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Electronic UCFE and UCX wage and separation information exchange
Summary ETA gave state unemployment agencies new procedures for obtaining federal civilian and former service member wage and separation information electronically, including claims control records, forms, and system layouts. It asked states to plan for full operation by December 31, 2002. ETA still lists the letter Active and cited part of it in 2024, although the signed letter printed an August 2002 expiration; its current scope is unclear.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
UIPL No. 47-01
Date issued
August 30, 2001
Status
Unknown
ETA lists this advisory Active, but the signed letter prints an August 31, 2002 expiration date. ETA cited its UCX verification procedures in UIPL 14-24; the current scope of this 2001 system guide is unclear.
Status last verified October 25, 2026
Apply this to your situation
This page explains the general guidance. Ask about your specific situation and see what current federal labor law says, with citations.
About this page: The full text below is the official document from U.S. Department of Labor, Employment and Training Administration (ETA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
Complete official packet, including the state implementation guide, sample forms, and federal-agency index:
CLASSIFICATION
OWS
U. S. Department of Labor CORRESPONDENCE SYMBOL
Employment and Training Administration
Washington, D.C. 20210 OIS/DUIO
DATE
August 30, 2001
DIRECTIVE: UNEMPLOYMENT INSURANCE PROGRAM LETTER NO. 47-01
TO: ALL STATE EMPLOYMENT SECURITY AGENCIES
FROM: GRACE A. KILBANE
Administrator
Office of Workforce Security
SUBJECT: Electronic Exchange of Wage and Separation Information for the
Unemployment Compensation for Federal Employees (UCFE) and the
Unemployment Compensation for Ex-servicemembers (UCX)
Programs
1. Purpose. To transmit to the State Employment Security Agencies (SESAs) the
system and procedural requirements for the electronic exchange of wage and
separation information for the UCFE and UCX programs, and the Claims Control
system for both programs. To also advise SESAs that model code for the UCFE
Interstate Connection (ICON) application is also being issued under separate cover by
Lockheed Martin.
2. Reference. ET Handbook No. 384, Unemployment Compensation for Ex-servicemembers; ET Handbook No. 391, UCFE Instructions for State Agencies.
3. Background. To better integrate federal programs with states’ claims processing
systems, procedures for obtaining wage and separation information for both the UCX
and UCFE programs have been automated to the extent possible. For the UCFE
program, Lockheed Martin has developed an ICON application that states will use to
generate electronic and/or hardcopy requests to federal agencies, as appropriate, and
to receive electronic responses. For the UCX program, the electronic record of
information from the DD Form 214/215 maintained by the Louisiana Claims Control
Center (LCCC) has been changed to allow states, after necessary in-house
programming, to electronically obtain UCX wage and separation information. For the
UCX and UCFE programs, the Claim Control File system maintained by the LCCC has
been redesigned to support a more effective exchange of information and for integrity
purposes.
RESCISSIONS EXPIRATION DATE
None August 31, 2002
The attached Guide and Directory of Federal Agencies’ Index has been developed by
the Employment and Training Administration (ETA) with input and assistance from staff
at the LCCC, Lockheed Martin and some of the pilot states that participated in testing
the new applications and procedures. This Guide explains the revised UCFE and UCX
claims processing and control file procedures.
The Frick Company, which represents approximately 30 federal agencies, is operational
on the new UCFE system and is currently exchanging production data (wage and
separation information) with the State of Georgia. The U.S. Postal Service (USPS) is
expected to begin participating by the beginning of calendar year 2002. Discussions
with four additional large federal agencies indicate their willingness to participate in the
future. These agencies together with the USPS and the agencies represented by the
Frick Company represent over 80 percent of the UCFE workload.
The Department has also been in discussion with the Department of Defense (DOD)
concerning the new procedures for the UCX program and the need for prompt delivery
of the Department’s copy of each DD Forms 214 and 215 to the LCCC. Currently, a
high percentage of the DD Forms 214 are not on file at the LCCC when individuals file
initial UCX claims immediately upon discharge. The new system notifies the state
when the DD Form 214 is not on file so that the state can use the claimant’s copy to
make a timely determination. The DOD has indicated that it is in the process of
automating the DD Form 214, as well as the DD Form 215, in a manner that will allow
the LCCC to obtain needed UCX information electronically in the future.
4. UCFE Changes. The key UCFE procedural changes and automation improvements
include the following:
a) the development of an ICON UCFE application that supports the exchange of
wage and separation information between the state agency and federal employers
using electronic versions of the ETA 931, ETA 931A and ETA 934;
b) a revision of the paper Forms ETA 931, ETA 931A and ETA 934 to represent
the same data elements on the electronic forms;
c) the inclusion of logic in the ICON UCFE application that determines when a hard
copy form is necessary, thereby, eliminating the need for claims takers to handle the
data entry of claims differently to generate electronic versus hard copy forms (not all
federal agencies will be able to electronically exchange information);
d) an automated Directory of Federal Agencies as a feature of the UCFE
application; and
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e) an address data entry capability to allow states to enter an address that is not
in the electronic directory for use in mailing a form. This address will not update the
Directory. It will instead cause Lockheed Martin to send a notice to the National Office
for follow-up with the federal agency. The address will only be added to the directory
upon verification.
5. UCX Changes. The key UCX procedural changes include the following:
a) the Department’s copy of the DD Form 214, maintained at the LCCC, is now the
official source of wage and separation information for use in establishing UCX
entitlement and eligibility;
b) the LCCC will calculate the claimant’s UCX employment and wages and provide
the information to state agencies; and
c) the State is authorized to determine UCX eligibility under an affidavit process,
using the claimant’s copy four (4) of his/her DD Form 214, upon receipt of a notice from
the LCCC that there is no DD Form 214 on file. This procedure will eliminate any
potential delay in the determination of UCX eligibility pending receipt of the
Department’s copy of the DD Form 214.
6. UCFE/UCX Control File. A primary feature of the new system at the LCCC is the
change to the Claims Control System that serves both the UCFE and UCX programs.
The key features of the new system are as follows:
a) the Claims Control System has been changed to maintain a control record only
when an intrastate or interstate benefit year is established that causes a wage
assignment;
b) there will be two types of control records, one that shows a benefit year on file in
the state and one that shows a wage assignment only in a state; and
c) the format of the new control record will contain sufficient information for use by
states to determine if there is conflicting prior wage assignment or an existing benefit
year.
7. State Responsibilities. It is each state agency’s responsibility to take the actions
necessary to implement these new UCFE and UCX procedures in the State. In order
for the system to operate optimally, it is necessary for the state agency to fully interface
the new applications with its wage and benefit systems. To that end, it will be
necessary to designate both data processing staff to install and/or develop the
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necessary code to support the procedures, and program staff to develop internal
operating procedures, train staff and monitor the testing of the new procedures.
Model code for the ICON UCFE application was being distributed by Lockheed Martin
under separate cover during the week of August 13. IBM and non-IBM states will follow
their normal implementation procedures that apply to all ICON applications. It will be
helpful if the data processing staff handling the installation and interfacing of the UCFE
application have familiarity with the ICON since this is an ICON application. No code is
being provided for the UCX changes. States will have to individually develop software
for the UCX changes based on the procedural descriptions and record formats that are
provided in the attached Guide.
Implementation of the changes to the UCFE procedures requires the implementation of
both the ICON UCFE application and the UCFE claims control feature with the LCCC.
The new Claims Control System for UCFE claims is expected to be implemented before
or simultaneously with the ICON UCFE application. Therefore, it is suggested that
states program and implement the new procedures for communicating with the
LCCC first.
The sooner that all states implement the new procedures for communicating requests
for UCX wage and separation information and the new Claim Control System for UCFE
and UCX, the shorter the transition period will be for receiving LCCC response records
from the old “inquiry” Control System and the new Claims Control System.
8. Action Required. SESAs are requested to:
a. provide copies of the attachments to appropriate personnel including data
processing and UCFE/UCX program/operations staff;
b. develop a schedule for the programming, installation, and testing of the new
UCFE and UCX electronic data exchange procedures; and
c. plan to be fully operational on the new UCFE and UCX systems no later than
December 31, 2002.
9. Inquiries. Please direct all program related inquiries to the appropriate Regional
Office. Technical questions about the ICON UCFE application may be directed to
Martha Hazelrigg (Lockheed Martin) at (407) 306-7228. Technical questions about the
UCX or claim control records requirements may be directed to Rezzie Meyer (LCCC) at
1-800-535-8100.
10. Attachments.
I - STATE IMPLEMENTATION GUIDE - Changes to the UCFE and UCX Programs
II - Directory of Federal Agencies - Index
Attachment to UIPL No. 47-01
STATE IMPLEMENTATION GUIDE
For
UCFE and UCX Program Changes
U.S. Department of Labor
August 2001
Table of Contents
Page
Background................................................. i
Overview of Changes........................................ i
1. LCCC Claim Control Operation.......................... 1
2. Transition from Old to New System...................... 2
3. State Agency Record Types for Communicating with LCCC.. 4
a. State Agency UCFE - UCX Request Record Layout...... 5
b. Required Fields for Each Record Type............... 7
4. Requesting Information from the LCCC................... 7
5. Requesting UCX Wage and Separation Information and
Match Against the Claim Control Records................ 8
6. Preparing a Claim Control Type 2 Record................ 8
7. Preparing a Type 3 Wage Assignment Only Record......... 9
8. Preparing a Type 4 Request Record, Cancellation of
Type 2 Claim Control Record............................ 9
9. Preparing a Type 5 Request Record, Cancellation of
Wage Assignment Only Control Record.................... 9
10. Preparing a Type 6 Request Record, Cancellation UCX
Pending Record......................................... 9
11. Transmitting Records to LCCC .......................... 10
a. Test Records Job Control Language.................. 10
b. Production Records Job Control Language............ 10
12. Receiving Response Records from LCCC................... 11
13. LCCC Response Record Layout............................ 11
14. Response to Request Record Type 1,, Initial Claim
Request ............................................. 23
a. Pending Records.................................... 24
b. Informational Messages ............................ 24
15. Amended UCX Responses.................................. 30
16. Rejected Records - Error Messages...................... 30
17. Optional Print Program................................. 31
18. Using an Affidavit to Establish UCX Eligibility........ 32
19. UCFE Forms and Corresponding Electronic Record Formats. 32
20. UCFE - Generating Requests for Wage and Separation
Information to Federal Agencies........................ 32
a. ICON UCFE Support System - Main Menu............... 34
b. ETA-931, Data Entry Screen......................... 34
21. ETA-931, Request for Wage and Separation Information... 34
a. Form ETA-931, Request for Wage and Separation
Information.. ..................................... 35
(1) Front of Form ETA-931 ....................... 35
(2) Reverse of Form ETA-931 ..................... 36
(3) Number of copies ............................ 37
(4) Preparation of Form ETA-931 ................. 37
b. TC-ETA-931, Request for Wage and Separation
Information - Request Record Format................ 38
c. TC-ETA-931, Response Record Format................. 41
d. TC-ETA-931 Response Record View Screen............. 54
22. State agency processing of TC-ETA-931 Response Record.. 55
23. Use of Claimant’s Affidavit............................ 55
a. Form ETA-935, Claimant’s Affidavit of Federal
Civilian Service, Wages and Reason for Separation.. 57
24. ETA-931A, Request for Separation Information -
Additional Claim....................................... 58
Data Entry Screen for ETA-931A..................... 59
Form ETA-931A, Request for Separation
Information -
Additional Claim................................... 59
b. TC-ETA-931A Request Record Format.................. 61
c. TC-ETA-931A Response Record Format................. 64
d. TC-ETA-931A Response Record View Screen............ 67
25. Requesting Additional Information From a Federal Agency 67
a. TC-ETA-934, Data Entry Screen...................... 68
b. Form ETA-934, Request for Additional Information... 68
c. Completion of From ETA-934......................... 69
d. TC-ETA-934, Request for Additional Information..... 69
(1) TC-ETA-934, Request Record Format.............. 70
(2) TC-ETA-934, Response Record Format............. 72
(3) TC-ETA-931A Response Record View Screen........ 74
26. Directory of Federal Agencies.......................... 74
a. Federal Agencies Address View Screen............... 75
27. Record Retention....................................... 76
Appendix A - UCFE/UCX Questions and Answers
Appendix B - Examples of Responses from LCCC
Appendix C - Full Size Forms
Background
For several years, State Employment Security Agencies (State
agencies) have been taking advantage of technology advances to
automate intrastate and interstate unemployment compensation
processes to eliminate the use of paper forms and files and the
use of the mail to exchange information. The degree to which
automation could be applied to UCFE and UCX activities has been
limited by the programs’ procedures for obtaining the wage and
separation information necessary to the determination of claims.
These UCFE and UCX procedures have resulted in the necessity to
use manual procedures to collect and exchange information and have
caused delays in the payment of benefits.
Over the past few years, the Department together with the
Information Technology Support Center, the Louisiana Claims
Control Center (LCCC), Lockheed Martin, the U.S. Postal Service,
the Frick Company (as the representative of 30 Federal agencies)
and the States of Alaska, Georgia, Louisiana, Maryland, Minnesota,
New York and Virginia have worked to redesign and test new methods
for electronically exchanging UCFE information between the Federal
and State agencies and/or to exchange UCFE and UCX information
between State agencies and the LCCC. Additional UCFE and UCX
procedural changes were initiated to take advantage of the use of
technology and to ensure that the Federal UC programs are better
accommodated in the State agencies’ remote initial claims taking
environment.
Overview of Changes
An Interstate Connection (ICON) application has been developed by
Lockheed Martin to support transmissions of State requests for
UCFE wage and separation information and responses from Federal
agencies. The Directory of Federal Agencies has been automated as
a feature of this UCFE application.
The LCCC operating system has been redesigned to support the use
of the DD Form 214 and 215 information on file at the LCCC as the
official source of UCX wage and separation information. The LCCC
will supply State agencies with UCX wage and separation
information in an electronic record format.
The UCFE/UCX Claim Control file feature of the LCCC operation has
also been redesigned to maintain a Claim Control record only when
an intrastate or interstate benefit year has been established that
caused a wage assignment. The format of the new Claims Control
record will contain sufficient information for use by the State to
determine if there is a prior wage assignment or conflict.
In addition to the change to the LCCC operation, a UCX affidavit
procedure is being implemented which authorizes State agencies to
determine UCX eligibility using the claimant’s copy 4 of a DD Form
214 as an affidavit upon receipt of a notice from the LCCC that
there is no DD Form 214 on file. Thus, determinations of UCX
eligibility will no longer be delayed pending receipt of the
Department’s copy of the DD Form 214, provided the claimant has a
copy 4 of his/her DD Form 214.
1. LCCC Claim Control Operation. The purpose of the LCCC
operation has been expanded from solely a fraud detection
operation to include serving as the official source of wage and
separation information for the UCX program. To accomplish the two
purposes, the LCCC operating system and procedures have been
changed to: 1) maintain a record of all UCFE and UCX wage
assignments as the basic Claim Control file and 2) maintain all DD
Form 214/215 data necessary to compute quarterly wages and 3)
provide separation information and other pertinent eligibility
information in an electronically accessible file.
The changes at the LCCC, and authorizing States to use the
claimant’s copy 4 of the DD Form 214 to determine UCX eligibility,
will help to accomplish administrative efficiencies and ensure
timely payments. However, the overall LCCC operation continues
to serve as a system of fraud detection. Using the DD Form 214s
on file at the LCCC as the official source of wage and separation
information helps to ensure that determinations are based on
information provided by the DOD. When there is no DD Form 214 on
file, the State agency will be so advised. The LCCC will contact
the DOD for the DD Form 214 information and will send an amended
response to the requesting State agency upon receipt of the DD
Form 214 or other information from the DOD. This procedure helps
to ensure the detection of any fraudulent claim(s) established
under the affidavit procedure.
The new Claim Control file will only contain Claim Control Records
representing an actual wage assignment when a benefit year has
been established. Unlike past procedures for the “inquiry,” the
LCCC will not maintain a copy of the request that is sent by the
State agency when a new claim is filed. Therefore, States must
create and transmit these control records immediately (same day)
when a benefit year is established that assigns wages because
there is nothing on file to prevent the LCCC from providing UCX
wage information to another State until the LCCC receives the
Claim Control record. Claim Control Records will be kept on file
for two years. Incoming Claim Control records are matched against
the records in the Claims Control file to prevent duplicate use or
improper assignment.
The DD Form 214/215 file format has been redesigned to store nine
calendar quarters of information to have available information to
respond to current and backdated base period and alternate base
period requests. Each initial UCX or UCFE request will be matched
against the Claim Control file, the DD Form 214 file, and the
pending files. When a UCX request is processed and a DD Form 214
is found and there is no Claim Control record on file that
prevents the release of the wages, the LCCC will respond to the
requesting State agency using the service dates, days lost, rank,
etc., the Schedule of Remuneration to calculate base period and
lag wages, as well as weeks and hours of work. When no DD Form
214 is found, the LCCC will create a pending record and notify the
State agency “No Control Record or DD 214 on File. Response
Pending.” A request for the DD Form 214 will be sent to the
appropriate Branch of Service by the LCCC when 21 days have
elapsed since the separation date. When a response is received,
the LCCC will send an amended Response Record, containing
information from the DD Form 214 or other response document,
received from the Branch of Service, to the requesting State
agency.
Response records from the LCCC will contain alert messages and
flags that can be used by the State agency to electronically post
an issue to the benefit record when the type of separation or
other information from the DD Form 214 raises an identifiable
issue. The LCCC is not authorized to make determinations about
whether or not a claimant’s military service is creditable or if
wages are usable. Therefore, the LCCC will provide wage and
separation information from any DD Form 214 on file without regard
to the length of service or the type of separation. It will be
the responsibility of the State agency to make the appropriate
determination(s).
Response records will be sent to each State agency for each record
it sends to the LCCC as a confirmation that the record has been
processed. For example, when there is a UCFE Type 1 request and
there is no Claim Control Record on file, the State agency will
receive a message stating “no Claim Control Record on file.” When
there is a Claim Control Record on file showing an existing
benefit year, or a last day of work/separation date that is within
the base period of the new claim, the response record will include
the information from the Claim Control Record.
