Code of Federal Regulations Title 5. Administrative Personnel § 5.839.1206 How do I submit a claim under this subpart?

(1) It must describe the basis for the claim and state the dollar amount you seek to receive;

(2) It must include your name, address, and telephone number;

(3) It must include the name, address, and telephone number of your current or last employer;

(4) It must be signed by you;  and

(5) It must include any information you believe OPM should consider, such as cancelled checks or other evidence of amounts you paid.