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Federal Benefits Analysis Survey
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Federal Benefits Analysis Survey
1. Person Requesting Federal Benefits Analysis
*
First
Last
2. Where should we send your Federal Benefits Analysis?
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
3. Your Email
*
4. Your Phone
*
5. Date of Birth
*
Month
Day
Year
6. Service Computation Date (SCD)
*
Month
Day
Year
7. Retirement Goal Date
*
Month
Day
Year
8. Are you a FERS, FERS Transferee, CSRS, or CSRS Offset employee?
FERS
FERS Transferee
CSRS
CSRS Offset
9. If you are a FERS Transferee, what is your TRANSFER DATE?
Month
Day
Year
10. What percentage of your income are you putting into the TSP?
*
11. About how many hours of unused sick leave do you have?
12. FEGLI Multiplier x Salary (Input 1 if you have basic coverage)
1
2
3
4
5
13. TSP Balance
*
14. Annual Salary
*
15. Are you an Air Traffic Controller, Firefighter, Law Enforcement Officer, Capitol Police, Congressional Staff, or Nuclear Materials Courier?
*
Yes
No
16. What are your biggest retirement concerns or questions?