2. Transition From Old to New System. Until all States are
operational on the new system and all “inquiries” under the old
procedures are at least two (2) years old, States will be
operating in a transition period. During the transition period,
all States will continue to receive information from the “inquiry”
control file. This means that those States that have implemented
the new system will still be required to receive response
information from the “inquiry” control file in the old manner. A
State that is operating under the old system, will receive
information from the new system as a printout attached to its
response. Examples of the types of responses that States can
expect are as follows:
a. When the State Is Operating under the New System, and:
(1) there is a match against an inquiry in the old system,
the State will receive a listing in a job named PUXDLCCC which
will be sent to the DESTINATION,CLASS,FORM,etc., to which the old
system responses were sent. The listing will contain the
following information:
UCX\UCFE LISTING PF PRIOR INQUIRIES
BY OTHER STATES
EFFECTIVE UCX UCFE
SSN NAME DATE SEP DATE SEP DATE
007002001 Mary E. Montgomery 20010708 20001007 00000000
PGM TYPE: X STATES WITH PRIOR INQUIRY: 33 45
(2) there is NO match against an inquiry in the old
system, the State will receive a listing in a job named PUXDLCCC
which will be sent to the DESTINATION,CLASS,FORM,etc., that the
old system responses were sent to. The listing will contain the
following acknowledgment that the match against the old system
occurred:
UCX\UCFE LISTING PF PRIOR INQUIRIES
BY OTHER STATES
NONE FOR TODAY
b. When the State Is Operating under the Old Inquiry System,
and:
(1) there is a match against a pending record in the new
system, the State will receive a record as follows for each
matching social security number at the end of its regular response
records:
PENDING RECORD PRINT
WAGES PENDING - BEING CLAIMED BY STATE WITH FIPS CODE --
SSN: 007002001 OTHER SSN: 000000000
CLAIMANT NAME: Mary E. Montgomery
PROGRAM TYPE: UCX EFFECTIVE DATE OF CLAIM: 2001/07/08
*****SEPARATION DATE***** ******BASE PERIOD******
UCX UCFE BEG END
2000/12/04 0000/00/00 2000/04/01 2001/03/31
SERVICE BRANCH: AIR FORCE STATE: 36 LOCAL OFFICE: 0516 RECORD TYPE: 1
TRANSMISSION DATE LCCC RESPONSE DATE PENDING NOTICE DATE
2001/07/09 2001/07/09 2001/07/09
(2) there is a match against a record in the Claim Control
File of the new system, the State will receive a record as follows
for each matching social security number at the end of its regular
response records:
CLAIM CONTROL RECORD PRINT
WAGES CLAIMED BY STATE WITH FIPS CODE --
SSN: 007002001 OTHER SSN: 000000000
CLAIMANT NAME: Mary E. Montgomery
BYE: 20020105 EFFECTIVE DATE OF CLAIM: 2001/01/07
PROGRAM TYPE: UCX
*****SEPARATION DATE***** ******BASE PERIOD******
UCX UCFE BEG END
2000/12/03 0000/00/00 1999/10/01 2000/09/30
TRANSFERRING STATE 1:00 TRANSFERRING STATE 2: 00 LOCAL OFFICE: 0516
TRANSMISSION DATE LCCC PROCESS DATE DELETE DD214 RECORD TYPE
2001/01/12 2001/01/12 2
3. State Agency Record Types for Communicating with the LCCC.
State agencies will use a single record format to generate six
different types of records to the LCCC. The six record types are:
Type 1 - Initial Request for Wage and Separation Information;
Type 2 - UCX or UCFE Claim Control Record;
Type 3 - UCX or UCFE Wage Assignment Only Record;
Type 4 - Cancellation of Claim Control Record;
Type 5 - Cancellation of Wage Assignment Only Control Record;
and
Type 6 - Cancellation of UCX Pending Record.
With the exception of Record Type 6, all other record types are
used for both UCX and UCFE records. Field 22 of the record format
will carry the identifying code for the type of record (Record
Type 1-6) being sent.
The Type 1 request replaces the “inquiry” and will be sent to the
LCCC immediately (same day) when a new UCX or UCFE claim is filed.
The Type 1 request for both programs will be used to match against
the Claim Control file and the DD Form 214 file. The LCCC will
not maintain a copy of the Type 1 request record. No Claim
Control record will be on file until the State transmits a Claim
Control record (Record Type 2 or 3) which means that a benefit
year was established.
a. State Agency UCFE - UCX Request Record Layout. The
following request record layout is used for all record types by
the State agency to send records to the LCCC.
State Agency Request Record Layout
FLD FIELD NAME FIELD BEGIN FIELD DESCRIPTION
NBR TYPE COLUMN LENGTH
1 Social Security No. N 1 9 Enter claimant’s Social Security Number
2 Claimant’s Name - First A/N 10 12 Enter claimant’s first name. First position
cannot be blank. Enter at least one
alphabetic character.
3 Claimant’s Name - Middle Initial A/N 22 1 Enter claimant’s middle initial, if any.
4 Claimant’s Name - Last Name A/N 23 17 Enter the claimant’s last name. First
position cannot be blank. Enter at least
one alphabetic character.
5 Program Type A/N 40 1 Enter valid program type:
F = UCFE (Code as “F” when only UCFE
employment or when UCFE and UI
employment is shown in the base period)
X = UCX (Code as “X” when only UCX
employment or when UCX
and UI employment is shown in the base
period)
J = JOINT (Code as “J” when both UCFE
and UCX employment is shown in the base
period)
6 Other Social Security Number N 41 9 Enter other SSN that the claimant used
since the beginning of the base period.
7 Effective Date of Claim N 50 8 Enter the effective date of the claim.
Format is: CCYYMMDD, i.e., 20001205.
8 Last Day of Work (UCX) N 58 8 Enter the UCX Separation Date. Format
is: CCYYMMDD, i.e., 20001205
9 Last Day of Work (UCFE) N 66 8 Enter UCFE Separation Date. Format is:
CCYYMMDD, i.e., 20001205
10 Base Period Beginning Date N 74 8 Enter the beginning date of the base period
for the claim. Format is: CCYYMMDD,
i.e., 20001205
11 Base Period Ending Date N 82 8 Enter the ending date of the base period
for the claim. Format is: CCYYMMDD,
i.e., 20001205
12 Benefit Year Ending Date N 90 8 Enter the benefit year ending date for the
claim. Format is: CCYYMMDD, i.e.,
20001205.
13 State FIPS Code N 98 2 Enter the two digit numerical FIPS Code
of sending State.
14 Transferring State’s FIPS Code - 1 N 100 2 Enter the two digit numerical FIPS Code
of the first State that transferred UCX or
UCFE wages used on the claim.
15 Transferring State’s FIPS Code - 2 N 102 2 Enter the two digit numerical FIPS Code
of the second State that transferred UCX
or UCFE wages used on the claim.
16 Branch of Service A/N 104 2 Enter the two digit code for the Branch of
service. Leave Blank for Program Type
“F”. Valid entries for Program Types
“X” or “J” are:
Army = 01
Navy = 02
Air Force = 03
Marines = 04
Coast Guard = 05
NOAA = 06
17 Call Center/Local Office ID # A/N 106 4 Enter four digit Call Center/Local office
Number. Right justify, i.e., 0114.
18 Transmission/Transaction Date A/N 110 8 Enter the date of the record transmission
to LCCC. Should be system generated.
Format is: CCYYMMDD, i.e., 20001205
19 Amended Flag A/N 118 1 For LCCC’s use only.
20 Message Number A/N 119 2 For LCCC’s use only.
21 Filler A/N 121 39 FILLER
22 Record Type Code A/N 160 1 Enter the one digit code for the type of
record prepared for transmission. Valid
entries are:
1 = Initial Claim Request
2 = Claims Control Record
3 = Wage Assignment Only Control
Record
4 = Claims Control Record Cancellation
5 = Wage Assignment Only Control
Record Cancellation
6 = Type 1 Request Cancellation (from
the Pending File)
TOTAL RECORD 160
b. Required Fields for Each Record Type. Below is a chart
showing the fields that must be completed for each of the six
record types. The identified fields will be edited by the LCCC
when processing the record.
Fields Record Types
1 2 3 4 5 6
____ ____ ____ ____ ____ ____
SSN X X X X X X
First name X X X X X X
Middle initial X X X X X X
Last name X X X X X X
Program type X X X X X X
Other SSN X X X X X X
Effective date of claim X X X X
UCX separation date when Type = X X X X X
UCFE separation date when Type = F X X X X
Base period begin date X X X
Base period end date X X X
Benefit year end date X X
State FIPS code X X X X X X
Transferring State FIPS Code 1 X
Transferring State FIPS Code 2 X
Branch of Service (when Type X or J) X X
Local Office/Call Center
Amended Flag (LCCC Use only)
Message number (LCCC Use only)
Transaction Date X X X X X X
Record Type Code X X X X X X
4. Requesting Information From the LCCC. The State’s procedures
for sending requests and receiving responses from the LCCC are the
same for the UCX and UCFE programs. Records sent to the LCCC for
both programs will produce the same type of responses from the
LCCC, including UCX wage and separation information responses.
The State’s information technology staff will have to accomplish
the programming necessary to produce the appropriate request
records necessary for entering the appropriate information
including the record type indicator in Field 22.
All records sent to the LCCC are considered request records. A
single one-hundred sixty (160) character record will be use to
transmit each of the record Types 1-6. It is the responsibility
of the State agency to ensure the proper formatting and
transmission of records to the LCCC.
5. Requesting UCX Wage and Separation Information and a Match
Against the Claim Control Records, Type 1. At the time a new UCX
or UCFE initial claim is filed and when assignable UCX or UCFE
wages are in the lag period of the initial claim, the State agency
will generate a Type 1 request record to the LCCC. Each Type 1
request, UCX and UCFE, is matched against the Claim Control file
and against the DD 214 file. The Type 1 request serves as the
request for UCX wage and separation information. When a DD Form
214 is on file, the LCCC will respond with wage and separation
information from up to two (2) DD Forms 214. Because the
electronic record format does not accommodate more than two (2) DD
Forms 214, when there are more than two on file, the LCCC will
advise the State agency and FAX a copy of each form to the State
agency for its review and determination. When the UCFE request is
matched against the DD Form 214 file, no pending record will be
created if there is no DD Form 214 on file.
6. Preparing a Type 2 Claims Control Record. A Claims Control
record notifies the LCCC that a benefit year has been established
that used and assigned UCFE or UCX base period wages or assigned
lag period wages. This record is maintained by the LCCC in the
Claims Control file for two (2) years. A Type 2 record,
identified as UCFE, UCX or Joint, is prepared and transmitted by
the State at the time that a benefit year is established that used
any UCX or UCFE wages in the determination of monetary
entitlement.
The Type 2 Claims Control record must be created as soon as a
benefit year is established and transmitted immediately (same day)
because, prior to receipt of the Claim Control record, there is no
Claim Control record on file at the LCCC to prevent the LCCC from
responding to another State’s request.
When preparing Type 2 records, program type “X” means that some
UCX wages have been used in the monetary determination. Program
type “F” means that some UCFE wages have been used in the monetary
determination. Program type “J “ means that both UCX and UCFE
wages have been used in the monetary determination. This means
that for purposes of this system, UI-UCFE or UI-UCX claims are
identified by the Federal program type of UCFE or UCX, as
appropriate. The Claim Control record is generated by the State
agency that assigns wages to the State. The paying State on a
combined wage claim (CWC) is responsible for assigning base period
wages used in the determination of the CWC claim. When the UCFE
or UCX wages have been transferred from another State(s), the
paying State must identify the transferring State(s) on the Claim
Control record by FIPS Code(s). The State agency should implement
a procedure that automatically creates the Claim Control record
when the State agency issues an eligible monetary determination.
7. Preparing a Type 3 Wage Assignment Only Record. A Type 3
record is prepared and transmitted to the LCCC when a UI benefit
year is established which causes the assignment of lag period UCX
or UCFE wages and when a benefit year is established by another
State which causes a wage assignment in your State, i.e., State
“A” transferred base period UCX wages to State “B” and State “B”
established a benefit year. State “A” prepares a Type 3 control
to assign any lag period wages upon the receipt of a Report on
Determination of Combined Wage Claim, TC-IB5, that a benefit year
has been established by the paying State (State “B”).
As a transferring State for a combined wage claim, the State
agency has to implement a procedure that assigns lag period wages
by creating a Type 3 “wage assignment only” Claims Control record
upon receipt of a Form IB5 showing a benefit year has been
established by the paying State. The transferring State does not
send a Type 2 Claims Control record pertaining to the base period
wages that are reassigned to the paying State.
8. Preparing a Type 4 Request Record, Cancellation of Type 2
Claim Control Record. A Type 4 record cancels a previously
transmitted Type 2 record from the LCCC Claims Control file. This
type 4 record is prepared and transmitted when a UCX, UCFE or
Joint (UCX-UCFE) benefit year is canceled for any reason.
9. Preparing a Type 5 Request Record, Cancellation of Type 3
Wage Assignment Only Control Record. A Type 5 record cancels a
previously transmitted Type 3 record from the LCCC Claims Control
file. This type 5 record is prepared and transmitted when a
benefit year that caused an assignment is canceled.
10. Preparing a Type 6 Request Record, Cancellation of UCX
Pending Record. A Type 6 record cancels a pending record from
the DD Form 214 Response Pending file at the LCCC. A Type 6
cancellation record is sent when a UCX claim is withdrawn or
canceled, or erroneous information, e.g., incorrect separation
date, on the Type 1 record caused an erroneous pending record to
be created. Upon receipt of a response record that contains an
informational message number 2,6, or 28, (see messages - pages
27-32) the State agency should review the claim to determine if a
Type 6 record is necessary. The Type 6 record serves as
notification to LCCC to discontinue contact with the military
(DOD) concerning the missing DD Form 214.
11. Transmitting Records to LCCC. All record types should be
transmitted to LCCC on a daily basis.
a. Test Records - Job Control Language. To send test
records to LCCC, use the following Job Control Language with
appropriate modifications as follows: 1) Replace “SS” with the
State’s alpha postal abbreviation; and 2) Replace "state name"
with the name of the xmitting State.
//UIXFESSA JOB (3777,XXXXXXXXX,XX,XXXX),'STATE NAME',
// MSGLEVEL=(1,1),CLASS=G
//XFELIB JCLLIB ORDER=UI.XFE.PROCLIB
//PROCA EXEC XFESSAT
//STEP1.SYSUT1 DD *
your data, i.e., UCX/UCFE SESA TRANSMITTAL RECORDS
/*
//
NOTE: The 160-byte transmittal records will need to be xmitted in 2
80-byte records per SSN. The LCCC will reblock the two (2)80-byte
records back to a single 160-byte record to process the data.
b. Production Records - Job Control Language. To send
production records to the LCCC, use the following Job Control
Language with appropriate modifications as follows: 1) Replace “SS”
with the State’s alpha postal abbreviation; and 2) Replace "state
name" with the name of the xmitting State.
//UIXFESSA JOB (3777,XXXXXXXXX,XX,XXXX),'STATE NAME',
// MSGLEVEL=(1,1),CLASS=G
//XFELIB JCLLIB ORDER=UI.XFE.PROCLIB
//PROCA EXEC XFESSA
//STEP1.SYSUT1 DD *
your data, i.e., UCX/UCFE SESA TRANSMITTAL RECORDS
/*
//
NOTE: The 160-byte transmittal records will need to be transmitted
in two (2) 80-byte records per SSN. The LCCC will reblock the two
(2) 80-byte records back to a single 160-byte record to process the
data.
12. Receiving Response Records From LCCC. The LCCC will use a
single 960 character record to respond to all State agency requests
for both UCX and UCFE. States will receive electronic responses,
identified by the six different request record types. The response
records will be 960-bytes deblocked to twelve (12) 80-byte records
by the LCCC for transmission to the State. The State will have to
reblock to a single 960-byte response record to process. The
response record type, identified in Field 121 will be a copy of the
record type as shown on the request record in Field 22, except when
the response is a copy of the Claim Control Record. When the
response includes information from a Claim Control record, record
Type 2 will be shown in Field 121 to alert the State agency that the
information in Fields 5-15 represents a copy of a Claims Control
record that is on file.
Response records will contain flags and messages to alert the State
when there is an existing benefit year, wages previously assigned,
etc. The message numbers and flags can be used by the State to post
information to benefit files or to sort incoming records for review,
as necessary.
13. LCCC Response Record Layout. The following response record
layout is used for all record types by the LCCC to respond to all
State request records. Please Note: States will continue to receive
response records from the “inquiry” file in the same manner that
they have always received information from the LCCC. States will
not stop receiving the old type responses until the transition
period ends.
LCCC RESPONSE RECORD LAYOUT
FLD FIELD NAME FIELD BEGIN FIELD DESCRIPTION
NBR TYPE COLUMN LENGTH
1 Social Security N 1 9 Claimant’s Social Security
No. Number
2 Claimant’s Name A/N 10 12 Claimant’s first name.
- First
3 Claimant’s Name A/N 22 1 Claimant’s middle initial.
- Middle Initial
4 Claimant’s Name A/N 23 17 Claimant’s last name.
- Last Name
5 Program Type A/N 40 1 Program Type as shown on
incoming request:
F = UCFE
X = UCX
J = Joint (UCFE/UCX)
6 Effective Date of N 50 8 Effective date of the
Claim initial claim. Format is:
CCYYMMDD, e.g. 20000702 =
July 2, 2000.
7 Last Day of Work N 58 8 UCX Separation Date .
Format is: CCYYMMDD, e.g.
20000705 = July 5, 2000
8 Last Day of Work N 66 8 UCFE Separation Date.
Format is: CCYYMMDD, e.g.,
20000705 = July 5, 2000
9 Other Social N 41 9 Claimant’s other Social
Security Number Security Number as shown on
incoming request.
10 Base Period N 74 8 The beginning date of the
Beginning Date base period of the claim.
Format is: CCYYMMDD, e.g.,
19990401 = April 1, 1999.
11 Base Period N 82 8 The ending date of the base
Ending Date period of the claim.
Format is: CCYYMMDD , e.g.,
20000331 = March 31, 2000.
12 Benefit Year N 90 8 The ending date of the
Ending Date benefit year for the claim.
Format is: CCYYMMDD, e.g.,
20010701 = July 1, 2001.
13 State FIPS Code N 98 2 For “Record Types” 1, 3, 4,
5 or 6 (shown in Field 121),
this is the FIPS Code of the
State that sent the request
record to the LCCC.
For “Record Type” 2 (shown
in Field 121), this is the
FIPS Code of the State that
submitted the Claims Control
Record to the LCCC.
14 Transferring N 100 2 FIPS Code of first
State’s FIPS Code transferring State shown on
Claims Control Record.
15 Transferring N 102 2 FIPS Code of second
State’s FIPS Code transferring State shown on
Claims Control Record.
16 Branch of Service N 104 2 Two digit code for the
Branch of Service. Blank
for Program Type “F”.
Valid entries for Program
Types “X” or “J” are:
Army = 01
Navy = 02
Air Force = 03
Marines = 04
Coast Guard = 05
NOAA = 06
17 Call Center/Local A/N 106 4 Call Center/Local Office
Office ID number Number. Right justified.
