Fillable PDF)

The RI 92-22 is the official Office of Personnel Management (OPM) form used by Federal Employees Retirement System (FERS) retirees to report any earnings that may affect their annuity supplement. Each year, retirees must disclose wages, self‑employment income, and other compensation to determine if the earnings test applies.

What Is the RI 92-22 Form?

This form collects the amount of personal earnings you earned during the calendar year and calculates the exempt amount allowed under the FERS earnings test. The 2021 version is available as a fillable PDF, making data entry quick and error‑free.

Why You Need to File the RI 92-22 Annually

• Compliance with OPM regulations.
• Avoid penalties for under‑reporting earnings.
• Ensure accurate calculation of your annuity supplement.
• Maintain eligibility for other federal benefits.

How to Complete the Fillable PDF with Formize

Instead of downloading the PDF and opening a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app loads directly in your browser, letting you:

1. Enter personal information and earnings data.
2. See real‑time validation messages.
3. Save progress and return later if needed.
4. Download a completed, OPM‑ready PDF or submit electronically as instructed.

Common Mistakes to Avoid

• Leaving fields blank: Every required field must be completed; otherwise OPM may reject the form.
• Mis‑reporting exempt earnings: Use the correct exempt amount for the year (2021 exempt amount is $3,600).
• Submitting after the deadline: The deadline is typically March 31 of the following year.
• Using an outdated PDF version: Always use the latest fillable version linked below.

Where to Submit Your Completed Form

After you finish, print the completed PDF and mail it to the address listed on the form, or follow any electronic submission instructions provided by your agency’s HR office.