skip navigation links
USGS - science for a changing world

Human Capital Services and Support

We Are USGS!

Entrance on Duty Forms Listing

This page lists all of the various components to common EOD forms, MOU's, booklets, and information sheets.

Career/Career Conditional Appointment/Reinstatement
(employee new to Government service or being reinstated)

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
SF-2817 (PDF, 159k) Life Insurance Election (FT/PT Only)
SF-2809 (PDF, 853k) Health Benefits Registration (FT/PT Only)
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87k) Thrift Savings Plan Election Form
SF-2823 (PDF, 119k) Designation of Beneficiary for Life Insurance
SF-2808 (PDF, 230k) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset)
SF-3102 (PDF, 650k) Designation of Beneficiary for FERS (if employee is covered under FERS)
TSP-3 (PDF, 80k) Designation of Beneficiary for TSP
Factsheets and Other Handouts Factsheets and Other Handouts

Career/Career Conditional Transfer
(current Federal employee new to USGS)

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
Transfer within DOI Some pre-appointment and EOD forms may not be required, please coordinate with your HR Specialist
SF-2809 (PDF, 353k) Health Benefits Registration (FT/PT Only)
(Have 60 days from effective date of appointment to enroll, if employee is covered by an HMO and the new appointment's duty station is outside the coverage area of the health care coverage)
TSP-19 (PDF, 76k) Transfer of TSP Account (for employees who have previously established a TSP account.)
Factsheets and Other Handouts Factsheets and Other Handouts

Career/Career Conditional Conversion
(current USGS employee, but on another type of appointment)

Form Number Description
DOI-Access Requestor Form https://portal.doi.net/DOIAccess/
NewCard/default.aspx
(if required)
SF-2817 (PDF, 159k) Life Insurance Election (FT/PT Only)
SF-2809 (PDF, 853k) Health Benefits Registration (FT/PT Only)
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87k) Thrift Savings Plan Election Form
SF-2823 (PDF, 118k) Designation of Beneficiary for Life Insurance
SF-2808 (PDF, 230k) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset)
SF-3102 (PDF, 658k) Designation of Beneficiary for FERS (if employee is covered under FERS)
TSP-3 (PDF, 193k) Designation of Beneficiary for TSP (if employee is eligible for TSP at time of appointment)
Factsheets and Other Handouts Factsheets and Other Handouts

Competitive Service Temporary NTE 1 year or less

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
Statement of Understanding
(PDF, 38k)
Memorandum of Understanding for a Temporary Appt
Factsheets and Other Handouts Factsheets and Other Handouts

Excepted Service: Pathway Temporary Intern or Career Intern

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
SF-2817 (PDF, 159k) Life Insurance Election (Career Intern: FT/PT Only)
SF-2809 (PDF, 332k) Health Benefits Registration (Career Intern: FT/PT Only)
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87K) Thrift Savings Plan Election Form (Career Intern only)
SF-2823 (PDF, 119k) Designation of Beneficiary for Life Insurance (Career Intern only)
SF-2808 (PDF, 230k) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset) (Career Intern only)
SF-3102 (PDF, 650k) Designation of Beneficiary for FERS (if employee is covered under FERS) (Career Intern only)
TSP-3 (PDF, 80k) Designation of Beneficiary for TSP (Career Intern only)
Statement of Understanding Intern Agreement (PDF, 185k) (doc 514k)

Excepted Service Temporary NTE 1 yr or less
(Sch. A Appointments, Field Assistants, NAGT etc.)

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
Statement of Understanding

Statement of Understanding TEMP) (PDF, 38k)

NAGT Agreement (PDF, 58k)

Factsheets and Other Handouts Factsheets and Other Handouts

Term Appointment

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
SF-2817 (PDF, 159k) Life Insurance Election (FT/PT Only)
SF-2809 (PDF, 853k) Health Benefits Registration (FT/PT Only)
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87K) Thrift Savings Plan Election Form
SF-2823 (PDF, 119k) Designation of Beneficiary for Life Insurance
SF-2808 (PDF, 230k) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset)
SF-3102 (PDF, 650k) Designation of Beneficiary for FERS (if employee is covered under FERS)
TSP-3 (PDF, 193k) Designation of Beneficiary for TSP
Statement of Understanding Memorandum of Understanding for a Term Appt (PDF, 10k) (doc)
Factsheets and Other Handouts Factsheets and Other Handouts

Excepted Service Permanent/Conditional
(VRA's, Schedule A., etc.)