18 Transmission Date A/N 110 8 Date that the State’s
request record was
transmitted by State to the
LCCC. Format is: CCYYMMDD.
19 Component A/N 118 30 Identifies the Component of
the Branch of Service as
shown on the DD 214, e.g.,
Army Reserve.
20 LCCC Process Date N 148 8 Date that the LCCC processed
the State’s request record.
Format is: CCYYMMDD
21 1st Quarter Date N 156 5 Identification of the 1st
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20001 = 1st quarter
of the year 2000.
22 1st Qtr wages N 161 8 Amount of wages for the
quarter identified in field
21, right justified, e.g.,
012345v67 = $12,345.67. (v =
implied decimal)
23 1st Qtr Number of N 169 2 Number of weeks worked
Weeks worked during the quarter
identified in field 21,
right justified, e.g., 06 =
6 weeks.
24 1st Qtr Number of N 171 3 Number of hours worked in
hours worked the quarter identified in
field 21, right justified,
e.g., 040 = 40 hours.
25 1st Qtr Branch of A/N 174 2 Identifier for Branch of
Service Service for employment and
wages during the quarter
identified in Field 21. Code
will be “99" if wages are
from more than one Branch.
26 2nd Quarter Date N 176 5 Identification of the 2nd
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20002 = 2nd quarter
of the year 2000.
27 2nw Qtr wages N 181 8 Amount of wages for the
quarter identified in Field
26, right justified, e.g.,
012345v67 = $12,345.67.
28 2nd Qtr Number of N 189 2 Number of weeks worked in
Weeks worked the quarter identified in
Field 26, right justified,
e.g., 06 = 6 weeks.
29 2nd Qtr Number of N 191 3 Number of hours worked in
hours worked the quarter identified in
Field 26, right justified,
e.g., 040 = 40 hours.
30 2nd Qtr Branch of A/N 194 2 Identifier for Branch of
Service Service for employment and
wages during the quarter
identified in Field 26.
Code will be “99" if wages
are from more than one
Branch.
31 3rd Quarter Date N 196 5 Identification of the 3rd
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20003 = 3rd quarter of
the year 2000.
32 3rd Qtr wages N 201 8 Amount of wages for the
quarter identified in Field
31, right justified, e.g.,
012345v67 = $12,345.67.
33 3rd Qtr Number of N 209 2 Number of weeks worked
Weeks worked during the quarter
identified in Field 31,
right justified, e.g., 06 =
6 weeks.
34 3rd Qtr Number of N 211 3 Number of hours worked
hours worked during the quarter
identified in Field 31,
right justified, e.g., 040 =
40 hours.
35 3rd Qtr Branch of A/N 214 2 Identifier for Branch of
Service Service for employment and
wages during quarter
identified in Field 31.
Code will be “99" if wages
are from more than one
Branch.
36 4th Quarter Date N 216 5 Identification of the 4th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20004 = 4rd quarter of
the year 2000.
37 4th Qtr wages N 221 8 Amount of wages for the
quarter identified in Field
36, right justified, e.g.,
012345v67 = $12,345.67.
38 4th Qtr Number of N 229 2 Number of weeks worked
Weeks worked during the quarter
identified in Field 36,
right justified, e.g., 06 =
6 weeks.
39 4th Qtr Number of N 231 3 Number of hours worked
hours worked during the quarter
identified in Field 36,
right justified, e.g., 040 =
40 hours.
40 4th Qtr Branch of A/N 234 2 Identifier for Branch of
Service Service for employment and
wages during quarter
identified in Field 36.
Code will be “99" if wages
are from more than one
Branch.
41 5th Quarter Date N 236 5 Identification of the 5th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20011 = 1st quarter
of the year 2001.
42 5th Qtr wages N 241 8 Amount of wages for the
quarter identified in Field
41, right justified, e.g.,
012345v67 = $12,345.67.
43 5th Qtr Number of N 249 2 Number of weeks worked
Weeks worked during the quarter
identified in Field 41,
right justified, e.g., 06 =
6 weeks.
44 5th Qtr Number of N 251 3 Number of hours worked
hours worked during the quarter
identified in Field 41,
right justified, e.g., 040 =
40 hours.
45 5th Qtr Branch of A/N 254 2 Identifier for Branch of
Service Service for employment and
wages during the quarter
identified in Field 41.
Code will be “99" if wages
are from more than one
Branch.
46 6th Quarter Date N 256 5 Identification of the 6th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20012 = 2nd quarter of
the year 2001.
47 6th Qtr wages N 261 8 Amount of wages for the
quarter identified in Field
46, right justified, e.g.,
012345v67 = $12,345.67.
48 6th Qtr Number of N 269 2 Number of weeks worked
Weeks worked during the quarter
identified in Field 46,
right justified, e.g., 06 =
6 weeks.
49 6th Qtr Number of N 271 3 Number of hours worked
hours worked during the quarter
identified in Field 46,
right justified, e.g., 040 =
40 hours.
50 6th Qtr Branch of N 274 2 Identifier for Branch of
Service Service for employment and
wages during the quarter
identified in Field 46.
Code will be “99" if wages
are from more than one
Branch.
51 7th Quarter Date N 276 5 Identification of the 7th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20013 = 3rd quarter of
the year 2001.
52 7th Qtr wages N 281 8 Amount of wages for the
quarter identified in Field
51, right justified, e.g.,
012345v67 = $12,345.67.
53 7th Qtr Number of N 289 2 Number of weeks worked in
Weeks worked 7th quarter, right
justified, e.g., 06 = 6
weeks.
54 7th Qtr Number of N 291 3 Number of hours worked in
hours worked the 7th quarter, right
justified, e.g., 040 = 40
hours.
55 7th Qtr Branch of A/N 294 2 Identifier for Branch of
Service Service for wages during
quarter identified in Field
51. Code will be “99" if
wages are from more than one
Branch.
56 8th Quarter Date N 296 5 Identification of the 8th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20014 = 4th quarter of
the year 2001.
57 8th Qtr wages N 301 8 Amount of wages for the
quarter identified in Field
56, right justified, e.g.,
012345v67 = $12,345.67.
58 8th Qtr Number of N 309 2 Number of weeks worked in
Weeks worked 8th quarter, right
justified, e.g., 06 = 6
weeks.
59 8th Qtr Number of N 311 3 Number of hours worked in
hours worked the 8th quarter, right
justified, e.g., 040 = 40
hours.
60 8th Qtr Branch of A/N 314 2 Identifier for Branch of
Service Service for wages during
quarter identified in Field
56. Code will be “99" if
wages are from more than one
Branch.
61 9th Quarter Date N 316 5 Identification of the 9th
quarter ending after the
beginning date of the base
period shown on the request
record. Format is: CCYYQ,
e.g., 20021 = 1st qtr of the
year 2002.
62 9th Qtr wages N 321 8 Amount of wages for the
quarter identified in Field
61, right justified, e.g.,
012345v67 = $12,345.67.
63 9th Qtr Number of N 329 2 Number of weeks worked in
Weeks worked 9th quarter, right
justified, e.g., 06 = 6
weeks.
64 9th Qtr Number of N 331 3 Number of hours worked in
hours worked the 9th quarter, right
justified, e.g., 040 = 40
hours.
65 99h Qtr Branch of A/N 334 2 Identifier for Branch of
Service Service for wages during
quarter identified in field
61. Code will be “99" if
wages are from more than one
Branch.
66 Warning Flag A/N 336 1 X = Warning, potential
issue
Blank = No potential issue
detected
67 1st Full Term of N 337 1 Y = Yes
Service Completed N = No
U = Unknown
68 Narrative Reason N 338 130 This is the “narrative
for Separation reason for separation” from
the DD Form 214.
69 Service Entry N 468 8 Date entered military
Date service.
70 Net Service N 476 6 This is the number of years,
number of months and number
of days of net service,
e.g., 031122 = 3 years, 11
months, 22 days.
71 Prior Active N 482 6 This is the number of years,
Service number of months and number
of days of prior active
service, e.g. 031122 = 3
years, 11 months, 22 days.
72 Character of A/N 488 2 “HO” = Honorable
Service “UH” = General, Under
Honorable
Conditions
“DH” = Dishonorable
“BC” = Bad Conduct
“NA” = Uncharacterized
or Blank
“UO” = Other than
Honorable
73 Accrued Leave N 490 4 The number of days of
accrued leave for which the
individual received Lump Sum
Payment. The format is
999v9 = 999.5 (v= implied
decimal) to allow for
partial days.
74 Separation/- N 494 8 The amount of military
Severance Pay severance/separation pay
paid to the individual upon
release. The format is
012345v67 = 999,999.99
75 Disability N 502 8 The amount of Disability.
Pension Pay The format is 012345v67 =
999,999.99
76 U.S. National A/N 510 1 Identifies individual as a
US citizen/ National.
Entries are:
Y = Yes
N = No
U = Unknown
77 Retirement A/N 511 1 Identifies Retirement from
Military Service. Entries
are:
Y = Yes
N = No
78 Pay Grade A/N 512 3 Identifies military pay
grade from the DD 214 that
was used in calculating
wages.
79 Days Lost - Start N 515 8 Beginning date for first
1st occurrence occurrence of days lost.
Format is CCYYMMDD.
80 Days Lost - End N 523 8 Ending date for first
1st occurrence occurrence of days lost.
Format is CCYYMMDD.
81 Days Lost - Start N 531 8 Beginning date for second
2nd occurrence occurrence of days lost.
Format is CCYYMMDD.
82 Days Lost - End N 539 8 Ending date for second
2nd occurrence occurrence of days lost.
Format is CCYYMMDD.
83 Days Lost - Start N 547 8 Beginning date for third
3rd occurrence occurrence of days lost.
Format is CCYYMMDD.
84 Days Lost - End N 555 8 Ending date for third
3rd occurrence occurrence of days lost.
Format is CCYYMMDD
85 Days Lost - Start N 563 8 Beginning date for fourth
4th occurrence occurrence of days lost.
Format is CCYYMMDD
86 Days Lost - End N 571 8 Ending date for fourth
4th occurrence occurrence of days lost.
Format is CCYYMMDD
87 Microfilm ID N 579 12 LCCC Microfilm ID number
88 Second DD-214 N 591 8 Separation Date from a
Separation Date second DD-214 with service
period after the beginning
date of the base period
shown on the request.
89 Second DD-214 A/N 599 30 Service Component from the
Component DD-214 identified in field
88.
90 Second DD-214 N 629 8 Service Entry Date from the
Service Entry DD-214 identified in field
Date 88.
91 Second DD-214 Net N 637 6 Net Service from the DD-214
Service identified in field 88.
92 Second DD-214 N 643 6 Prior Active Service from
Prior Active the DD-214 identified in
Service field 88.
93 Second DD-214 N 649 4 Accrued Leave from the DD-
Accrued Leave 214 identified in field 88.
94 Days Lost - Start N 653 8 Beginning date for fifth
5th occurrence occurrence of days lost.
Format is CCYYMMDD.
95 Days Lost - End N 661 8 Ending date for fifth
5th occurrence occurrence of days lost.
Format is CCYYMMDD.
96 Days Lost - Start N 669 8 Beginning date for sixth
6th occurrence occurrence of days lost.
Format is CCYYMMDD.
97 Days Lost - End N 677 8 Ending date for sixth
6th occurrence occurrence of days lost.
Format is CCYYMMDD.
98 Days Lost - Start N 685 8 Beginning date for seventh
7th occurrence occurrence of days lost.
Format is CCYYMMDD.
99 Days Lost - End N 693 8 Ending date for seventh
7th occurrence occurrence of days lost.
Format is CCYYMMDD.
100 Days Lost - Start N 701 8 Beginning date for eight
8th occurrence occurrence of days lost.
Format is CCYYMMDD.
101 Days Lost - End N 709 8 Ending date for eight
8th occurrence occurrence of days lost.
Format is CCYYMMDD.
102 Second DD-214 N 717 12 LCCC Microfilm ID number
Microfilm ID
103 Message No. 1 A/N 729 3 The number of the 1st
message included in the
response record.
104 Message No. 2 A/N 732 3 The number of the 2nd
message included in the
response record.
105 Message No. 3 A/N 735 3 The number of the 3rd
message included in the
response record.
106 Message No. 4 A/N 738 3 The number of the 4th
message included in the
response record.
107 Message No. 5 A/N 741 3 The number of the 5th
message included in the
response record.
108 Message No. 6 A/N 744 3 The number of the 6th
message included in the
response record.
109 Message No. 7 A/N 747 3 The number of the 7th
message included in the
response record.
110 Message No. 8 A/N 750 3 The number of the 8th
message included in the
response record.
111 Message No. 9 A/N 753 3 The number of the 9th
message included in the
response record.
112 Message No. 10 A/N 756 3 The number of the 10th
message included in the
response record.
113 Message No. 11 A/N 759 3 The number of the 11th
message included in the
response record.
114 Message No. 12 A/N 762 3 The number of the 12th
message included in the
response record.
115 Message Area A/N 765 70 A text message will be
provided in this field when
there is information (i.e.,
names, dates, etc.) that has
to be provided to the State.
116 Message A/N 835 8 This separation date is
Separation date provided for use with
message number 028. (See
page 29)
117 Message Branch A/N 843 25 Branch and wage information
wages provided for use with
message number 014. (See
page 27)
118 Edit/Process flag A/N 868 1 This field identifies the
point that an error or an
informational message is
generated. This flag is used
in conjunction with the
message number(s) shown in
fields 103-114 to translate
the message narrative.
‘E’ = Pre-Processing Edit
error, record is
rejected.
‘P’ = Message created during
processing.
119 Amended Response A/N 869 1 Identifies amended
flag responses:
‘Y’ = amends previous
response.
‘N’ = initial response.
120 Filler A/N 870 90 Blank
121 Record Code Type N 960 1 This field contains the
‘Record Type Code” from the
input record.
Exception: When a control
record is returned as part
of the response, this code
will identify the record
type control record. When
this code is 2 or 3, it
serves as a flag that
information from a control
record has been provided for
review.
TOTAL RECORD 960
14. Response to Request Record Type 1, Initial Claim Request. In
response to a Type 1 UCX request, the State should expect to
receive an electronic record from the new system, identified as a
Type 1 response record in Field 121, which includes UCX wage and
separation information. However, when there is a Claim Control
record on file in the new Claim Control file, the State will
receive a Type 2 response that includes a copy of the Claim
Control record in Fields 5-15, and depending on the Claim Control
record information, may also include UCX wage and separation
information. During the transition period, which will last until
all States are operational on the new system and the records in
the “inquiry” control file are no longer applicable to new claims,
the State must also be prepared to receive information from the
“inquiry” control file in the same manner that it has received
information in the past, when a record was found.
The response type and the message number dictates how the record
should be handled by the State, e.g., when the response is a type
1 and contains message code number 030 (“Wages must be reduced by
days lost on DD 214. DD 214 being faxed"), the State may choose
to sort this record to a file that will allow State staff to make
the necessary wage adjustments before loading the wages to the
State’s wage file.
The response record contains 12 fields to display message numbers
and one field to provide a narrative message. Under some
circumstances when specific information such as dates, other
names, breakout of wages for different Branches of Service, etc.,
need to be provided to the State, narrative will be included in
the response. In all other cases, only a message number will be
provided. The State will have to translate the number to the
narrative. The message numbers and their meanings are provided
under item 14. b. of this document.
a. Pending Records. A pending record is created when there is
no DD Form 214 on file that matches the separation date of the UCX
request. When 21 days since the separation date have elapsed, the
LCCC will send a request to the DOD for the DD Form 214. When a
response is received from the DOD, the State agency will receive
an amended response to its request.
b. Informational Messages. The LCCC is not authorized to make
determinations regarding claimant eligibility. Therefore, the
LCCC will transmit wage and separation information from the DD
Form 214 record unless there is a Claim Control record on file
containing the same separation date as the incoming request
record. It is the State’s responsibility to review the messages
and determine if its claim and use of wages is appropriate.
Please note: Message # 032 is used as an additional alert to the
type of military discharge. The specific type is identified in
“Character of Service,” field 72, of the response record.
Information from field 72 must be used to determine if wages
provided are usable.
The following messages will be used to inform the State of
problems with the incoming request that are detected during
processing, to notify the State of potential issues, and to inform
the State of actions being taken by the LCCC with respect to the
incoming request. When the State receives one of the following
messages, there will be an “p” in field 118 of the response
record, meaning that the record was sent to processing and the
message was generated during processing.
Message Narrative Examples of when the message is
# generated
001 Prior request. A prior UCX request has been received
Response and a pending record is on file.
Pending.
002 No control A UCX request has been received and a
record or DD UCX pending record created. (State
214 on file. should use this notice to initiate
Response affidavit using claimant’s copy of DD
Pending. Form 214.)
003 Pending record Confirms the LCCC processing of request
deleted. to delete a pending record.
004 No control Confirms the LCCC processing of a UCFE
record or DD Type 1 request.
214 on file.
005 No pending Notification that the State submitted a
record on file Type 6 request to cancel a pending
to delete. record and no pending record was found
on the LCCC file.
006 Control record Generated when a Type 1 UCX request is
on file. No DD processed, there is no DD Form 214 on
214 on file. file with a matching separation date and
Response a pending record is created. There is a
pending. Control Record on file with a benefit
year in effect or a separation date that
falls within the base period of the new
claim. A copy of the Control Record is
included in the response. (If after a
review of the Control Record information
it is determined that the claim is
inappropriate, send request record Type
6 to cancel the pending record.)
007 Wages Sent when the separation date on the
previously incoming request matches the separation
assigned. If date on a claims Control Record to
subsequent DD explain the source of the wage and
214 on file, separation information provided in the
wages sent. response. The separation date shown in
the response will be from the latest DD
Form 214.
008 Narrative Self Explanatory. When this message is
reason for generated, the LCCC will FAX the State
separation agency a copy of the DD Form 214.
exceeds 130
characters.
009 Control record Sent when the separation date on the
on file. incoming request matches the separation
date on a claims Control Record or the
separation date on the Control Record is
greater than the base period begin date
of the claim. A copy of the Control
Record is included in the response.
010 No Control Sent when the request record is for UCFE
record on file. and the secondary DD Form 214 file
Wages sent from matching produced a DD Form 214 with a
DD Form 214. separation date subsequent to the
beginning of the base period of the new
claim and there is no UCX control
record.
011 Name on request Sent when there is claims control
was_________. record on file under the social security
number with a different name from the
request. The name on the request is
being provided because the response
record contains a copy of the Claims
Control Record.
