How do I submit a claim under this subpart?

(a) No specific form is required. Your request must be in writing and contain the following information: (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. (b) Send your claim to: Office of Personnel Management, Retirement and Insurance Service, ATTN: FC Section, Washington, DC 20415-3200