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
SF-2817 (PDF, 160k) Life Insurance Election (FT/PT Only)
SF-2809 (PDF, 332k) Health Benefits Registration (FT/PT Only)
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87k) Thrift Savings Plan Election Form
SF-2823 (PDF, 119k) Designation of Beneficiary for Life Insurance
SF-2808 (PDF) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset)
SF-3102 PDF) Designation of Beneficiary for FERS (if employee is covered under FERS)
TSP-3 (PDF, 193k) Designation of Beneficiary for TSP
Statement of Understanding Mendenhall Agreement (PDF, 8k)

Post Doc Agreement (PDF, 8k)

Factsheets and Other Handouts Factsheets and Other Handouts

Excepted Service - Pathway Recent Graduates

Form Number Description
Pre-Appointment Forms Pre-appointment documents
EOD Forms EOD Documents
SF-2817 (PDF, 159k) Life Insurance Election
SF-2809 (PDF, 332k) Health Benefits Registration
(Have 60 days from effective date of appointment to enroll)
TSP-1 (PDF, 87K) Thrift Savings Plan Election Form
SF-2823 (PDF, 119k) Designation of Beneficiary for Life Insurance
SF-2808 (PDF, 230k) Designation of Beneficiary for CSRS (if employee is covered under CSRS or CSRS-offset)
SF-3102 (PDF, 650k) Designation of Beneficiary for FERS (if employee is covered under FERS)
TSP-3 (PDF, 80k) Designation of Beneficiary for TSP
Statement of Understanding Recent Graduates Agreement (PDF, 171k) (doc 502k)
Factsheets and Other Handouts Factsheets and Other Handouts

Pre-Appointment Forms

Form Number Description
  Resume or other form of application
DOI-Access Requestor Form https://portal.doi.net/DOIAccess/NewCard/default.aspx
Fingerprints SF-87, fingerprint chart (not available in electronic format) or visit an approved credentialing center: http://www.fedidcard.gov/centerlocator.aspx
Identification for DOI Access Card DOI Access Acceptable Forms of Identification
OF-306 (PDF, 72k) Declaration of Appointee

9-1909 (PDF, 20k)

Employee Financial Interests Certification (January 2006)

9-1644 (PDF, 66k)

Nepotism Certification

SF-144 (PDF, 273k) Statement of Prior Federal Service
OF-178 (PDF, 752k) Certificate of Medical Examination (if position requires it)
DD-214 Honorable Discharge Certification or comparable certificate with entry and separation date of military service
(Required if appointee has military service for vet preference or for SCD)

EOD Forms

Form Number Description
SF-61 (PDF, 41k) Appointment Affidavit
I-9 (PDF) Employment Eligibility Verification (Citizenship)

9-3113 (doc)

Ethics Guide for DOI Employees (doc)

USGS Ethics Office contact and specialization chart (PDF, 69k)

Initial Ethics Orientation for New USGS Employees (March 2010) and Ethics Guide for DOI Employees (please be sure that in addition to providing a link to the Ethics Guide that you also provide a hardcopy of the Guide which is a color, spiral-bound ethics booklet dated November 2008); and USGS Ethics Office contact and specialization chart.
A-23 (PDF) Official Mailing Address
FMS 2231 (PDF) Fast Start Direct Deposit
W-4 Federal Withholding Exemption Certificate
State Tax Withholding State Tax Withholding
SF-181 (PDF, 144k) Race and National Origin Identification
SF-256 (PDF, 187k) Self-Identification of Handicap
SF-1152 (PDF, 167k) Designation of Beneficiary for Unpaid Compensation

Factsheets and Other Handouts

Form Number Description
Factsheets and other handouts Benefits—New Hire Fact Sheet (PDF)
Benefits Information for New Hires Webinars
Employee Express Brochure (PDF)
USGS Code of Scientific Conduct (PDF, 223k)
EOPF Employee Guide (PDF, 404k)
Survey Manual Chapter on Smoking in Federal Buildings
Factsheet on Safety (PDF, 7k) (doc)
Your Position...Your Pay (PDF, 17k) (doc)
Pay Period Calendar
Memorandum - Anti-Harassment Policy (PDF)
Memorandum - Non-Discrimination Policy (PDF)
Memorandum - Diversity Statement (Internal EEO PDF)
Factsheet for Intermittent Employment (PDF
MOU for Intermittent Employment (PDF)
Memorandum of Understanding for Seasonal Employment (doc)
USGS Guiding Principles



Conflict Management | Employee & Career Development | Human Resources |
Organization Development | Pay & Benefits | Performance & Conduct | Staffing & Workforce

Accessibility FOIA Privacy Policies and Notices

Take Pride in America logo USA.gov logo U.S. Department of the Interior | U.S. Geological Survey
URL: http://www.usgs.gov/humancapital/hr/eodlist.html
Page Contact Information: hcweb@usgs.gov
Page Last Modified: Thursday, 03-Apr-2014 13:15:38 EDT