Civilian Employees - Retirement Letter Request

Information on Retiree

Please use proper capitalization (uppercase and lowercase letters) throughout this form. Submissions in all capital or all lowercase cannot be processed.

Hyphenated names and accented letters ( á, é, í, ó, ú and ñ) are supported.
First Name
Initial
Last Name
Suffix (Optional)
Organization / Agency
Location of Employer or Retiree's Residence

Please refrain from using abbreviations (ie. AFB should be Air Force Base).
City
State/Territory
Date of Retirement Date of Retirement / MM / DD YYYY
Requested By
Name
Email
Phone Phone - ### - ### ####
Mailing Address
Full Name
Company/Organization
Street Address 1
Street Address 2
City
State / Territory
Zip Code
Comments (optional)
Please carefully review your information for accuracy before submitting your request.

If you do not see the confirmation page after clicking the submit button, please resubmit your request.

Confirmation will also be emailed to you shortly.