012 Control record Sent for UCX or UCFE requests when a
on file. claims control record shows a prior
Prior claim claim filed after the separation date
filed since shown on the request.
separation
date.
013 Control record Sent when a UCFE Type 1 record is
on file for UCX received and there is a UCX Control
claim. Record on file with a separation date
that is after the base period beginning
date and/or with a benefit year ending
date that is greater than the effective
date of the new claim.
014 CCYYQ Branch Sent when there is more than one DD Form
Wages = Branch 214 on file with base period wages from
wages = different branches of service in the
_______. same quarter. This is a breakout of the
wages by branch of service for the
quarter for benefit charging purposes.
015 Wages Sent when there is a wage assignment
previously Control Record on file with a matching
assigned. separation date to that of a Type 1 the
request record or a Control Record from
the same State. (Control Records
showing the same separation date can be
filed by different States because of
wage transfers.)
016 Amended Sent when a DD Form 214 is received
Response, wages after the initial response or when a DD
sent from DD- Form 214 is canceled and replaced with
214. another DD Form 214.
017 Amended Sent when a DD Form 215 is received and
Response, DD- there is a claim Control Record on file.
215 on file.
018 Amended Sent when the LCCC detects a data entry
Response. LCCC error to a critical data element that
data entry may affect the information previously
correction. provided.
019 Claims Control Sent to confirm a deletion of a claims
Record deleted. control record.
020 No Control Sent when a record Type 3 is received to
record to be delete a Type 2 record and there is no
canceled. Type 2 record on file.
021 Invalid Control
Card Sent
022 Duplicate Self Explanatory.
Claims Control
Record Sent.
023 Control Record Generated to confirm receipt of claims
Accepted. Control Record.
024 Wages Sent when the separation date on the
Previously request matches the separation date on a
Assigned. wage assignment Control Record and there
Wages sent from is a subsequent DD Form 214 on file.
DD Form 214.
025 Claim Control Sent when the separation date on the
Record on file. request matches the separation date on a
Wages sent from Claim Control Record and there is a
DD Form 214. subsequent DD Form 214 on file.
026 Request Record Self Explanatory.
Accepted.
027 Separation date Sent when the separation date on the
precedes base request record is before the beginning
period begin date of the base period for the claim.
date. If there is a subsequent DD Form 214 on
file with dates that fall within the
base period of lag period, the
information will be sent.
028 Req sep date Sent when there is a DD Form 214 on file
MM/DD/YY is with a date of separation greater than
different from the base period beginning date, but it
214 sep date. does not match the date shown on the
Pdg rec incoming request record. The separation
created. date from the request is provided
because the separation date in field 7
of the response is from the Control
Record.
029 More than 2 DD- Sent when more than 2 DD Forms 214 are
214s on file. on file. UCX wage calculation system
Copies of DD- and response record format cannot handle
214s being more than 2 DD Forms 214. (Warning flag
faxed. set)
030 Wages must be Generated when more than four
reduced by days occurrences of lost days appear on the
lost on the DD- DD Form 214. Record format only
214. DD-214 accommodates four occurrences. The
being faxed. wages provided have not been reduced by
the days lost. State will have to make
wage reduction adjustment(s). (Warning
flag set)
031 First full term Generated when the LCCC is unable to
unknown. DD- determine if the 1st full term has been
214 being completed. The State will have to make
faxed. a determination upon review of DD Form
214 and using the claimant’s affidavit/
certification, if necessary. (Warning
flag set)
032 Character of Generated when character of service
service not shown in Field 72 is anything other than
honorable. “HO.” (Warning flag set)
033 Used only one Generated when two SSNs in request
of the two SSNs record and information is found for one
to calculate. SSN only. (Warning flag set)
034 Unable to Generated when there is a backdated
calculate claim with an effective date that is
wages. DD Form earlier than the effective date of the
214 info earliest military wage table (Schedule
provided. of Remuneration) on file.
035 Name on 214 rec Generated when there is a different name
is on the DD Form 214 record than is on the
_____________. incoming request. (Warning flag set)
036 Name on 5616 Generated when there is a different name
rec is on the NOAA 5616 record than is on the
_____________. incoming request. (Warning flag set)
037 214 names Generated when there are 2 names on the
_____________. DD Form 214 records that are different
_____________. from the name on the incoming request.
(Warning flag set)
038 5616 names Generated when there are 2 names on the
_____________. NOAA 56-16 records that are different
_____________. from the name on the incoming request.
(Warning flag set)
039 Amended Generated when the military deletes a DD
Response, DD Form 214 and there is no replacement DD
Form 214 Form 214 sent.
deleted by
Military.
040 Wages Generated when there is a Type 3 Control
previously Record from a different State with the
assigned, need same separation date on file.
Trans FIPS
Identified on
Control Rec.
041 Separation pay Generated when the Separation Pay field
greater than is equal to 99999. The LCCC can only
99999.99. DD accommodate 5 positions for this field.
214 being If the amount is more than 5 positions,
faxed. this field will be filled with all 9s
and the DD 214 will be faxed to the
requesting State.
15. Amended UCX Responses. The State agency will receive an
amended response record any time the LCCC receives a new DD 214,
or a DD Form 215 that changes critical information. Amended
responses will carry a record Type 1 even though the initial
response may have been coded Type 2 or 3. Information from the
Claims Control file that may have caused the original response to
be coded Type 2 or 3 will not be provided again.
16. Rejected Record - Error Messages. When the State receives
one of the following error messages, there will be an “e” in Field
118 of the response record. An “e” means that the record did not
pass the initial edits and has been rejected prior to processing.
Using the 960 character response record format, Fields 1 thru 18
of the response record will be a copy of Fields 1 thru 18 of the
request record submitted by the State. Additional fields that
will be completed are: Field 103 (providing the error message
number); Field 118 (providing an “edit/process flag” of “e” for
error); and Field 121 (copy of Field 20 from the incoming request
record).
Following are the record rejection error message numbers and the
narrative language.
Message # Narrative
001 = Record code type invalid
002 = Invalid Program type
003 = Invalid Social Security Number - not numeric
004 = Invalid Social Security Number not > zero
005 = Invalid Social Security Number first 3 digits not
> zero
006 = Invalid Social Security Number middle 2 digits not
> zero
007 = Invalid Social Security Number last 4 digits not
> zero
008 = Invalid first name missing
009 = Invalid first name
010 = Invalid middle initial
011 = Invalid last name without first character
012 = Invalid last name missing
013 = Invalid last name
014 = Effective date of claim invalid
015 = Last day of work (UCX sep date) invalid
016 = Last day of work (UCFE sep date) invalid
017 = Base Period Begin date invalid
018 = Base Period Ending date invalid
019 = Benefit Year Ending date invalid
020 = State FIPS code invalid
021 = First transferring State FIPS code invalid
022 = Second transferring State FIPS code invalid
023 = Branch of service must be space for UCFE
024 = Branch of service invalid
025 = Transmission Date invalid
026 = Invalid other Social Security Number - Not numeric
027 = Invalid other SSN -First three digits not > zero.
028 = Invalid other SSN -Middle two digits not > zero
029 = Invalid other SSN -Last four digits not > zero
030 = State FIPS Code not Numeric
031 = First Transferring State FIPS Code Not Numeric
032 = Second Transferring State FIPS Code Not Numeric
033 = Invalid Program Type For Record Code
034 = State FIPS Code Not Your State Code
17. Optional Print Program. A print program used during the
testing of the new system is available from the LCCC. If the
State is interested in obtaining this print program, contact
Rezzie Meyers at 1-800-535-8100. Note: The LCCC is not able to
provide States with on-going support pertaining to this print
program.
The print program will read the individual records in the response
file and print formatted readable records on a separate page for
each social security number. The first records to print will be
rejected records. These records will carry an “e” in Field 115
indicating that the record did not pass the initial edits and was
rejected prior to processing. The second records to print will be
those with a “p” in Field 115 indicating that the record was
processed by the LCCC. At the end of all records, a summary page
will be printed that contains the total number of rejected records
and the total number of processed records in the batch.
18. Using an Affidavit to Establish UCX Eligibility. When the
LCCC does not have a DD Form 214 on file, UCX benefits will no
longer be withheld pending its receipt. States are now authorized
to use the claimant’s copy 4 of a DD Form 214 as an affidavit upon
receipt of a notice from the LCCC that there is no DD Form 214 on
file. The State should develop a system to electronically
generate a request to the claimant for a copy of the claimant’s DD
Form 214 upon receipt of this notice. Ideally, the State may
consider implementing this as a feature accessible from a screen
used to view response records, a PF key could be used to initiate
this request to the claimant after staff has reviewed the response
to insure that there has been no data entry error on the request
record separation date that caused an erroneous pending record to
be created.
19. UCFE Forms and Corresponding Electronic Record Formats. Each
State agency is required to reproduce the UCFE forms as designed,
except that if the State uses "weeks of employment" or "hours
worked" information, item 9B of the ETA 931 may be modified.
Any other proposed modification of the paper forms should be
submitted to the USDOL National Office through the appropriate
Employment and Training Administration Regional Office for review
and approval. NOTE: State agency modifications to the electronic
record formats are not permitted.
20. UCFE - Generating Requests for Wage and Separation
Information to Federal Agencies. An ICON UCFE Support System
application has been developed for States’ use to generate
requests for Federal civilian wage and separation information.
This application supports the creation and delivery of hardcopy
and electronic versions of the ETA-931, Request for Wage and
Separation Information, the ETA-931A, Request for Separation
Information, and the ETA-934, Request for Additional Information.
Each request is data entered to the ICON UCFE Support System. The
appropriate type of request, mail or electronic, will be generated
based on the delivery indicator for the Federal agency. This
indicator is maintained in the Directory of Federal Agencies and
will be dynamically moved to Field number 17 of the TC-ETA-931 and
TC-ETA-931A, and Field number 15 of the TC-ETA-934. The request
records will be generated as follows:
• Type 1, Delivery Indicator. A type “1" delivery indicator
causes an electronic TC-ETA-931 to be transmitted to the
employer requesting both wage and separation information.
• Type 2, Delivery Indicator. A type “2" delivery indicator
causes an electronic request for wages to be sent to the
federal agency for wage information and a copy of the
request, including the name and address of the agency, to e
written to a “flat” file for the State to use to complete a
form ETA-931 for mailing to the federal agency to obtain
separation information.
• Type 3, Delivery Indicator. A type “3" delivery indicator
causes a request record, including the name and address of
the federal agency, to be written to a “flat” file for the
State to use to complete a form ETA-931 for mailing to the
federal agency to obtain wage and separation information.
Using the information from the “flat” file to address a
preprinted form or to complete a computer printed form is a
programming responsibility of the State.
An electronic record of each request entered ICON UCFE Support
System will be sent to the HUB. Records with a '1' or '2'
delivery indicator will be forwarded (minus the information
carried in Fields 23-34) to the UCFE Server to await pickup by the
destination federal agency. The information carried in Fields 23-
34 is used for maintenance of the Directory of Federal Agencies.
When there has been a entry to the address fields of the record,
field 34 will be dynamically marked. Field 34 of all records will
be read by the HUB system and when marked will cause a record to
be will to an address maintenance file for appropriate action by
the National Office. Refer to item 26 below for additional
information about the Directory of Federal Agencies.
Below is a copy of the Main Menu for the UCFE system for easy
reference.
a. ICON UCFE Support System - Main Menu.
UCFE SUPPORT SYSTEM
MAIN MENU
OPTION: _ SSN ___ - __ - ____ EFF DT: __ / __ / __
(1) ENTER 931 (REQUEST FOR WAGE AND SEPARATION INFO)
(2) ENTER 931A (REQUEST FOR SEPARATION INFO ONLY)
(3) ENTER 934 (REQUEST FOR ADDITIONAL INFO)
(4) VIEW OUTGOING REQUESTS
(5) VIEW INCOMING RESPONSES
(6) VIEW FEDERAL ADDRESS DIRECTORY
PRESS ENTER TO CONTINUE
PRESS CLEAR TO EXIT
b. ETA 931, ICON Data Entry Screen. This data entry screen
is used to generate the ETA-931 in hardcopy or electronic form.
UCFE SUPPORT SYSTEM
TC-ETA 931 REQUEST FOR WAGE AND SEPARATION INFORMATION
OPTION: (1) SSN: (2) OFFICE: (3)
CREATION DATE: (4) DATE CLM TAKEN: __ / __ / __ (5)
EFF DT: 00 / 00 / 00 ( 6)
NAME: FIRST: _______( 7) MI: _ (8 LAST: _______________________ (9)
BASE PERIOD: EX? _ (10) BEGINS: __ / __ / __ (11)
WAGES ONLY: _ (12)
FIC: ___ (13) DESTINATION: ____ (14)
ENTER=ADDRESS SCREEN PF1=HELP PF3=SEND PF4=CANCEL PF9=NEW CLAIM
FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY
21. ETA-931, Request for Wage and Separation Information - UCFE.
The ETA-931 is used to obtain Federal civilian employment, wage,
and/or separation information from a Federal agency and is
available in a paper format and an electronic format. The Form
ETA-931 is used to obtain Federal civilian wage and separation
information when the responding Federal agency is unable to
provide any wage or separation information in the electronic
format. The electronic TC-ETA-931 is used when the responding
Federal agency is able to provide either the claimant’s wage or
wage and separation information in the electronic format.
a. Form ETA 931
(1) Front of Form ETA 931
(STATE AGENCY IDENTIFICATION)
REQUEST FOR WAGE AND SEPARATION INFORMATION- UCFE
1. State Agency Address: 2. Name of Federal Agency, 3 Digit Agency Code, and
Address:
3. Local Office/Call Center ID: 4. Date of Request: 5. Date claim taken: 6. Effective Date of Claim:
7. Name (Last, First , Middle Initial) 8. Social Security Number
Instructions: Complete and Return Within 4 Workdays
9. A. Did this person perform “Federal Civilian Service” as defined for UCFE purposes for your agency at any time during the base
period shown in Item 10A below? Yes No
B. Under what legal authority was the individual hired? ____________________________________________________________
C. What funding Source was used for salary payments? ______________________
D. Were payroll deductions made for Federal and State taxes? Yes No
* E. Was Employee eligible for:
(1) Annual and Sick leave? ___Yes ___No (2) Health and Life insurance? _ Yes __ No
(3) Civil Service or FERS retirement? __Yes __ No
F. Did the Federal agency provide direction and control? __Yes __No
G. Duty Station: Enter State of the person’s last employment with your agency (or if outside U.S.,
enter Country):
* NOTE: If “NO” to D, E (1) through E (3) Explain on separate attachment.
10. Are base period wages provided electronically? 11. Separation, Terminal Annual Leave, and Severance Pay
___Yes ___No. If ‘yes’, go to item 11. If ’no’, Information
report all wages from base period begin date to A. Did this person receive a lump sum payment(s) for
separation date. terminal annual leave on or after the beginning date of base
period shown in item 10A? ___Yes ___No
A. Base period beginning date________________ If “Yes” or if currently entitled to such a payment, enter
B. Report wages for quarters ending after date in ‘A’ date below : Payment Date: __/__/__ Days of Leave: ___
above. Period From: Date: __/__/__To: Date:__/__/__
Qtr. Ending Year Gross Wages B. Date of Separation__/__/__
__________ ____ $____________ C. Last day of active pay status __/__/__
__________ ____ $____________ D. Reason for separation or nonpay status:_________________
__________ ____ $____________ __________________________________________________
__________ ____ $____________ __________________________________________________
__________ ____ $____________ E. Did this person receive or is he/she entitled to receive
__________ ____ $____________ severance pay provided by Federal law or agency employee
__________ ____ $____________ agreement? ___Yes __ No
__________ ____ $____________ If “Yes” complete the following information:
__________ ____ $____________ Total Entitlement: $_________ Weekly
C. Report Hours entitlement: $_____ Beginning date: __/__/__
No. of Duty Hours ____ Workday Ending Date: __/__/__
____ Basic Workweek
Print Name ___________________________________________ Title ______________________________________________________
Signature_______________________________ Telephone Number (_____) ______________ Date____/___/____
ETA-931(Revised 8/2001)
(2) Reverse of Form ETA-931.
Important Notice
If a completed Form ETA-931 is not received by the 12th calendar day from the ‘date of request,’ this agency may
pay benefits to the claimant based on his/her affidavit as provided by Department of Labor’s Regulation at 20
CFR 609.6(e)(2). Any benefit payments made to the claimant will be charged to the Federal employing
agency(ies) in accordance with Section 1023, PL 96-499, Omnibus Reconciliation Act of 1980(94 Stat. 2599).
COMPLETION INSTRUCTIONS TO FEDERAL AGENCY
(Also see Front of this Form)
As an alternative to completing this form, attaching a computer printout containing complete data of the data
requested is acceptable if procedures and forms are cleared with the U.S. Department of Labor, Washington, DC
20210, and the State agency has completed items 1-7 and 10A and 10B, which identify the base period and the
applicable calendar quarters for which information is requested.
Item 9A asks if the individual performed “Federal Civilian Service.” If the Federal agency response is “No,”
Items 9B through 9F are to be completed. Item 9G will be answered when the individual performed “Federal
Civilian Service.”
The information is available on the SF-50 or payroll records. Provide a separate attachment if necessary.
Item 10B and 9C. Enter either gross wages, when paid, in Federal Civilian Service or “none” if no wages for that
period. Do not include as wages: (1) severance pay, (2) lump sum payment(s) for terminal annual leave, or (3)
any other type of separation payment. Enter hours, such as 8 and 40 for full-time employee.
Item 11A. Self-explanatory.
Items 11B and 11C. Enter dates requested. The date in Item 11C includes annual and sick leave days if earlier
than the date of separation (11B) or if employee is not separated.
Item 11D. Obtain agency findings from SF 50: Item 5-B “Nature of Action” and Item 45, “Remarks”, or if SF-50
not used, record equivalent information from other separation document(s) your agency used. See Federal
Personnel Manual (FPM) supplement 296-33 for standards on work connected “Resignation” cases, carefully
review FPM requirements applicable since January 1,1982. If payroll office records are incomplete or inadequate,
or if information on SF-50 is not sufficient, check with personnel for additional information and add as part of
separation information. ATTACH COPIES OF DOCUMENTS IF APPROPRIATE.
Item 11E. Self-explanatory.
Signature of Official. Form is not complete unless it (or attached computer printout) is signed and dated; also
enter signer’s title and telephone number.
(3) Number of copies and distribution. One copy of the
Form ETA-93l is to be prepared and forwarded to the Federal
agency on the date that the UCFE claim is taken.
(4) Preparation of Form ETA-931. The Form ETA-93l should
be completed as follows:
(a) Item 1, State Agency Address. Enter the
address to which the response is to be returned.
