Skip to Main Content

Web Procedure Manual

Previous Topic

Next Topic

Book Contents

Book Index

Forms

Forms associated with CLER activities are described below.

Standard Form (SF) 2809, Health Benefits Election Form. This form is used by Federal employees eligible to enroll in or currently enrolled in FEHB; and/or former spouses of Federal employees eligible to enroll in or currently enrolled in FEHB under the Spouse Equity law, and/or individuals eligible for temporary continuation of coverage under FEHB to:

SF 2810, Notice of Change in Health Benefits Enrollment. This form is used to:

Note: The 2809 and 2810 options in CLER are formatted to include data elements from the forms listed above, as well as the data elements from the 2809 and 2810 options on the Employee Personal Page (EPP).

CLERP, Security Access Form, Health Benefit Agencies. This form is completed by the Agency's security officer and submitted to NFC’s OSC to request CLER access for the Agency's personnel.

See Also

Introduction

Overview

System Capabilities and Interface

Reports

Responsibilities

Who to Contact for Help