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Viewing a 2810 Record

The View function allows users to view 2810 records.

To View a 2810 Record:

  1. Select the Forms tab at the top of the CLER Main Menu. The Forms Main Page is displayed with the options 2809 and 2810.

    Forms Main page

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

    2810 Form page 1

  3. Complete the fields as follows:

    Field

    Instruction

    Payroll Office ID*

    Required

    Select the payroll office identification number from the drop-down menu.

    Year*

    Optional, default

    Select the reconciliation year from the drop-down menu. If no year is selected, this field automatically defaults to the current reconciliation year.

    Quarter*

    Optional, default

    Select the reconciliation quarter from the drop-down menu. If no quarter is selected, this field automatically defaults to the current reconciliation quarter.

    Agency ID

    Optional, alphanumeric, 4 positions

    Enter the Agency identification code for the enrollee's employing, personnel, or point of contact office (example: AG90 for U.S. Department of Agriculture, Office of the Chief Financial Officer).

    POI

    Optional, alphanumeric, 4 positions

    Enter the personnel office identification number where the enrollee's records are maintained.

    Enrollment Code

    Optional, alphanumeric, 3 positions

    Enter the enrollment/carrier enrollment code.

    SSN

    Required, alphanumeric, 9 positions

    Enter the enrollee’s Social Security number (SSN). If the enrollee does not want his/her SSN provided to the carrier, a pseudo SSN may be used if the pseudo SSN is also reported to CLER.

    User ID

    Optional, alphanumeric, 8 positions maximum

    Enter the user identification number of the person creating the report.

    Last Name

    Optional, alphanumeric, 25 positions maximum

    Enter the enrollee’s last name. If the enrollee has a title (e.g., Jr, Sr, I, II, or III), it should be entered after the last name without punctuation (e.g., Smith Jr or Smith III). If there is a case of an enrollee having only one name, enter that one name in this field.

    First Name

    Optional, alphanumeric, 12 positions maximum

    Enter the enrollee’s first name. This must be provided with the exception of an enrollee with only one name.

    Initial

    Optional, alphanumeric, 1 position

    Enter the enrollee’s middle initial.

    Display

    Optional, default

    Defaults to the All display option. Allows users to display search results by the options listed below. To choose another display option, select the radio button next to one of the following options:

    All - Displays all records related to the search criteria.

    Released - Displays records released for processing.

    Cancelled - Displays records that have been cancelled.

    Not Released - Displays records not released for processing.

    Processed - Displays processed records.

    Order By

    Optional, default

    Defaults to the Agency ID sort option. Allows users to sort search results by the options listed below. To choose another sort option, select the radio button next to one of the following options:

    Agency ID - Search by Agency identification code.

    SSN - Search by enrollee Social Security number.

    Name - Search by enrollee name.

    User ID - Search by user identification number.

    Status - Search by status (e.g., released, processed, not released, or cancelled release).

  4. Click Submit. The Form 2810 Search Results page is displayed.

    Form 2810 Search Results Page

    Field

    Description

    Payroll Office ID

    System generated

    Displays the payroll office identification number.

    Year

    System generated

    Displays the reconciliation year.

    Quarter

    System generated

    Displays the reconciliation quarter.

    Enrollee SSN

    System generated

    Displays the enrollee’s SSN.

    Last Name

    System generated

    Displays the enrollee’s last name.

    First Name

    System generated

    Displays the enrollee’s first name.

    Release Date

    System generated

    Displays the date the record was released for processing.

    Released By

    System generated

    Displays the user identification number of the individual who released the record for processing.

    Status

    System generated

    Displays the status of the transmission. This field is populated by one of the following: Processed, Canceled, Released, or Not Released.

  5. Click View next to the applicable record. The Form 2810 View (Part A) page is displayed.

    Form 2810 View Part A Page

    Field

    Description

    Payroll Office ID

    System generated

    Displays the payroll office identification number.

    Year

    System generated

    Displays the reconciliation year.

    Quarter

    System generated

    Displays the reconciliation quarter.

    Personnel Office ID

    System generated

    Displays the personnel office number for the enrollee's employing, personnel, or point of contact office.

    Last Name

    System generated

    Displays the enrollee’s last name.