(b) Item 2, Name of Federal Agency, 3 Digit Agency
Code and Address. Enter the Federal agency, the FIC code and
mailing address.
(c) Item 3, Local Office/Call Center ID. Enter the
local office/call center identification number.
(d) Item 4, Date of request. Enter the date the
Form ETA-93l sent to the Federal agency.
(e) Item 5, Date claim taken. Enter the date that
the claim was taken. This should represent the date that
application was received from the claimant.
(f) Item 6, Effective date of claim. Enter the
date of the first day that the claim is in effect. In most
cases, it will be the Sunday preceding the date of filing.
(g) Item 7, Name. Enter the claimant’s full name
plus maiden name in parentheses, if any (e.g., Elliott, Sara
(Johnson)).
(h) Item 8, Social Security Number (SSN). Enter the
claimant’s SSN as provided by the claimant. Enter all of the
SSN(s) shown in item 2 of the claimant’s SF-50 or on any SSN(s)
presented by the claimant, or obtained from any other official
document, such as a W-2 Form, identifying the source of each
number in parentheses, e.g., 123-45-6789 (SF-50). Separate the
number by dashes between the third and fourth digits and the
fifth and sixth digits, e.g., 123-45-6789).
(i) Items 10A and 10B. Enter the beginning date of
the base period in item 10A. In item 10B list each calendar
quarter, for which wages are requested, from the base period
begin date to the quarter in which the claim is effective. The
request must list all quarters covering the base and lag periods
even those quarters beginning beyond the date that the claimant
provided as the separation date from the Federal agency.
States with laws that include weeks of employment in the formula
for determining monetary entitlement or requiring other wage or
employment information for a determination, are authorized to
adapt item 10B to meet their needs.
b. TC-ETA 931, Request for Wage and Separation Information.
The electronic ETA 931 is used to obtain wage or wage and
separation information from a Federal agency that is able to
provide the claimant’s wage, or wage and separation, information
in the electronic format. Below is the request record that will
be created for each ETA-931 entered to the ICON UCFE application.
This record, minus the information shown in Fields 23 - 34, will
be transmitted when the Federal agency is identified with a
“delivery indicator” of 1 or 2 in Field 17. Information under
the “DESCRIPTION” column indicates the information that is to be
provided in the outgoing request record. The information that is
required on this record that is not shown on the data entry
screen should be dynamically provided from other State records if
possible.
TC-ETA 931, Request for Wage and Separation Information
(STATE AGENCY REQUEST RECORD FORMAT)
FLD FIELD NAME FIELD BEGIN FIELD REQ/ DESCRIPTION
NBR TYPE COLUMN LENGTH OPT
Record Key
is Fields 1
through 4
1 Social N 1 9 R Claimant’s SSN.
Security No.
2 Effective N 10 8 R The effective date of
Date the claim. Format is
CCYYMMDD.
3 Sequence N 18 2 R Sequence of record
Identifier supplied by the
sending State.
Sequence will begin
with 01. Each new
record for the same
SSN and Effective
Date will be
incremented by +1.
4 Type of N 20 2 R Values: 01 = ETA 931
Request Request Record.
5 FIC of N 3 R The Federal agency’s
Responding three digit identifi-
Agency cation code.
6 Destination N 25 4 R The Federal agency
Code of component’s four
Responding digit destination
Agency code.
7 Base Period N 29 8 R Beginning Date of the
Beginning Base Period. Format
Date is CCYYMMDD.
8 Requesting A/N 37 2 R The sending state’s
State’s alpha postal code.
Postal Code
9 Creation N 39 8 R Date the electronic
Date request is created.
Format is CCYYMMDD.
10 Creation N 47 6 R Time the electronic
Time request is created.
Format is HHMMSS.
11 Claim Date N 53 8 R Date the claim was
taken. Format is
CCYYMMDD.
12 First Name A/N 61 20 R The claimant’s first
name.
13 Middle A/N 81 1 O The claimant’s middle
Initial initial.
14 Last Name A/N 82 23 R The claimant’s last
name.
15 Base Period A/N 105 1 R Indicator identifying
Override if the sending State
Indicator has overridden the
standard Base Period
(BP).
Blank = Standard BP
‘X’ = Standard BP
has been
overridden
and
alternate BP
entered.
16 Local A/N 106 4 R Code identifying the
Office/ Call Local Office or Call
Center Center to which the
claim is assigned in
the Sending State or
spaces.
17 Delivery A/N 110 1 R Indicator specifying
Indicator the receiving Federal
Agencies method of
responding to
requests.
‘1’= Electronic Wage
and Separation
Information.
‘2’= Electronic Wage
and Paper
Separation
Information.
‘3’= Paper Wage and
Separation
Information.
18 Type of A/N 111 1 R Indicator for the
Response type of response
Requested requested. Values:
1 = Wages for the
Quarter.
2 = Wages and number
of weeks worked
during each
quarter
3 = Wages and number
of hours worked
during each
quarter.
19 Date N 112 8 R Date the request was
Exported exported. Format is
CCYYMMDD.
20 Time N 120 6 R Time the request was
Exported exported. Format is
HHMMSS.
21 Response A/N 126 1 O This field will be
Received set to ‘X’ when the
Indicator response is received
from the Federal
Agency.
22 Wages Only A/N 127 1 R This field identifies
Indicator a request for wages
only when the state
does not need
separation
information.
Valid entries:
X = wages only
Blank = wages and
separation
information.
23 Filler A/N 128 73 R Spaces.
24 Agency Name A/N 201 20 R Name of the Federal
Agency that is
responsible for this
claim
25 Agency A/N 251 50 R Component of the
Component Federal Agency that
is responsible for
this claim.
26 Agency A/N 301 50 R First line of the
Address line Street or Postal
1 Address for the
Federal Agency.
27 Agency A/N 351 50 R Second line of the
Address line Street or Postal
2 Address for the
Federal Agency.
28 Agency A/N 401 50 R Third line of the
Address line Street or Postal
3 Address for the
Federal Agency.
29 Agency - A/N 451 50 R City of the Postal
City Address.
30 Agency - A/N 501 2 R Two digit alpha
State Postal Code for
State.
31 Agency - Zip A/N 503 13 R Postal Zip Code.
Code Format is:
XXXXX-XXXX-XX.
32 Agency - A/N 516 26 R Country for location
Country of Federal agency.
33 Filler A/N 542 1 R Space.
34 Address A/N 543 1 O Address Change
Change Indicator . If this
Indicator is a new address or
the address is
different from what
is on the Directory
of Federal Agencies
file, this field will
contain an ‘X’.
Otherwise, the field
will contain a space.
35 Filler A/N 544 57 R Spaces.
TOTAL RECORD 1000
c. TC-ETA-931 Response Record Format. Below is the record
format of the response that States will receive from the Federal
Agency. The same record format will be used by Federal agencies
sending electronic wage information only and electronic wage and
separation information.
TC-ETA-931 - Federal Agency Response Record Format
FLD Field Name Field Begin Field REQ/ Description
NBR Type Column Length OPT
Record Key
is Fields 1
through 4
1 Social N 1 9 R Claimant’s SSN.
Security No.
2 Effective N 10 8 R The effective date of
Date the claim. Format is
CCYYMMDD.
3 Sequence N 18 2 R This sequence number
Identifier identifies the
original and
subsequent responses
to the request
identified by sequence
number in Field 85.
The response numbering
should be sequential
beginning with 01 (up
to 99) as follows:
01 = 1st response
(original
response to
request)
02 = 2nd response
(first amended
response)
03 = 3rd response
(second amended
response) etc.
4 Type of N 20 2 R Value: 04 = 931
response Response Record.
5 Social N 22 9 R Claimant’s Social
Security No. Security Number from
the incoming request.
6 Effective N 31 8 R The Effective Date of
Date the claim from the
incoming request.
7 Sequence N 39 2 R Sequence number of the
Identifier request record
supplied by the
sending State on the
incoming request in
Field 3.
8 Type of N 41 2 R Value: 01 = 931
Request Request Information.
This is supplied by
the incoming request.
9 FIC of N 43 3 R The Federal Agency’s
Responding three digit
Agency identification code
from the incoming
request.
10 Destination N 46 4 R The Federal agency
Code of component’s four digit
Responding destination code from
Agency the incoming request.
11 Base Period N 50 8 R Date of the Beginning
Beginning of the Base Period
Date identified by the
requesting State (not
modifiable).
12 Requesting A/N 58 2 R The sending state’s
State’s Postal Code from the
Postal Code incoming request
13 Creation N 60 8 R Date the electronic
Date response is created.
14 Creation N 68 6 R Time the electronic
Time response is created.
15 Claim Date N 75 8 R Date the claim was
taken from the
incoming request.
16 First Name A/N 82 20 R The claimant’s First
Name from the incoming
request.
17 Middle A/N 102 1 O The claimant’s Middle
Initial initial from the
incoming request.
18 Last Name A/N 103 23 R The claimant’s Last
name from the incoming
request.
19 Base Period A/N 126 1 R Indicator from the
Override incoming request
Indicator identifying if the
Sending State has
overridden the
standard Base Period
(BP).
Valid values are:
Blank = Standard BP
“X” = Standard BP
Overridden.
Alternate BP
Entered.
20 Local A/N 127 4 R Code from the incoming
Office/Call request identifying
Center the Local Office or
Call Center to which
the claim is assigned
in the Sending State.
21 Delivery A/N 131 1 R This field is taken
Indicator from the incoming
request. It is the
indicator that
specifies the type of
request to send and
the type of response
to expect from the
Federal Agency
identified in fields 9
and 10.
Valid values are:
‘1’ = Electronic Wage
and Separation
Information
‘2’ = Electronic Wage
Information.
Mail Separation
Information.
‘3' = Mail Wage and
Separation
Information.
22 Type of A/N 132 1 R This field is taken
Response from the incoming
Requested request and indicates
what information the
State is requesting.
Values:
1 = Wages for each
quarter
2 = Wages and the
number of weeks
worked during
each quarter
3 = Wages and number
of hours worked
during each
quarter.
23 Response A/N 133 1 R Values:
Type sent 1 = Wages for each
quarter
2 = Wages and the
number of weeks
worked during
each quarter
3 = Wages and number
of hours worked
during each
quarter.
24 Performed A/N 134 1 R Values:
Federal “Y” = Yes; “N” = No.
Civilian
Service? If “N” is entered in
this field, fields 25
–31 must be completed.
25 Under what A/N 135 10 O If “N” in field 24,
legal answer this question.
authority
was
individual
hired?
26 What funding A/N 145 10 O If “N” in field 24,
source was answer this question.
used for
salary
payments?
27 Were payroll A/N 155 1 O If “N” in field 24,
deductions answer this question.
made for Values:
Federal and
State taxes? “Y” = Yes; “N” = No.
28 Was employee A/N 156 1 O If ”N” in field 24,
eligible for answer this question.
annual and Values:
sick leave?
“Y” = Yes; “N” = No.
29 Was employee A/N 157 1 O If “N” in field 24,
eligible for answer this question.
health and Values:
life
insurance? “Y” = Yes; “N” = No.
30 Was employee A/N 158 1 O If “N” in field 24,
eligible for answer this question.
Civil Values:
Service or
FERS “Y” = Yes; “N” = No.
retirement?
31 Did the A/N 159 1 O If “N” in field 24,
Federal answer this question.
agency Values:
provide
direction “Y” = Yes; “N” = No.
and control?
32 Date of N 160 8 R Enter the date of
Separation/ separation or the last
Last Date in day in active pay
Active Pay status if not
Status separated. Format is
CCYYMMDD.
33 Reason for N 168 1 R Valid entries are:
Separation/- 1 = Permanent Layoff
Non-pay
Status 2 = Temporary
Layoff/Furlough
3 = Quit
4 = Discharged
5 = Labor Dispute
6 = Retirement
7 = Other
34 Official N 169 2 R Enter the 2-digit FIPS
Duty Station Code for the State,
District of Columbia,
Puerto Rico or Virgin
Islands. When the
official duty station
was outside of the US
or the jurisdictions
identified above,
enter 99.
35 Severance N 171 1 R Enter “Y” if the
Pay individual has
received or will
receive Severance pay
after this separation.
Enter “N” if the
individual did not and
will not receive
severance pay after
this separation.
36 Severance N 188 9 R Enter the date on
Pay - begin which severance pay
date began. Format is
CCYYMMDD.
37 Severance N 180 8 R Enter the date on
Pay - end which severance pay
date ends. Format is
CCYYMMDD.
38 Severance N 188 9 R Enter the total dollar
Payment amount of severance
amount pay. Format is
999999.99 (right
justify. i.e.
012590.88).
39 Date of N 197 8 R Enter the date
Severance severance payment was
Payment issued. Format is
CCYYMMDD.
40 Annual Leave A/N 205 1 R Enter “Y” if the
individual has
received or will
receive a lump sum
annual leave payment
after the separation
date.
Enter “N” if the
individual did not and
will not receive a
lump sum annual leave
payment after the
separation date.
41 Annual Leave N 206 8 R Enter the total dollar
Amount amount of annual leave
payment paid/due.
Format is 999999.99
(right justify. i.e.
012590.88)
42 Number of N 214 3 42 Enter the number of
Days of days of annual leave
Annual Leave paid/due. Format is
999 (right justify.
i.e. 001).
43 Date of N 217 8 43 Enter the date on
Annual Leave which annual leave
Payment payment was issued.
Format is CCYYMMDD.
44 Monthly N 225 8 44 If value “6” is
Pension entered in field 33,
Payment enter the gross dollar
amount amount of monthly
pension payment.
Format is 99999.99
(right justify. i.e.
02590.88)
45 Explanation A/N 233 400 R If value “3”, “4” or
of Reason “7” is entered in
for field 33, provide a
Separation/ detailed explanation.
Non-pay
Status
46 Year - N 633 5 46 Identify the 1st
Quarter calendar quarter
ending after the
beginning date of the
base period. Format
is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
47 Base Period N 638 8 R Enter the amount of
Wages - 1st wages during the 1st
Quarter calendar quarter
ending after the
beginning date of the
base period. Format
is 99999.99. If no
wages, enter zeros.
48 Weeks Worked N 646 2 R Enter the number of
- 1st weeks during which
Quarter work was performed in
the 1st calendar
quarter ending after
the beginning date of
the base period. The
format is 99 (i.e.
05). If no weeks,
enter zeros.
49 Hours Worked N 648 4 R Enter the number of
- 1st hours work during the
Quarter 1st calendar quarter
ending after the
beginning date of the
base period. Format
is 9999 (i.e. 0840).
If no hours, enter
zeros.
50 Year - N 652 5 R Identify the 2nd
Quarter calendar quarter
ending after the
beginning date of the
base period. Format
is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
51 Base Period N 657 8 R Enter the amount of
Wages - 2nd wages during the 2nd
Quarter calendar quarter
ending during base
period. Format is
99999.99. If no
wages, enter zeros.
52 Weeks Worked N 665 2 R Enter the number of
- 2nd weeks during which
Quarter work was performed in
the 2nd calendar
quarter ending after
the beginning date of
the base period.
Format is 99 (i.e.
05). If no weeks,
enter zeros.
53 Hours Worked N 667 4 R Enter the number of
2nd Quarter hours work during the
2nd calendar quarter
ending after the
beginning date of the
base period. Format
is 9999 (i.e. 0840).
If no hours, enter
zeros.
54 Year - N 671 5 54 Identify the 3rd
Quarter calendar quarter
ending after the
beginning date of the
base period. Format
is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
55 Base Period N 676 8 55 Enter the amount of
Wages - 3rd wages during the 3rd
Quarter calendar quarter
ending during the base
period. The format
is 99999.99. If no
wages, enter zeros.
56 Weeks Worked N 684 2 56 Enter the number of
- 3rd weeks during which
Quarter work was performed in
the 3rd calendar
quarter ending after
the beginning date of
the base period.
Format is 99 (i.e.
05). If no weeks,
enter zeros.
57 Hours Worked N 686 4 R Enter the number of
- 3rd hours work during the
Quarter 3rd calendar quarter
ending after the
beginning date of the
base period. Format
is 9999 (i.e. 0840).
If no hours, enter
zeros.
58 Year - N 690 5 R Identify the 4th
Quarter calendar quarter
ending after the
beginning date of the
base period. Format
is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
59 Base Period N 695 8 R Enter the amount of
Wages - 4th wages during the 4th
Quarter calendar quarter
ending during the base
period. Format is
99999.99. If no
wages, enter zeros.
60 Weeks Worked N 703 2 60 Enter the number of
- 4th weeks during which
Quarter work was performed in
the 4th calendar
quarter ending after
the beginning date of
the base period.
Format is 99 (i.e.
05). If no weeks,
enter zeros.
61 Hours Worked N 705 4 61 Enter the number of
- 4th hours work during the
Quarter 4th calendar quarter
ending after the
beginning date of the
base period. Format
is 9999 (i.e. 0840).
If no hours, enter
zeros.
62 Year - N 709 5 R Identify the 5th
Quarter calendar quarter
ending after the
beginning date of the
base period (i.e. the
1st lag quarter).
Format is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
63 Lag Period N 714 8 R Enter the amount of
Wages - 1st wages during the 5th
Quarter calendar quarter
beginning after the
base period end date
(i.e. the 1st lag
quarter). Format is
99999.99. If no
wages, enter zeros.
64 Lag Period N 722 2 R Enter the number of
Weeks Worked weeks during which
- 1st Qtr work was performed in
the 5th calendar
quarter beginning
after the ending date
of the base period
(i.e. the 1st lag
quarter). Format is
99 (i.e. 05). If no
weeks, enter zeros.
65 Lag Period N 724 4 R Enter the number of
Hours Worked hours work during the
- 1st Qtr 5th calendar quarter
beginning after the
ending date of the
base period (i.e. the
1st lag quarter) .
Format is 9999 (i.e.
0840). If no hours,
enter zeros.
66 Year - N 728 5 5 Identify the 6th
Quarter calendar quarter
ending after the
beginning date of the
base period (i.e. the
2nd lag quarter).
Format is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
67 Lag Period N 733 8 R Enter the amount of
Wages - 2nd wages during the 6th
Quarter calendar quarter
beginning after the
base period end date
(i.e. the 2nd lag
quarter). Format is
99999.99. If no
wages, enter zeros.
68 Lag Period N 741 2 R Enter the number of
Weeks Worked weeks during which
- 2nd Qtr work was performed in
the 6th calendar
quarter beginning
after the ending date
of the base period
(i.e. the 2nd lag
quarter). Format is
99 (i.e. 05). If no
weeks, enter zeros.
