Centralized Enrollment Clearinghouse System (CLER) for the Office of Personnel Management (OPM)

Last Name - Form 2810 Add (Part E) Field Instruction

Last Name

Conditional, alphanumeric, 25 positions maximum

If the Change of Enrollee Information box is selected, and the last name for the enrollee or survivor annuitant is different than the last name listed in Part A, enter the enrollee or survivor annuitant's new last name.

Note: If the enrollee or survivor annuitant has a title (e.g., Jr., Sr., I, II, or III) it should be entered after the last name without punctuation.

OR

If the enrollee or survivor annuitant has only one name, enter that one name in this field.