TN 41 (01-02)
DI 11010.605 Requesting Evidence from the Office of Personnel Management (OPM)
OPM will furnish medical evidence on former civil service employees who have filed for civil service disability retirement. These records may include a letter from the Treating sources, a Certificate of Medical Examination (with detailed clinical signs and laboratory findings), a report from the employing agency describing job duties, and the employee's ability to perform those duties.
Send the request with a signed SSA-827 to: Office of Personnel Management
Employee Service and Records Center
Claims Correspondence Section
Boyers, Pennsylvania 16017
Include the claimant's name, current address, date of birth, civil service claim number, or if no presently employed, the last government employer, location, dates of employment, and date of retirement.
If a response is not received within 45 calendar days from the date of the initial request, send a follow-up request.