69 Lag Period N 743 4 R Enter the number of
Hours Worked hours work during the
- 2nd Qtr 6th calendar quarter
beginning after the
ending date of the
base period (i.e. the
2nd lag quarter).
Format is 9999 (i.e.
0840). If no hours,
enter zeros.
70 Year - N 747 5 70 Identify the 7th
Quarter calendar quarter
ending after the
beginning date of the
base period (i.e. the
3rd lag quarter).
Format is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
71 Lag Period N 752 8 71 Enter the amount of
Wages - 3rd wages during the 7th
Quarter calendar quarter
beginning after the
base period end date
(i.e. the 3rd lag
quarter). Format is
99999.99. If no
wages, enter zeros.
72 Lag Period N 760 2 72 Enter the number of
Weeks Worked weeks during which
- 3rd Qtr work was performed in
the 7th calendar
quarter beginning
after the ending date
of the base period
(i.e. the 3rd lag
quarter). Format is
99 (i.e. 05). If no
weeks, enter zeros.
73 Lag Period N 762 4 73 Enter the number of
Hours Worked hours work during the
- 3rd Qtr 7th calendar quarter
beginning after the
ending date of the
base period (i.e. the
3rd lag quarter).
Format is 9999 (i.e.
0840). If no hours,
enter zeros.
74 Year - N 766 5 74 Identify the 8th
Quarter calendar quarter
ending after the
beginning date of the
base period (i.e. the
4th lag quarter).
Format is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
75 Lag Period N 771 8 75 Enter the amount of
Wages - 4th wages during the 8th
Quarter calendar quarter
beginning after the
base period end date
(i.e. the 4th lag
quarter). Format is
99999.99. If no wages,
enter zeros.
76 Lag Period N 779 2 76 Enter the number of
Weeks Worked weeks during which
- 4th Qtr work was performed in
the 8th calender
quarter beginning
after the ending date
of the base period
(i.e., the 4th lag
quarter). Format is
99(i.e., 05). If no
weeks, enter zeros.
78 Year - N 785 5 78 Identify the 9th
Quarter calendar quarter
ending after the
beginning date of the
base period (i.e. the
5th lag quarter).
Format is CCYYM.
Month Values:
Qtr ending 3/31 = 1
Qtr ending 6/30 = 2
Qtr ending 9/30 = 3
Qtr ending 12/31 = 4
79 Lag Period N 790 8 79 Enter the amount of
Wages - 5th wages during the 9th
Quarter calendar quarter
beginning after the
base period end date
(i.e. the 5th lag
quarter). Format is
99999.99. If no
wages, enter zeros.
80 Lag Period N 798 2 80 Enter the number of
Weeks Worked weeks during which
- 5th Qtr work was performed in
the 9th calendar
quarter beginning
after the ending date
of the base period
(i.e. the 5th lag
quarter). Format is
99 (i.e. 05). If no
weeks, enter zeros.
81 Lag Period N 800 4 81 Enter the number of
Hours Worked hours work during the
- 5th Qtr 9th calendar quarter
beginning after the
ending date of the
base period (i.e. the
5th lag quarter).
Format is 9999 (i.e.
0840). If no hours,
enter zeros.
82 Date N 804 8 82 Date the response was
Imported imported from the Hub
83 Time N 812 6 83 Time the response was
Imported imported from the Hub
84 Amended A/N 818 1 84 If this is an Amended
Response Response, enter an ‘X’
Indicator in this field.
85 Request A/N 819 2 85 This is the sequence
Sequence number from Field 3 of
Number the 931 request record
to which the employer
is responding.
86 Filler A/N 821 180 86 Spaces.
Total Record 1000
d. TC-ETA931, Response Record View Screen.
Approved
O.M.B. No. 1205-0179
TC-ETA 931 EMPLOYER RESPONSE
SSN ___-__-_ (1) SEQ: _ (2) FIC: _ (3) DEST: _ (4) EFF DATE: __/__/____(5)
NAME: FIRST____________________ (6) MI _ (7) LAST___________________ (8)
BASE PERIOD BEGINS: __/__/___ (9) SEPARATION DT:__/__/__ (10) REASON:_ (11)
OFFICIAL DUTY STATION: __ (12) PERFORMED FEDERAL SERVICE:_ (13)
SEVERANCE PAY: (14) ANNUAL PAY: (15)
YEAR/QTR: __/_ (16) __/_(20) __/_(24) __/_(28) __/_(32) __/_ (36) __/_(40)
WAGES: __._ (17) __._ (21) __._(25) __._(29) __._(33) __._ (37) __._(41)
WKS WKD: __ (18) __ (22) __ (26) __ (30) __ (34) __ (38) __ (42)
HRS WKD ____(19) ____ (23) ____(27) ____ (31) ____(35) ____(39) ___(43)
(Sceen 2) Approved
O.M.B. No. 1205-0179
TC-ETA 931 EMPLOYER RESPONSE
SSN ___-__-_(1) SEQ: _ (2) FIC: _(3) DEST: _(4) EFF DATE: __/__/____(5)
NAME: FIRST____________________ (6) MI _(7) LAST___________________(8)
SEVERANCE PAY: BEGINS:__/__/_(44) ENDS:__/__/_(45) AMOUNT: __(46)_.__ DATE PAID:__/__/_(47)
ANNUAL LEAVE: NUMBER OF DAYS ___ (48) AMOUNT: ___.__ (49) DATE PAID:__/__/_ (50)
MONTHLY PENSION AMOUNT:____.__ (51) EXPLANATION OF SEPARATION:____________ (52)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
FEDERAL SERVICE DETERMINATION:
LEGAL AUTHORITY FOR HIRE_______ (53) FUNDING SOURCE USED FOR SALARY:_________(54)
EMPLOYEE ELIGIBLE FOR: ANNUAL AND SICK LEAVE (55) HEALTH AND LIFE INSURANCE( 56)
CIVIL SERVICE RETIREMENT OR FERS RETIREMENT (57)
PAYROLL DEDUCTIONS MADE FOR STATE AND FEDERAL TAX _ (58)
FEDERAL AGENCY PROVIDED DIRECTION AND CONTROL _ (59)
22. State Agency Processing of TC-ETA-931 Response Record. The
State agency has the same responsibilities upon the receipt of
the TC-ETA-931 response record that it does upon the receipt of
the completed paper Form ETA-931 from the Federal agency. The
State agency should develop procedures to “flag” the claimant’s
record when the Federal agency’s response in certain fields is
critical to the claimant’s eligibility, e.g., answering “no”
where asked did the claimant perform Federal civilian service,
or entering the code of a potentially disqualifying code in the
reason for separation.
a. Federal Civilian Service. Field number 24 contains the
Federal agency’s response to whether the claimant performed
Federal civilian service. If, there is a “N” marked in this
field, field numbers 25-31 should contain additional information
concerning the nature of the service that the claimant performed.
The State will issue a determination based on the information
provided or forward the agency’s response to the USDOL for a
coverage ruling, if necessary.
b. Reason for Separation. A code of 3, 4, or 7 in Field
number 33 indicates a potential disqualifying separation. A
detailed explanation of the separation should be found in Field
number 45.
23. Use of a Claimant’s Affidavit to Determine UCFE Eligibility.
The State agency is to use the Form ETA-935, Claimant’s Affidavit
of Federal Civilian Service, Wages, and Reason for Separation, to
determine the claimant’s monetary and non-monetary eligibility
when no response is received from the Federal agency within the
time frames provided below. State agencies are not to send a
“Second Request” ETA-931 to the Federal agency.
The time frames for using the affidavit are as follows:
Type 1, Delivery Indicator. When the Federal agency is
identified with type “1" delivery indicator in Field number
17 of the TC-ETA-931 and TC-ETA-931A, and Field number 15 of
the TC-ETA-934, the State should use a completed Form ETA-
935 to determine the claimant’s eligibility after 7 days
have elapsed from the date (ICON export date) that the TC-
ETA-931 was sent to the Federal agency and no response has
been received.
Type 2, Delivery Indicator. When the Federal agency is
identified with type “2" delivery indicator in Field number
17 of the TC-ETA-931 and TC-ETA-931A, and Field number 15 of
the TC-ETA-934, the State should use a completed Form ETA-
935 to determine the claimant’s monetary eligibility after 7
days have elapsed from the date (ICON export date) that the
TC-ETA 931 was sent to the Federal agency and no response
has been received. The Form ETA-935 should be used to
determine the claimant’s non-monetary eligibility after 12
days have elapsed from the date that the ETA-931 was mailed
to the Federal agency for separation information and no
response has been received.
Type 3, Delivery Indicator. When the Federal agency is
identified with type “3" delivery indicator in Field number
17 of the TC-ETA-931 and TC-ETA-931A, and Field number 15 of
the TC-ETA-934, the State should use a completed Form ETA-
935 to determine the claimant’s monetary and non-monetary
eligibility after 12 days have elapsed from the date that
the ETA-931 was mailed to the Federal agency and no response
has been received.
The Form ETA-935 should identify the documentary evidence
submitted by the claimant to show he or she performed civilian
service for the Federal Government (e.g., SF-50, earnings and
leave statements, W-2, etc.). If at the time the claimant
completes a Form ETA-935, he or she does not have documentary
evidence, the interviewer should advise the claimant to provide
such documents to the State agency at the earliest opportunity.
When a Form ETA-931, ETA-931A, or ETA-934 is received after a
determination has been made based on the claimant’s affidavit, a
redetermination should be issued, if appropriate, in accordance
with State law. Information supplied by a Federal employer after
a determination has been made should be given the same
consideration and should have the same effect as material
information supplied by a State covered employer under similar
circumstances.
a. Form ETA-935, Claimant’s Affidavit of Federal Civilian
Service, Wages and Reason for Separation.
(STATE AGENCY IDENTIFICATION)
CLAIMANT’S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE,
WAGES AND REASON FOR SEPARATION
1. State Agency Address: 2. Claimant’s Name and mailing Address
3. LO/Call Center ID: 4. Date of Request: 5. Eff. Date of Claim: 6. Separation Date
7. Federal Agency Name & Address: 8. Social Security Number
Instructions: Complete and Return Immediately
9. Affidavit of Federal Wage and Separation Information/Documentary Evidence
a. Enter the location of your Official Duty Station: (City, State)
b. Enter your wages with the above named employer below. Show wages by quarter starting with the
wages that you earned after (base period begin date) up to the date you separated from this
employer. Under Documentary Evidence, enter the source of the information provided and attach a
copy. If additional space is needed to explain reason for separation, attach your signed
explanation.
Quarter Ending Year Gross Documentary Evidence
Wages
c. Severance Pay. Did you receive or are you entitled to receive severance pay provided by
Federal law or agency employee agreement? ___Yes __ No If “Yes” complete the following
information: Total Entitlement: $_________. Severance Pay Period Beginning date: __/__/__
Ending Date __/__/__
d. Pension: Are you entitled to receive a pension from any branch of the Federal Government?
____Yes _____No. Enter Gross Monthly Pension $ _________
e. Reason for Separation:
I, the claimant, understand that penalties are provided by law for an individual making false
statements to obtain benefits and that determinations based on an affidavit are not final: that
determinations are subject to correction upon receipt of wage and separation information from the
Federal agency, that benefit payments made as a result of such determination may have to be
adjusted on the basis of information from the Federal agency, and that any amount overpaid will
have to be repaid or offset against future benefits. I, the claimant, swear or affirm, that the
above statements, to the best of my knowledge, are true and correct.
10. Signature of Claimant_____________________________________________ Date ___/___/_____
ETA-935 (Revised 8/2001)
b. Number of Copies. Sufficient copies of the Form ETA-935
are to be prepared for State agency use.
c. Completion. The Items on Form ETA-935 are self explan-
atory. Item 9B, “Documentary Evidence,” should be completed in
all cases. However, if the claimant omits the entry and has
provided sufficient documentation, i.e., pay stubs, SF 50,
earnings and leave statement to support the entries, the State
should honor the affidavit.
d. Federal Civilian Employees' Salary Rates. When the
State agency is calculating the claimant’s gross wages based on
the claimant’s statement and an SF-50, refer to the most recent
Unemployment Insurance Program Letter showing a list of Federal
Annual Salary Rates. This will aid in determining the claimant's
wages.
24. ETA-931A, Request for Separation Information Additional
Claim. The ETA-931A is available in a paper format and an
electronic format and is used to request separation information
or the reason for non-pay status on an additional claim, when a
claimant has established a benefit year and is filing an
additional claim after an intervening period of employment in a
Federal agency.
When the claimant has a disqualification in effect, the State
agency should include its request for wages and/or weeks of
employment subsequent to the disqualification, to determine if
the claimant has met the requalification requirements.
Sending the electronic or paper version of the ETA-931A is
initiated by data entry through the ICON UCFE application. When
a form has to be mailed to the Federal agency, a record of the
information data entered and the agency’s name and address will
be written to a file for use in completing the form. Additional
information concerning the use of the data entry screen and
record format is contained in the ICON UCFE Users Guide. Below
is the ICON data entry screen.
a. Data Entry Screen for ETA-931A.
UCFE SUPPORT SYSTEM
TC-ETA931A REQUEST FOR SEPARATION INFORMATION
OPTION: __ (1)
SSN:___ ___ ____ (2) OFFICE: ____ (3)
CREATION DATE: / / (4)
EFF DT: / / (5)
NAME: FIRST: _____________( 6) MI: _ (7) LAST: ________________ (8)
FIC: ___ (9) DESTINATION: ____ (10)
CLEAR=CANCEL ENTER=ADDRESS SCREEN PF1=HELP PF3=ADD PF4=CANCEL
FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY
b. Form ETA-931A, Request for Separation Information -
Additional Claim. The State should reproduce this form in the
format provided, except that, if the State’s law does not
consider the receipt of a lump sum annual leave payment or
severance payment as wages or disqualifying income, the State
should print the item number and “Not Applicable” on the form,
i.e.,“9. C. Not Applicable.”
(STATE AGENCY IDENTIFICATION)
REQUEST FOR SEPARATION INFORMATION - ADDITIONAL CLAIM
1. State Agency Address: 2. Federal Agency Name, 3 Digit Agency
Code, and Address:
3. Local Office/Call Center : 4. Date of Request: 5. Effective Date:
6. Claimant’s Name (Last, First, 7. Social Security Number
Middle Initial)
Federal Agency Response – Complete and Return Within 4 Workdays
8. Separation, Terminal Annual Leave and Severance Pay Information:
A. Date of Separation: __/__/__ B. Last day of active pay status: __/__/__
C. Reason for separation or non-pay status:____________________________________
_____________________________________________________________________________
_____________________________________________________________________________
D. Did this person receive a lump sum payment(s) for terminal annual leave on or
after the beginning date of the base period shown? __Yes __No. If “Yes”, or
if currently entitled to such a payment, record date(s) below for each
payment(s): Payment Date: __/__/__ Days of Leave: ___
Period from: __/__/___ To: __/__/__
E. Did person receive or is he/she entitled to receive severance pay provided by
Federal law or agency employee agreement? __Yes __ No. If “Yes”, complete
the following information: Total Entitlement: $_________
Weekly entitlement $_____ Beginning Date: __/__/__ Ending Date __/__/__
9. Signature of Official _________________ Title: __________________________________
Print Name: ___________________________Telephone: ( )___________Date___/__/___
ETA-931A (Revised 8/2001)
(1) Purpose and Use. The Form ETA-931A is used by the
State agency in connection with each additional claim when it is
necessary for the State agency to obtain intervening Federal
civilian employment and separation information. This form is
used in lieu of the regular “notice of claim filed” used in
connection with State UC additional claims.
(2) Preparation. Item 1 thru 7 are to be completed by
the agency. The information required to complete these items
will be provided as a file by the ICON UCFE system. For the
"Date of Request" entry, enter the date the Form ETA-93lA is
mailed.
A signed Privacy Act release statement is no longer required from
a claimant to authorize the release of information requested.
However, if State law requires all claimants to sign a Privacy
Act release statement, then a UCFE claimant would also be
required to sign the same statement.
c. TC-ETA-931A, Request Record Format. Data entering
claimant information manually or electronically to the ICON UCFE
data entry screen shown in item 24. a. above will result in the
creation of the TC-ETA-931A request records shown below.
Additional information concerning the use of the ICON UCFE
application is contained in the ICON UCFE State Users Guide. The
field name and description identifies the information that is to
be provided.
ETA-931A, Request Record Format
(State Agency Request Record Format)
FLD FIELD NAME FIELD BEGIN FIELD REQ/ DESCRIPTION
NBR TYPE COLUMN OPT
LENGTH
Record Key is
Fields 1
through 4
1 Social N 1 9 R Claimant’s SSN.
Security No.
2 Effective N 0 8 R The effective date
Date of the claim.
Format is
CCYYMMDD.
3 Sequence N 8 2 R Sequence of record
Identifier supplied by the
sending State.
Sequence will
begin with 01.
Each new record
for the same SSN
and Effective Date
will be
incremented by +1.
4 Type of N 20 2 R Values: 02 = 931A
Request Request Record.
5 FIC of N 22 3 R The Federal
Responding agency’s three
Agency digit identifi-
cation code.
6 Destination N 25 4 R The Federal agency
Code of component’s four
Responding digit destination
Agency code.
7 Filler N 29 8 R Spaces.
8 Requesting A/N 37 2 R The Sending
State’s State’s postal
Postal Code code
9 Creation Date N 39 8 R Date the
electronic request
is created. Format
is CCYYMMDD.
10 Creation Time N 47 6 R Time the
electronic request
is created.
Format is HHMMSS.
11 Filler N 53 8 R Spaces.
12 First Name A/N 61 20 R The claimant’s
first name.
13 Middle A/N 81 1 0 The claimant’s
Initial middle initial.
14 Last Name A/N 82 23 R The claimant’s
last name.
15 Filler A/N 105 1 R Space.
16 Local Office/ A/N 106 4 R Code identifying
Call Center the Local Office
or Call Center
Number from the
Sending State or
spaces.
17 Delivery A/N 110 1 R Indicator
Indicator specifying the
receiving Federal
Agencies method of
responding to
requests.
1 = Send
Electronic Request
for Wage and
Separation
Information.
2 = Send
Electronic Wage
Request and
Mail Request for
Separation
Information.
3 = Mail Request
for Wage and
Separation
Information.
18 Type of A/N 111 1 R Space.
Response This field
Requested indicates how the
requesting state
would like to
receive wages.
Therefore, this
field does not
apply to a 931A
request.
19 Date Exported N 112 8 R Date the request
was exported.
Format is
CCYYMMDD.
20 Time Exported N 120 6 R Time the request
was exported.
Format is HHMMSS.
21 Response A/N 126 1 O This field will be
Received set to ‘X’ when
Indicator the response is
received from the
Federal Agency.