    First Name

    System generated

    Displays the enrollee’s first name.

    Initial

    System generated

    Displays the enrollee’s middle initial.

    Address Line 1

    System generated

    Displays the first line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.

    Address Line 2

    System generated

    Displays the second line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.

    Address Line 3

    System generated

    Displays the third line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.

    City

    System generated

    Displays the name of the enrollee’s domestic or foreign city.

    Note: If the address is an overseas military address, this field displays FPO for fleet post office or APO for army post office in lieu of the city.

    State

    System generated

    Displays the enrollee's State, U.S. territory, or overseas military abbreviation. For a list and descriptions of State, U.S. territory, and overseas military abbreviations, see State, U.S. Territory, and Overseas Military Abbreviations Table.

    Zip

    System generated

    Displays the enrollee's domestic or foreign ZIP Code or foreign postal code.

    Country

    System generated

    Displays the enrollee’s country code. For a list and descriptions of country codes, see Country Codes Table.

    SSN

    System generated

    Displays the enrollee’s SSN.

    Date of Birth

    System generated

    Displays the enrollee’s date of birth.

    Enrollment Code

    System generated

    Displays the enrollment code, which consists of the plan and option codes.

    Enrollment ID

    System generated

    Displays the deceased annuitant's SSN.

    Effective Date

    System generated

    Displays the date (MMDDYY) the requested action goes into effect.

    Annuity Claim #

    System generated

    Displays the civil service annuitant (CSA) number assigned to the enrollee by OPM.

    Survivor Annuity Claim #

    System generated

    Displays the civil service final (CSF) number assigned to the enrollee by OPM.

    Report #

    System generated

    Displays the number of the original report (e.g., notification to carrier, transmittal number, etc.).

    Last Changed ID

    System generated

    Displays the user identification number of the individual who made the most recent change to the record.

    Last Changed Date

    System generated

    Displays the date of the most recent change.

    Last Changed Time

    System generated

    Displays the time of the most recent change.

    Released ID

    System generated

    Displays the user identification number of the individual who released the record for processing.

    Released Date

    System generated

    Displays the date the record was released for processing.

    Released Time

    System generated

    Displays the time the record was released for processing.

    Processed Date

    System generated

    Displays the date the record was processed.

    Processed Time

    System generated

    Displays the time the record was processed.

  6. Select Part B thru F. The Form 2810 View (Part B thru F) page is displayed.

    Form 2810 View Part B Thru F Page

    Field

    Description

    Part B-Termination

    System generated

    A selected radio button indicates the enrollment is terminated.

    Part C-Transfer In

    System generated

    A selected radio button indicates the enrollment is being transferred from one payroll office to another.

    Part D-Reinstatement

    System generated

    A selected radio button indicates the enrollment is being reinstated.

    Part E-Change of Enrollee Information

    System generated

    A selected radio button indicates (1) an enrollee's name has changed, (2) the enrollment has changed from the enrollee's name to the name of the survivor annuitant, or (3) the enrollment has changed from the survivor annuitant's name to the name of another survivor annuitant.

    Last Name

    System generated

    Displays the enrollee's new last name or the last name of the new survivor annuitant, as applicable.

    First Name

    System generated

    Displays the enrollee's new first name or the first name of the new survivor annuitant, as applicable.

    Initial

    System generated

    Displays the enrollee's new middle initial or the middle initial of the new survivor annuitant, as applicable.

    Address Line 1

    System generated. Displays the first line of the enrollee or survivor annuitant's new domestic or foreign street, apartment number, or post office box, rural route, etc.,as applicable

    Address Line 2

    System generated

    Displays the second line of the enrollee or survivor annuitant's new domestic or foreign street, apartment number, or post office box, rural route, etc.,as applicable

    Address Line 3

    System generated

    Displays the third line of the enrollee or survivor annuitant's new domestic or foreign street, apartment number, or post office box, rural route, etc.,as applicable

    City

    System generated

    Displays the new name of the city for the enrollee or survivor annuitant's address.

    Note: If the address is an overseas military address, this field displays FPO for fleet post office or APO for army post office in lieu of the city.

