SF 3112E: FERS Disability Retirement Application Checklist

What role does SF 3112E play in the disability retirement application process?

Even though it is only a checklist, SF 3112E: Disability Retirement Application Checklist is an integral part of your application for FERS Disability Retirement (FDR). In fact, OPM will often decline to process claims that are missing SF 3112E.

This article discusses the role of SF 3112E, the potential problems and issues you may run into, and how to address them.

As a first step, let’s look at how SF 3112E fits into the grand scheme.


As mentioned in previous articles, it can be helpful to think of your FDR claim as a triangle:

Potential Problems with SF 3112E

You should be aware that if you’ve been separated from federal service for more than 31 days, SF 3112E has the potential to cause you some major headaches.

As a separated employee, you are required to submit your claim package directly to OPM. Therefore, you must obtain forms SF 3112B, SF 3112D, and SF 3112E from your agency.

Getting your agency to complete SF 3112B and SF 3112D is usually not a problem.

However, many agencies are unwilling to complete SF 3112E for separated employees.


Well, by completing SF 3112E, your agency is certifying that your application package contains specific forms and information. However, since you will be submitting your application directly to OPM, your agency has no way of verifying the contents of the final application package. For example, you could choose to update and/or remove certain documents without your agency’s knowledge.

What Should I Do if My Agency Refuses to Complete SF 3112E?

If your agency refuses to complete SF 3112E, you should first provide them a copy of SF 3112-2: Information About Disability Retirement and remind them that they are required to complete SF 3112E and provide you the original.

Next, suggest that your agency only complete Items 1 – 7 and 12 – 14. This allows them to complete the bulk of SF 3112E without having to vouch for the actual contents of the final application package.

If your agency is still unwilling to budge, then include a blank copy of SF 3112E with your application package with an explanation as to why it is incomplete. Include copies of any email correspondence with your agency to show OPM that you have made a good-faith effort. Also, provide OPM current contact information for the agency representative who is responsible for completing SF 3112E.

Finally, if you find yourself in a catch-22 situation (i.e., your agency refuses to complete SF 3112E, and OPM refuses to process your application without it), you may want to consult your union representative, attorney, etc. to discuss the possibility of filing a claim or grievance against your agency.

Note: SF 3112E can be found on page 10 of SF 3112: Documentation in Support of Disability Retirement Application.

About the Author

Since 2012, Scott Santarelli has been helping disabled federal and postal workers obtain FERS disability benefits. His highly-effective approach has been adopted by several disability attorneys. He enjoys writing articles that provide valuable information about the OPM claims process.