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Adding a 2810 Record

The Add function allows users to add 2810 records.

To Add a 2810 Record:

  1. On the CLER Main Menu, select the Forms tab. The Forms Main page is displayed.

    Forms Main Page

  2. Select the 2810 option on the Forms tab. The Form 2810 page is displayed.

    Form 2810 Search

  3. Select the Add button on the Form 2810 page to display the Form 2810 Add Part A page.

    Form 2810 Add Part A

  4. Complete the following fields on the Form 2810 Add Part A page:

    Payroll Office ID

    Year

    Quarter

    Personnel Office ID

    Last Name

    First Name

    Initial

    Address Line 1

    Address Line 2

    Address Line 3

    City

    State

    Zip

    Foreign Country

    SSN

    Date of Birth

    Enrollment Code

    Enrollment ID

    Effective Date

    Annuity Claim #

    Survivor Annuity Claim #

    Report #

  5. Select the Save Form button. If no errors occur, a popup appears to confirm the record has been added.

    OR

    Select the Clear Data button to clear the form and select the Cancel button to return to the previous page.

    Transmission Online Entry Add popup

  6. Select the OK button to close the popup.
  7. Select Part B thru F on the Form 2810 Add page. The Part B thru F page is displayed.

    Form 2810 Add B thru F

  8. Complete the following applicable fields on the Form 2810 Add Part B thru F page:

    Part B - Termination

    Part C - Transfer In

    Part D - Reinstatement

    Part E - Change of Enrollee Information

    Last Name

    First Name

    Initial

    Address Line 1

    Address Line 2

    Address Line 3

    City

    State

    Zip

    Foreign Country

    Date of Birth

    SSN

    Sex

    Part F - Change in Enrollment/Survivor Annuitant

    New Enrollment Code Number

  9. Select the Save Form button to save changes.

    OR

    Select the Clear Data button to clear the form.

    OR

    Select the Cancel button to return to the previous page.

    Note: An asterisk (*) indicates a required field. The Plan Name and Enrollment Code fields in Part B are marked with * when Start or Change is selected in the Nature of Action field in Part A. The Last Name, First Name, Date of Birth, Code, SSN, and Sex fields in Part B are marked with * when the third position of the enrollment code entered in the Enrollment Code field in Part B is 2 or 5, indicating family coverage.

  10. Select Part G thru H on the Form 2810 Add page. The Part G thru H page is displayed.

    Form 2810 Add Part G thru H

  11. Complete the following applicable fields on the Form 2810 Add Part G thru H page:

    Remarks

    Date of Death

    Agency Name

    Address Line 1

    Address Line 2

    Address Line 3

    City

    State

    Zip

    Foreign Country

    Agency ID

    Personnel Office ID

    Agency Use

    Authorized Official Last Name

    Authorized Official First Name

    Authorized Official Initial

    Authorized Official Date

    Contact (Personnel) Last Name

    Contact (Personnel) First Name

    Contact (Personnel) Initial

    Contact (Personnel) Phone

    Contact (Payroll) Last Name

    Contact (Payroll) First Name

    Contact (Payroll) Initial

    Contact (Payroll) Phone

  12. Select the Save Form button. If no errors occur, a popup appears to confirm the record has been added.

    OR

    Select the Clear Data button to clear the form. Select the Cancel button to return to previous form.

    Transmission Online Entry Add popup

  13. Select the OK button to close the popup.

See Also

Maintaining 2810 Records

Viewing a 2810 Record

Updating a 2810 Record

Releasing a 2810 Record

Canceling a 2810 Record