22 Filler A/N 127 74 R Spaces.
23 Agency Name A/N 210 50 R Name of the
Federal agency
24 Agency A/N 51 50 R Name of the
Component Federal Agency
Component
25 Agency A/N 31 50 R First line of the
Address line Street or Postal
1 Address for the
Federal Agency.
26 Agency A/N 351 50 R Second line of the
Address line Street or Postal
2 Address for the
Federal Agency.
27 Agency A/N 401 50 R Third line of the
Address line Street or Postal
3 Address for the
Federal Agency.
28 Agency City A/N 451 50 R` City of the Postal
address.
29 Agency State A/N 501 2 R State Alpha Postal
Code.
30 Agency Postal A/N 503 13 R Postal Zip Code.
Format is:
XXXXX-XXXX-XX.
31 Agency A/N 516 26 R Country Name or
Country Abbreviation.
32 Filler A/N 542 1 R Space.
33 Address A/N 543 1 O Address Change
Change Indicator . If
Indicator this is a new
address or the
address is
different from
what is on the
Directory of
Federal Agencies
file, this field
will contain an
‘X’. Otherwise,
the field will
contain a space.
34 Filler A/N 544 457 R Spaces.
TOTAL RECORD 1000
d. TC-ETA-931A Response Record Format. This is the response
record that the state will receive from the federal agency and
the description of information that should be received in each
field.
ETA-931A Response Record Format
(Federal Agency Response Record Format)
FLD FIELD NAME FIELD BEGIN FIELD DESCRIPTION
NBR TYPE COLUMN LENGTH
Record Key is
Fields 1
through 4
1 Social N 1 9 Claimant’s SSN
Security No.
2 Effective N 10 8 The effective date of
Date the claim
3 Sequence N 18 2 This sequence number
Identifier identifies the original
and subsequent responses
to the request
identified by sequence
number in Field 28. The
response numbering
should be sequential
beginning with 01 (up to
99) as follows:
01 = 1st response
(original response to
request)
02 = 2nd response (first
amended response)
03 = 3rd response
(second amended
response) etc.
4 Type of N 20 2 Values: 05 = 931A
Response response record.
5 Response N 22 8 Date the response was
Creation Date created by the Federal
Agency.
6 FIC N 30 3 Federal Identification
Code of the Federal
Agency sending the
response.
7 Destination N 33 4 Destination
Identification Code of
the Federal Agency
sending the response.
8 Social N 37 9 Claimant’s SSN
Security No.
9 Effective N 46 8 The effective date of
Date the claim
10 First Name A/N 54 20 The claimant’s first
name
11 Middle A/N 74 1 The claimant’s middle
Initial initial
12 Last Name A/N 75 23 The claimant’s last name
13 Date of N 98 8 The date of separation
Separation/ or the last day in
Last Date in active pay status if not
active pay separated. Format is
status CCYYMMDD.
14 Reason for N 106 1 Valid values are:
Separation/ 1 = Permanent Layoff
Non-pay 2 = Temporary
Status Layoff/Furlough
3 = Quit
4 = Discharged
5 = Labor Dispute
6 = Retirement
7 = Other
15 Severance Pay A/N 107 1 “Y” - If the
individual has received
or will receive
Severance pay after this
separation.
“N” – If the
individual did not and
will not receive
severance pay after this
separation.
16 Severance Pay N 108 8 The date for which
- begin date severance pay begins.
Format is CCYYMMDD.
17 Severance Pay N 116 8 The date for which
- end date severance pay ends.
Format is CCYYMMDD.
18 Severance N 124 9 The total dollar amount
Payment of severance pay.
amount Format is 999999.99
(Right justify, i.e.,
012590.88)
19 Annual Leave A/N 133 1 Y” – If the individual
has received or will
receive a lump sum
annual leave payment
after these separation
date.
“N” – If the individual
did not and will not
receive a lump sum
annual leave payment
after these separation
date.
20 Annual Leave N 134 8 The total dollar amount
Amount of annual leave payment
paid/due. Format is
999999.99 (Right
justify, i.e.,
012590.88)
21 Number of N 142 3 The number of days of
Days of annual leave paid/due.
Annual Leave Format is 001 (right
justified).
22 Date of N 145 8 The date on which annual
Annual Leave leave payment issued.
Payment Format is CCYYMMDD.
23 Monthly N 153 8 If field 14 contains
Pension “6", enter the gross
Payment dollar amount of monthly
Amount pension payment. Format
is 99999.99 (Right
justify, i.e., 02590.88)
24 Explanation A/N 161 400 Provide a detailed
of Reason for explanation in 400
Separation/ characters or less.
Non-pay
Status
25 Requesting N 561 2 Postal Code of the State
State’s that requested the
Postal Code information.
26 Filler A/N 563 1 Space
27 Date of N 564 8 The date on which
Separation separation payment was
Payment issued. Format is
CCYYMMDD.
28 Request N 72 2 This is the sequence
Sequence number from Field 3 of
Number the 931A request record
to which the employer is
responding.
29 Filler N 574 230 Spaces
30 Date Imported N 804 8 Date the state imported
the response from the
Hub. Federal agencies
are to send zeros in
this field.
31 Time Imported N 812 6 Time the state imported
the response from the
Hub. Federal agencies
are to send zeros in
this field.
32 Filler A/N 818 183 Spaces.
TOTAL RECORD 1000
e. TC-ETA-931A Response Record View Screen.
TC-ETA 931A RESPONSE RECORD
SSN: 000 - 00 - 9247 (1) SEQ: 01 (2) FIC: 410 (3) DEST: 0001 (4)
EFF DATE 08 / 30 / 00 (5)
NAME: FIRST: JEFF 6) MI: (7) LAST: WOOD (8)
DATE OF SEPARATION: 00 / 00 / 0000 (9) REASON FOR SEPARATION: 7 (10)
SEVERANCE PAY: Y (11) SEVERANCE BEG:10/27/2000 (12)END: 01/15/ 2001 (13)
AMOUNT: 013000.00 (14) DATE PAID: 12/28/2000 (15)
ANNUAL LEAVE: N (16) ANNUAL LEAVE NUMBER OF DAYS: 000 (17)
AMOUNT: 00000.00 (18) DATE PAID: 00/00/0000 (19)
MONTHLY PENSION AMT: 00000.00 (20)
EXPLANATION OF SEP: (21)_______________________________________________
__________________________________________________________________________
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
PF4=END
25. Requesting Additional Information From a Federal Agency. The
ETA-934 is used to obtain additional information or a
clarification of information from a Federal agency and is
available in a paper format and an electronic format. Sending
the electronic or paper version of the ETA-934, is initiated by
data entry through the ICON UCFE application to determine if an
electronic or paper form should be generated. Additional
information concerning the use of the data entry screen and
record formats is contained in the ICON UCFE State Users Guide.
a. TC-ETA-934 Data Entry Screen.
UCFE SUPPORT SYSTEM
TC-ETA934 REQUEST FOR ADDITIONAL INFORMATION
OPTION: _ (1)
SSN: ___ - __ - ____(2) OFFICE: ____ (3)
CREATION DATE: __ / __ / __(4) EFF DT: __ / __ / __(5)
NAME: FIRST:_________(6) MI:_ (7) LAST:_____________(8)
FIC: ___(9) DESTINATION: ____(10)
MESSAGE: (11)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
CLEAR=CANCEL ENTER=ADDRESS SCREEN PF1=HELP PF3=ADD PF4=CANCEL
FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY
b. Form ETA-934, Request for Additional Information. The
Form ETA-934 is used to obtain information when the responding
Federal agency is unable to provide information in the electronic
format.
(STATE AGENCY IDENTIFICATION)
REQUEST FOR ADDITIONAL INFORMATION
1. State Agency Address: 2. Federal Agency Name, 3 Digit Agency
Code, and Address:
3. Local Office/Call Center ID: 4. Date of Request: 5. Effective Date: 6. Separation Date:
7. Claimant’s Name (Last, First Middle 8. Social Security Number
Initial)
9. A. State Agency Statement or Questions of Federal Agency:
______________________________________________________________________________________
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
9. B. Claimant’s Statement:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
10. Federal Agency Response:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
11. Signature of Official __________________________ Title: _________________________
Print Name: ________________________________ Telephone:(___)_______Date___/__/___
ETA -934 (Revised 8/2001)
c. Completion of Form ETA-934. The items on the Form ETA-
934 are self-explanatory.
d. TC-ETA-934, Request for Additional Information. The
electronic TC-ETA-934 is used when the responding Federal agency
is able to provide separation information in the electronic
format. The field name and description indicates the information
that is to be entered into each field.
(1) TC-ETA-934 Request Record Format. This request
record will only be sent to Federal Agencies when the record
carries a delivery indicator of “1" in Field 15.
TC-ETA-934 Request Record
(State Agency Request Record Format)
FLD FIELD NAME FIELD BEGIN FIELD REQ DESCRIPTION
NBR TYPE COLUMN LENGTH OPT
Record Key is
Fields 1
through 4
1 Social N 1 9 R Claimant’s SSN.
Security No.
2 Effective N 10 8 R The effective date
Date of the claim.
Format is CCYYMMDD.
3 Sequence N 18 2 R Sequence of record
Identifier supplied by the
sending State.
Sequence will begin
with 01. Each new
record for the same
SSN and Effective
Date will be
incremented by +1.
4 Type of N 20 2 R Values: 03 = 934
Request Request Record.
5 FIC of N 22 3 R The Federal agency’s
Responding three digit
Agency identification code.
6 Destination N 25 4 R The Federal agency
Code of component’s four
Responding digit destination
Agency code.
7 Requesting A/N 29 2 R The sending states
State’s two digit alpha
Postal Code postal abbreviation.
8 Creation Date N 31 8 R Date the electronic
request is created.
Format is CCYYMMDD.
9 Creation Time N 39 6 R Time the electronic
request is created.
Format is HHMMSS.
10 First Name A/N 45 20 R The claimant’s first
name.
11 Middle A/N 65 1 O The claimant’s
Initial middle initial.
12 Last Name A/N 66 23 R The claimant’s last
name.
13 Local Office A/N 89 4 R Code identifying the
/Call Center Local Office or Call
Center to which the
claim is assigned in
the Sending State.
Enter Spaces if LO/
Call Center ID
unnecessary.
14 Filler A/N 93 17 R Spaces.
15 Delivery A/N 110 1 R Indicator specifying
Indicator the receiving
Federal Agency’s
method of responding
to requests.
‘1’ = Electronic
Wage and Separation
Information.
‘2’ = Electronic
Wage Information,
and Paper Separation
Information.
‘3’ = Paper Wage and
Separation
Information.
16 Type of A/N 111 1 R Space. This field
Response indicates how the
Requested requesting state
would like to
receive wages.
Therefore, this
field does not apply
to a 934 request.
17 Date Exported N 112 8 R Date the request was
exported. Format is
CCYYMMDD.
18 Time Exported N 120 6 R Time the request was
exported. Format is
HHMMSS.
19 Response A/N 126 1 O This field will be
Received set to ‘X’ when the
Indicator response is received
from the Federal
Agency.
20 Filler A/N 127 2 R Spaces.
21 Message 1 A/N 129 67 R First line of
message to the
Federal Agency
detailing the
information desired.
22 Message 2 A/N 196 77 R Second line of
message to the
Federal Agency
detailing the
information desired.
23 Message 3 A/N 273 77 R Third line of
message to the
Federal Agency
detailing the
information desired.
24 Message 4 A/N 350 77 R Fourth line of
message to the
Federal Agency
detailing the
information desired.
25 Message 5 A/N 427 77 R Fifth line of
message to the
Federal Agency
detailing the
information desired.
26 Filler A/N 504 97 R Spaces.
27 Agency Name A/N 601 50 R Name of the Federal
Agency that is
responsible for this
claim.
28 Agency A/N 651 50 R Component of the
Component Federal Agency that
is responsible for
this claim.
29 Agency A/N 701 50 R First line of the
Address line Street or Postal
1 Address for the
Federal Agency.
30 Agency A/N 751 50 R Second line of the
Address line Street or Postal
2 address for the
Federal Agency.
31 Agency A/N 801 50 R Third line of the
Address line Street or Postal
3 Address for the
Federal Agency.
32 Agency City A/N 851 50 R City or Providence
of the Postal
Address.
33 Agency State A/N 901 2 R State Postal Code.
34 Agency Postal A/N 903 13 R Postal Code or Zip
Code of the Postal
Office. Format is:
XXXXX-XXXX-XX.
35 Agency A/N 916 26 R Because many Federal
Country agencies are located
outside of the US,
this field will
contain the name of
Country where the
mailing address is
located.
36 Filler A/N 942 R Space.
37 Address A/N 943 1 O X = New Address
Change Space = No change
Indicator
This is dynamically
marked if the State
enters an address
that is not in the
Directory of
Federal Agencies
file.
38 Filler A/N 944 7 R Spaces.
TOTAL RECORD 1000
(2) TC-ETA-934 Response Record Format. This response
record is used by Federal Agencies that receive TC-ETA-934,
Request for Additional Information. This record will only be
received from Federal agencies where the request record carried a
delivery indicator of “1" in Field 15.
TC-ETA-934 Response Record Format
(Federal Agency Response Record Format)
FLD FIELD NAME FIELD BEGIN FIELD REQ DESCRIPTION
NBR
Record Key is
Fields 1
through 4
1 Social N 1 9 R Claimant’s SSN.
Security No.
2 Effective Date N 10 8 R The effective date of
the claim. Format is
CCYYMMDD.
3 Sequence N 18 2 R This sequence number
Identifier identifies the original
and subsequent
responses to the
request identified by
sequence number in
Field 28. The response
numbering should be
sequential beginning
with 01 ( up to 99) as
follows:
01 = 1st response
(original response
to request)
02 = 2nd response
(first amended
response)
03 = 3rd response
(second amended
response) etc.)
4 Type of N 20 2 R Values: 06 = 934
Response Response Record.
5 Response N 22 8 2 Date the response was
Creation Date created by the Federal
agency. Format is
CCYYMMDD.
6 FIC N 30 3 R The Federal
identification code of
the Federal Agency
sending the response.
7 Destination N 33 4 R The destination
identification code of
the Federal agency
sending the response
8 Social N 37 9 R Claimant’s SSN.
Security No.
9 Effective Date N 46 8 R The effective date of
the claim. Format is
CCYYMMDD.
10 First Name A/N 54 20 R The claimant’s first
name.
11 Middle Initial A/N 74 1 O The claimant’s middle
initial.
12 Last Name A/N 75 23 R The claimant’s last
name.
13 Response(s) to A/N 98 640 R Federal agency’s
Question(s) response to question
asked asked on 934 request.
The response will be
640 characters or less.
14 Requesting N 738 2 R Postal Code of the
State’s Postal state that requested
Code the information.
15 Filler N 740 1 R Spaces.
16 Request N 741 2 R This is the sequence
Sequence number from Field 3 of
Number the 934 request record
to which the employer
is responding.
17 Filler A/N 743 61 R Spaces.
18 Date Imported Date the state imported
the response from the
Hub. Federal Agencies
are to send zeros in
this field.
19 Time Imported N 812 6 R Time the state imported
the response from the
Hub. Federal Agencies
areto send zeros in
this field.
20 Filler A/N 818 183 R Spaces.
TOTAL RECORD 1000
(3) TC-ETA-934 Response Record View Screen. Below is a
copy of the ETA 934 response view screen for reference.
01/04/01 TC-ETA934 Response Record
SSN:(1) 000-36-0000 REQ SEQ:(2)01 FIC:(3) 445 DEST:(4) 0012 EFF DT:(5) 07/02/00
NAME: FIRST: (6) ROBERT MI: (7) C LAST:(8) WILSON
REQUEST
MESSAGE: (9) PLEASE PROVIDE MORE INFORMATION CONCERNING CLAIMANT’S SEPARATION
____________________________________________________________________________
____________________________________________________________________________
RESPONSE MESSAGE: (10) The claimant is currently separated as a result of a
warning or suspension. The Claimant has returned to work.
PF4 = END
26. Directory of Federal Agencies. The Directory of Federal
Agencies identifies and provides a record of Federal Agencies and
offices that employ civilian workers. An automated directory has
been included in the ICON UCFE Support System. As a part of the
UCFE application, the Directory serves two purposes. First, it
will be used as a table of addresses to reduce the data entry
requirements for sending mail requests for wage and separation
information to Federal agencies. Second, it will be accessible
for use as a directory of contact personnel.
The Directory can only be updated by the ETA National office.
However, since Federal agencies often provide new addresses
directly to State agencies, the Directory’s address screen has
been designed to allow States to data enter corrections to
existing addresses and to data enter new addresses. The
new/corrected address will not be written to the Directory, it
will be used to mail the request being entered to the Federal
agency and it will also be forwarded to the ETA National office
for verification and posting to the Directory.
The Directory is arranged numerically in ascending order by
Federal Identification Codes (FIC). The agencies, called
components, under each FIC are arranged alphabetically. The
different locations of offices for each component are arranged
alphabetically by State and city. Four digit destination codes
have been assigned to each address to direct the delivery of the
request. Each code is critical to the writing of the correct
address to the file that is created for use in addressing the
forms for mailing.
The FIC and Destination Code must be data entered for each
request. Attachment II of this Unemployment Insurance Program
Letter is a Directory of Federal Agencies Index which provides
the destination codes for each address that is currently in the
Directory. When using the directory, if you do not know the
destination code for an agency, enter the FIC code and
destination code 0001. You will then be able to scroll through
the listing to locate an address or contact person.
There are two additional codes that are used in the Directory.
Below is a copy of the address view screen for easy reference.
The ‘delivery indicator’ code , item 15, is used to direct the
sending of an electronic request or a mail request or both. Code
‘1' means that the federal agency receives and responds to all
request electronically. Code ‘2' means that the federal agency
receives and responds to the request for wage information
electronically and to the request for separation or other
employment information by mail. Code ‘3' means that the federal
agency receives requests and responds by mail only. The ‘other
processing’ code, item 16, is used to identify and direct the
requests to the other federal agency or private company that
processes requests for wage and separation information for the
agency listed.
a. Federal Agencies Address View Screen. Below is a copy a
screen showing the federal address information that is contained
in the Directory.
