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Form SF-2812-A Report of Withholdings and Contributions for Health Benefits by Enrollment Code
What Is Form SF-2812-A?
This is a legal form that was released by the U.S. Office of Personnel Management on October 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SF-2812-A?A: Form SF-2812-A is a report used to document withholdings and contributions for health benefits by enrollment code.
Q: What is the purpose of Form SF-2812-A?A: The purpose of Form SF-2812-A is to track and report the withholdings and contributions made for health benefits by enrollment code.
Q: Who uses Form SF-2812-A?A: Form SF-2812-A is used by federal employees who are enrolled in health benefit plans.
Q: What information is required on Form SF-2812-A?A: Form SF-2812-A requires the employee's enrollment code, the withholding amount, and the contribution amount for each pay period.
Form Details:
- Released on October 1, 2014;
- The latest available edition released by the U.S. Office of Personnel Management;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form SF-2812-A by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Office of Personnel Management.
