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

  1. 国家 美国
  2. 部门 人事管理处
  3. 部门 标准表格
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  • Using an outdated form version – always use the latest PDF provided here.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.

常问问题
  • What is the purpose of Form 3119?

    Form 3119 is used to request court‑ordered retirement benefits for former spouses of federal employees covered by CSRS or FERS.

  • Can I fill out Form 3119 on a mobile device?

    Yes. The Formize fillable PDF works on all modern browsers, including mobile Safari and Chrome.

  • Do I need a PDF editor to complete the form?

    No. The online Formize PDF Filler lets you complete the form directly in your browser without any additional software.

  • How do I know which version of Form 3119 is current?

    The PDF linked on this page is the latest version published by OPM. Always use this link to ensure you have the current form.

  • What should I do if I make a mistake after submitting?

    Contact OPM’s Retirement Services office immediately. They may require a corrected form or an addendum, depending on the error.

  • Is there a filing fee for Form 3119?

    No. Filing Form 3119 is free; however, any associated benefit payments may be subject to standard tax withholdings.

  • How long does OPM take to process the application?

    Processing typically takes 30‑45 days after receipt, but timeframes can vary based on the complexity of the court order.

如何

如何通过 4 个简单步骤在线免费填写 Form 3119:

  1. 1
    Click the Fill‑Out Button
    Press the blue “Fill out this form” button on the page. The Formize PDF Filler will open directly in your browser.
  2. 2
    Enter Your Information
    Complete each field in the fillable PDF. The interface saves your progress automatically, so you won’t lose data.
  3. 3
    Review, Sign, and Download
    After all required sections are filled, add your electronic signature, review the summary, and click “Download” to save a copy for your records.
  4. 4
    Submit to OPM
    Mail or fax the downloaded PDF to the address provided in the form’s instructions. Keep the confirmation email from Formize as proof of completion.
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关于

人事管理办公室 (OPM) 表格

Form 3119 是美国人事管理局使用的官方表格之一,该办公室是联邦政府的一个独立机构,负责管理公务员队伍和联邦雇员福利。 OPM 制定与联邦就业相关的政策和法规,管理各种人事计划,并为联邦雇员、退休人员和求职者提供服务。

以下是人事管理办公室表格的一些示例:

标准表格 86 (SF-86) :此表格用于申请安全许可的个人的背景调查过程。它收集全面的个人、就业、教育和财务信息,以及有关国外联系和活动的详细信息。

标准表格 2809 (SF-2809) :此表格用于参加联邦雇员健康福利 (FEHB) 计划,该计划为联邦雇员、退休人员及其符合条件的家庭成员提供健康保险。

标准表格 2817 (SF-2817):此表格用于申请在退休或从联邦服务机构离职后继续享受联邦雇员牙科和视力保险计划 (FEDVIP) 的保险。

标准表格 3107 (SF-3107) :此表格用于申请公务员退休制度(CSRS)下的退休福利。

标准表格 2801 (SF-2801) :此表格用于申请联邦雇员退休制度 (FERS) 下的退休福利。

标准表格 15 (SF-15) :此表格用于申请联邦就业中的退伍军人优先权。它由在联邦政府寻求就业机会的退伍军人或其符合条件的家庭成员提交。

这些示例代表了联邦就业和员工福利中使用的一些常见 OPM 表格。然而,OPM 还有一系列与各种人事计划、退休、保险和联邦就业其他方面相关的其他形式。所需的具体表格可能会有所不同,具体取决于交易、计划或所寻求的利益的性质。建议查阅美国人事管理局官方网站(www.opm.gov)或向OPM或相关人力资源人员寻求指导,以获得准确、最新的信息有关与您的联邦就业或福利相关需求相关的特定 OPM 表格的最新信息。

特征

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