    State

    System generated

    Displays the new State, U.S. territory, or overseas military abbreviation for the enrollee or survivor annuitant's address. For a list and descriptions of State, U.S. territory, and overseas military abbreviations, see State, U.S. Territory, and Overseas Military Abbreviations Table.

    Zip

    System generated

    Displays the new ZIP Code or foreign postal code for the enrollee or survivor annuitant's address.

    Foreign Country

    System generated

    Displays the new country code for the enrollee or survivor annuitant's address. For a list and descriptions of country codes, see Country Codes Table.

    Date of Birth

    System generated

    Displays the enrollee or survivor annuitant’s date of birth.

    SSN

    System generated

    Displays the enrollee or survivor annuitant’s SSN.

    Sex

    The selected radio button indicates the following values:

    M - Male

    F - Female

    Part F-Change in Enrollment/Survivor Annuitant

    System generated

    A selected radio button indicates the survivor annuitant's enrollment code has changed.

    New Enrollment Code Number

    System generated

    Displays the new enrollment code for the survivor annuitant.

  7. Select Part G thru H at the top of the Form 2810 View (Part B thru F) page. The Form 2810 View (Part G thru H) page is displayed.

    Form 2810 View Part G-H Page

    Field

    Description

    Remarks

    System generated

    Displays the remarks about this record.

    Date of Death

    System generated

    Displays the enrollee's date of death.

    Agency Name

    System generated

    Displays the name of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.

    Address Line 1

    System generated

    Displays the first line of the domestic or foreign street, PO box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.

    Address Line 2

    System generated

    Displays the second line of the domestic or foreign street, P O Box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.

    Address Line 3

    System generated

    Displays the third line of the domestic or foreign street, PO box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.

    City

    System generated

    Displays the name of the domestic or foreign city for the enrollee's employing, personnel, or point of contact office.

    Note: If the address is an overseas military address, this field displays FPO for fleet post office or APO for army post office in lieu of the city.

    State

    System generated

    Displays the State, U.S. territory, or overseas military abbreviation for the enrollee's employing, personnel or point of contact office. For a list and descriptions of State, U.S. territory, and overseas military abbreviations, see State, U.S. Territory, and Overseas Military Abbreviations Table.

    Zip

    System generated

    Displays the ZIP Code or foreign postal code for the enrollee's employing, personnel, point of contact office.

    Foreign Country

    System generated

    Displays the country code for the enrollee's employing, personnel, or point of contact office.

    Agency ID

    System generated

    Displays the Agency identification code for the enrollee's employing, personnel, or point of contact office (example: AG90 for U.S. Department of Agriculture, Office of the Chief Financial Officer).

    Personnel Office ID

    System generated

    Displays the personnel office number for the enrollee's employing, personnel, or point of contact office.

    Agency Use

    System generated

    Displays information regarding this record.

    Authorized Official Last Name

    System generated

    Displays the the last name of the Agency official who is authorized to sign the Form 2810.

    Authorized Official First Name

    System generated

    Displays the first name of the Agency official who is authorized to sign the Form 2810.

    Authorized Official Initial

    System generated

    Displays the middle initial of the Agency official who is authorized to sign the Form 2810.

    Authorized Official Date

    System generated

    Displays the date the authorized Agency official signed the document.

    Contact (Personnel) Last Name

    System generated

    Displays the last name of the personnel office contact.

    Contact (Personnel) First Name

    System generated

    Displays the first name of the personnel office contact.

    Contact (Personnel) Initial

    System generated

    Displays the middle initial of the personnel office contact.

    Contact (Personnel) Phone

    System generated

    Displays the personnel office contact's daytime area code and telephone number.

    Contact (Payroll) Last Name

    System generated

    Displays the last name of the payroll office contact.

    Contact (Payroll) First Name

    System generated

    Displays the first name of the payroll office contact.

    Contact (Payroll) Initial

    System generated

    Displays the middle initial of the payroll office contact.

    Contact (Payroll) Phone

    System generated

    Displays the payroll office contact's daytime area code and telephone number.

    Note To view another record, click your browser's Back button to return to the Form 2810 Search Results page and click View next to the applicable record.

See Also

Maintaining 2810 Records

Adding a 2810 Record

Updating a 2810 Record

Releasing a 2810 Record

Canceling a 2810 Record