ICON PROJECT SYSTEM
UCFE FEDERAL ADDRESS VIEW
FIC: 002 (1) DESTINATION: 0001 (2)
NAME: U.S. HOUSE OF REPRESENTATIVES (3)
COMPONENT: (4)
ADDRESS 1) FINANCE OFFICE, ROOM 263 (5)
2) CANNON HOUSE OFFICE BUILDING (6)
3) (7)
CITY: WASHINGTON (8)
STATE: DC (9) POSTAL CODE: 20515 (10)
COUNTRY: UNITED STATES (11)
CONTACT: MERRI BALDWIN (12) OTHER PROCESSING: (13)
PHONE:(000) 000-0304 (14) EXT: 102 (15) DELIVERY IND:(16)
LAST UPDATED: / / (17)
PF4=CANCEL PF7=BACK PF8=FORWARD
27. Record Retention. The electronic and paper claims forms
contained in these instructions shall be maintained by the State
agency for 3 years after final action (including appeals or court
action) on the claim and shall be transferred to State agency
accountability under the conditions for the disposal of UCFE and
UCX records covered in Chapter XXII of ET Handbook No. 391 (1982
edition) and Chapter I, Page I-15, of ET Handbook No. 384 (1984
edition).
Appendix A - UCFE - UCX Questions and Answers
1. Question. Sometimes the response record from LCCC contains
information under component 2. Does this have something to
do with other SSN Field?
Answer. No. When there is a second DD Form 214 on file,
information from the DD Form 214 will be provided. The
second DD Form 214 may be filed under the primary SSN or it
may be filed under “other SSN.” If the name on the DD Form
214 is different from the name on the request, the response
will include message Number 35 and a warning flag in Field
66.
2. Question. What happens when the separation date on the UCX
Type 1 request matches the separation date on a UCX control
record?
Answer. A Type 2 response record will be sent that includes
the information from the control record and a message.
2. Question. What happens when the separation date on the
control record does not match the date on the request but it
is greater than the base period begin date on the request
record?
Answer. A response record will be sent that includes the
information from the control record and the information from
the DD Form 214 file if there is a match. If there is no
matching DD Form 214 on file, a pending record will be
created and a corresponding message number indicating this
will be included in the response.
3. Question. How will the accrued leave lump sum payment be
treated for calculation of UCX wages?
Answer: Accrued leave is assignable to the date of
separation. Therefore, wages for lump sum payment are added
to wages for the quarter in which the separation date
occurred.
5. Question. When there are two control records on file, which
one will be included in the response to the requesting
State?
Answer. The control record with the most recent effective
date of claim will be the one included in the response
record.
6. Question. When a Type 1 record is identified as program
Type “F”, how is it possible for the State to receive a
response with UCX wage and separation information with
message number 31 and 35?
Answer. All Type 1 requests are matched against the DD Form
214 file and UCX information is included in the response if
there is a DD 214 on file with a separation date subsequent
to the beginning date of the base period of the UCFE claim.
The UCX wages are assignable if they belong to the UCFE
claimant. However, the requesting State has to review the
record to ensure that the UCX wages are properly assigned if
the UCFE claim is an interstate claim. If for example, the
match produced a message that the name on the DD Form 214 is
different from the name on the UCFE request, it may be an
incorrect SSN on the UCFE claim or the DD Form 214. The
State will need to review for proper SSN and name.
4. Question. When the SSN on the DD Form 214 matches the SSN
included under “other SSN” on the Type 1 request, which SSN
is to be used on the Type 2 record as the primary SSN?
Answer. The control record is created using the claimant’s
correct SSN as the primary identifier of the record, with
the other SSN in the other SSN field.
8. Question. When a Type 1 UCX record includes a “other SSN”
and there is no matching DD Form 214 on file, is a pending
record created for both SSNs or just the primary one?
Answer: Only one pending record is created. It will
contain both the SSN and the “other SSN” in the record.
9. Question. Are the wages added together when a Type 1 UCX
record includes another SSN in “other SSN” field and there
are matching DD Forms 214 on file for both SSNs?
Answer. Yes. The wages will be calculated using both DD
Form 214s and provided in a single response record.
10. Question. What happens when the separation date on a Type 1
UCX record and a Type 3 Claim Control record match?
Answer. The State receives a Type 3 response with
information from the Claim Control record included in Fields
5 thru 15, 18 and 19, and message # 015 “wages previously
assigned.” This type of response means that the wages have
been assigned but should be available for transfer from the
State of assignment for use on the new claim.
11. Question. What period of the individual’s military service
is covered by the wage assignment when the Claim Control
record shows a separation date of June 12, 2001 for an
individual that served 10 years of uninterrupted military
service?
Answer. The entire 10 years is covered if there has been no
prior benefit year established.
12. Question. What will the State receive from the LCCC if the
separation date on a UCX Type 1 record and the separation
date on a UCX or UCFE Claim Control record match?
Answer. The State will receive a Type 2 response with
information from the Claim Control record and no information
from the DD Form 214 with that separation date. The
response record will show the information from the Claim
Control record in Fields 5 thru 15, 18, and 19 with message
# 009 “Control Record on file.”
13. Question. If State A sends in a UCFE Type 2 record with a
separation date of 6/15/99 and State B sends in a Type 3
record with the same separation date, will both of these
records be accepted by LCCC?
Answer. Yes. These are different type control records and
not considered duplicates. This situation will occur
whenever a transferring State has lag period wages to
assign.
14. Question. What will the State receive when it send in a
UCFE Type 1 record and there is no control record on file?
Answer. The State will receive a UCFE Type 1 response
record with message # 004 “No Control Record or DD 214 on
file”.
15. Question. How is the State agency notified when the Branch
of Service code on the Type 1 request record is different
from the DD Form 214?
Answer. The Branch of Service code is extracted from the DD
Form 214 and included in the response record to identify the
source of the wages for each quarter. If there are
overlapping DD Form 214s, the Branch of Service identifier
for the affected quarter will be shown as “99". In such
cases, the response record will include message number 014
showing a breakout of the wages for each Branch.
16. Question. What happens when the separation date on the UCFE
Type 1 record matches the separation date on a UCFE Claims
Control record, but, there is a DD Form 214 on file with a
separation date subsequent to the base period beginning date
of the new claim?
Answer. When there is a DD Form 214 on file that has a
separation date after the base period beginning date for the
new claim, wage and separation information from that DD Form
214 will be included in the response with message # 025
“Claim Control Record on file. Wages sent from subsequent
DD 214.”
17. Question. When a UCFE Type 1 record separation date matches
the separation date on a UCX Claim Control record, what will
the State receive?
Answer. If the separation date precedes the effective date
of the prior claim, the State should receive a Type 2
response record that includes a copy of the Claim Control
information and message # 012 “Control Record on file.
Prior claim filed since separation date.” This message
notifies the State that the UCFE wages were assignable with
the establishment of the UCX claim. If the separation date
is after the effective date of the prior claim, the State
should receive a Type 2 response record that includes a copy
of the Claim Control information and message # 013 “Control
Record on file for UCX claim.”
18. Question. What happens when the separation date on a UCFE
Type 1 record matches the separation date on a Type 3 Claim
Control record?
Answer. The State will receive a Type 3 response record
with the information from the Claim Control record included
in Fields 5 thru 15 and message # 015 “wages previously
assigned.” Receiving this response means that the wages are
probably available for use on the claim, but they will need
to be transferred from the State that posted the control
record.
19. Question. When the State sends a Type 2 Claim Control
record to the LCCC, will the State receive a response?
Answer. Yes. The State will receive a response record
“Type 2" with message # 023 “Control Record Accepted.” This
message number can be used to distinguish between a record
receipt confirmation and a Type 2 response that includes
information from a Claim Control record and is a response to
a Type 1 request. The answer is the same for a Type 3
response.
20. Question. What type of response will the State receive when
the separation dates on a UCX Type 1 record and a DD Form
214 on file match and there is a UCX Claim Control record on
file with a different separation date?
Answer. The State will receive a Type 1 response record
with information from any DD Form 214 with a service entry
date greater than the separation date on the control record
when the benefit year ending date control record is less
than the effective date of the new claim. The State will
receive a Type 2 response record, which include information
from the control record and any DD Form 214 with a entry
date greater than the separation date on the control record
when the benefit year ending date on the control record is
greater than the effective date of the new claim.
21. Question. Will the State receive a response record when a
Type 4 record is sent?
22. Answer. Yes. The processing of a Type 4 record will
generate a Type 4 response which includes message # 019
“Control Record Deleted” confirming the deletion of the
control record. The process is the same for a Type 5
record.
Appendix B - Examples of Responses from the LCCC
1. Examples of responses that States will receive from the new
System.
a. Scenario. Type 1 UCX request processed and there is no
DD Form 214 on file and no matching control record in new system.
Pending Record created.
3/30/01 UCX/UCFE RESPONSE RECORD Page 11
SSN: 000000000 Name: GARY JGATHERS OTHER SSN: 000000000
EFF. DATE:20010305 LDW UCX:20010224 LDW UCFE:00000000
BASE PER BEG:19991001 BASE PER END:20000930 BASE YEAR END:00000000
ENTRY DATE:00000000 NET SERVICE 1:000000 PRIOR SERVICE 1:000000
STATE FIPS:13 TRANS FIPS-1:00 TRANS FIPS-2:00 LOCAL OFFICE:1500
BR SERVICE:01 COMPONENT:ARMY RA CHAR SERV:
TRANS DATE:20010307 LCCC DATE:20010307 REC CODE:1
ACCRUED LEAVE:000.0 SEP PAY:000000.00 DISAB PEN:000000.00 PAY GRADE:
US NATL: RETIREMENT: MICROFILM ID: 000000000000
DAYS LOST ST-1:00000000 DAYS LOST END-1:00000000
DAYS LOST ST-2:00000000 DAYS LOST END-2:00000000
DAYS LOST ST-3:00000000 DAYS LOST END-3:00000000
DAYS LOST ST-4:00000000 DAYS LOST END-4:00000000
Q1 DATE:00001 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q2 DATE:00002 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q3 DATE:00003 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q4 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q5 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q6 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q7 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q8 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q9 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
DAYS LOST ST-5:00000000 DAYS LOST END-5:00000000
DAYS LOST ST-6:00000000 DAYS LOST END-6:00000000
DAYS LOST ST-7:00000000 DAYS LOST END-7:00000000
DAYS LOST ST-8:00000000 DAYS LOST END-8:00000000
COMPONENT 2: ENTRY DATE 2:00000000
SEP DATE 2:00000000 NET SERVICE 2:000000 PRIOR SERVICE 2:000000
ACCRUED LEAVE 2:000.0 AMENDED RESPONSE: MICROFILM ID:000000000000
NARRATIVE:
WARNING FLAG: 1ST FULL: TYPE:X EDIT/PROCESS:P
MSG:002 NO CONTROL RECORD OR DD 214 ON FILE. RESPONSE PENDING
MSG:
MSG:
b. Scenario. Type 1 UCX request processed and there is a
DD Form 214 on file with different separation date. There is no
matching control record in new system. The response includes
information from the DD Form 214 that is on file and a pending
Record is created for the DD Form 214 with a separation date
which matches the date on the request record.
3/30/01 UCX/UCFE RESPONSE RECORD Page 11
SSN: 000000000 Name: ALLISON CARTHONS OTHER SSN: 000000000
EFF. DATE:20010306 LDW UCX:20010131 LDW UCFE:00000000
BASE PER BEG:19991001 BASE PER END:20000930 BASE YEAR END:00000000
ENTRY DATE:19810107 NET SERVICE 1:200024 PRIOR SERVICE 1:000000
STATE FIPS:13 TRANS FIPS-1:00 TRANS FIPS-2:00 LOCAL OFFICE:5500
BR SERVICE:01 COMPONENT:ARMY RA CHAR SERV:HO
TRANS DATE:20010307 LCCC DATE:20010307 REC CODE:1
ACCRUED LEAVE:000.0 SEP PAY:000000.00 DISAB PEN:000000.00 PAY GRADE:E07
US NATL:U RETIREMENT:Y MICROFILM ID:200101020984
DAYS LOST ST-1:00000000 DAYS LOST END-1:00000000
DAYS LOST ST-2:00000000 DAYS LOST END-2:00000000
DAYS LOST ST-3:00000000 DAYS LOST END-3:00000000
DAYS LOST ST-4:00000000 DAYS LOST END-4:00000000
Q1 DATE:19994 Q1 WAGE:011171.70 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 01
Q2 DATE:20001 Q1 WAGE:011171.70 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 01
Q3 DATE:20002 Q1 WAGE:011171.70 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 01
Q4 DATE:20003 Q1 WAGE:011171.70 Q1 WEEK:14 Q1 HOURS:720 Q1 BR SERV: 01
Q5 DATE:20004 Q1 WAGE:011171.70 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 01
Q6 DATE:20011 Q1 WAGE:003723.90 Q1 WEEK:05 Q1 HOURS:240 Q1 BR SERV: 01
Q7 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q8 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q9 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
DAYS LOST ST-5:00000000 DAYS LOST END-5:00000000
DAYS LOST ST-6:00000000 DAYS LOST END-6:00000000
DAYS LOST ST-7:00000000 DAYS LOST END-7:00000000
DAYS LOST ST-8:00000000 DAYS LOST END-8:00000000
COMPONENT 2: ENTRY DATE 2:00000000
SEP DATE 2:00000000 NET SERVICE 2:000000 PRIOR SERVICE 2:000000
ACCRUED LEAVE 2:000.0 AMENDED RESPONSE: MICROFILM ID:000000000000
NARRATIVE: SUFFICIENT SERVICE FOR RETIREMENT
WARNING FLAG: 1ST FULL:y TYPE:X EDIT/PROCESS:P
MSG:028 REQ SEP DATE 10/16/00 DIFFERENT FROM DD214 SEP DATE. PDG RECORD CREATED.
c. Scenario. UCFE Type 1 request record processed and
there is no match in the new control file or the DD Form 214
file.
3/30/01 UCX/UCFE RESPONSE RECORD Page 11
SSN: 000000000 Name: DOROTHY LJACKSON OTHER SSN: 000000000
EFF. DATE:20010305 LDW UCX:00000000 LDW UCFE:20010224
BASE PER BEG:19991001 BASE PER END:20000930 BASE YEAR END:00000000
ENTRY DATE:00000000 NET SERVICE 1:000000 PRIOR SERVICE 1:000000
STATE FIPS:13 TRANS FIPS-1:00 TRANS FIPS-2:00 LOCAL OFFICE:3200
BR SERVICE: COMPONENT: CHAR SERV:
TRANS DATE:20010329 LCCC DATE:20010329 REC CODE:1
ACCRUED LEAVE:000.0 SEP PAY:000000.00 DISAB PEN:000000.00 PAY GRADE:
US NATL: RETIREMENT: MICROFILM ID: 000000000000
DAYS LOST ST-1:00000000 DAYS LOST END-1:00000000
DAYS LOST ST-2:00000000 DAYS LOST END-2:00000000
DAYS LOST ST-3:00000000 DAYS LOST END-3:00000000
DAYS LOST ST-4:00000000 DAYS LOST END-4:00000000
Q1 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q2 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q3 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q4 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q5 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q6 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q7 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q8 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q9 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
DAYS LOST ST-5:00000000 DAYS LOST END-5:00000000
DAYS LOST ST-6:00000000 DAYS LOST END-6:00000000
DAYS LOST ST-7:00000000 DAYS LOST END-7:00000000
DAYS LOST ST-8:00000000 DAYS LOST END-8:00000000
COMPONENT 2: ENTRY DATE 2:00000000
SEP DATE 2:00000000 NET SERVICE 2:000000 PRIOR SERVICE 2:000000
ACCRUED LEAVE 2:000.0 AMENDED RESPONSE: MICROFILM ID:000000000000
NARRATIVE:
WARNING FLAG: 1ST FULL: TYPE:X EDIT/PROCESS:P
MSG:004 NO CONTROL RECORD OR DD 214 ON FILE.
MSG:
MSG:
d. Scenario. UCX Type 1 request processed. DD Form 214 on file
with different name. Warning flag set on response record.
3/30/01 UCX/UCFE RESPONSE RECORD Page
SSN: 000000000 Name: MARK PURVIS OTHER SSN: 000000000
EFF. DATE:20010328 LDW UCX:20010215 LDW UCFE:00000000
BASE PER BEG:19991001 BASE PER END:20000930 BASE YEAR END:00000000
ENTRY DATE:19970815 NET SERVICE 1:030600 PRIOR SERVICE 1:000207
STATE FIPS:13 TRANS FIPS-1:00 TRANS FIPS-2:00 LOCAL OFFICE:5500
BR SERVICE:04 COMPONENT:USMCR C1 CHAR SERV:HO
TRANS DATE:20010328 LCCC DATE:20010328 REC CODE:1
ACCRUED LEAVE:000.0 SEP PAY:000000.00 DISAB PEN:000000.00 PAY GRADE:002
US NATL:U RETIREMENT:N MICROFILM ID:200102280675
DAYS LOST ST-1:00000000 DAYS LOST END-1:00000000
DAYS LOST ST-2:00000000 DAYS LOST END-2:00000000
DAYS LOST ST-3:00000000 DAYS LOST END-3:00000000
DAYS LOST ST-4:00000000 DAYS LOST END-4:00000000
Q1 DATE:19994 Q1 WAGE:011502.00 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 04
Q2 DATE:20001 Q1 WAGE:011502.00 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 04
Q3 DATE:20002 Q1 WAGE:011502.00 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 04
Q4 DATE:20003 Q1 WAGE:011502.00 Q1 WEEK:14 Q1 HOURS:720 Q1 BR SERV: 04
Q5 DATE:20004 Q1 WAGE:011502.00 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 04
Q6 DATE:20011 Q1 WAGE:005751.00 Q1 WEEK:07 Q1 HOURS:360 Q1 BR SERV: 04
Q7 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q8 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q9 DATE:00000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
DAYS LOST ST-5:00000000 DAYS LOST END-5:00000000
DAYS LOST ST-6:00000000 DAYS LOST END-6:00000000
DAYS LOST ST-7:00000000 DAYS LOST END-7:00000000
DAYS LOST ST-8:00000000 DAYS LOST END-8:00000000
COMPONENT 2: ENTRY DATE 2:00000000
SEP DATE 2:00000000 NET SERVICE 2:000000 PRIOR SERVICE 2:000000
ACCRUED LEAVE 2:000.0 AMENDED RESPONSE: MICROFILM ID:000000000000
NARRATIVE: SUFFICIENT SERVICE FOR RETIREMENT
WARNING FLAG:X 1ST FULL:U TYPE:X EDIT/PROCESS:P
MSG:035 NAME ON 214 REC IS CHRISTOPHER AEMERSON
MSG:031 FIRST FULL TERM UNKNOWN. DD-14 BEING FAXED.
e. Scenario. UCX Type 1 record processed. DD Form 214 with
different name and separation date is on file. Pending record
created. After reviewing this response record, the State will
need to cancel the pending record because all of the matching
problems were created by data entry errors.
3/30/01 UCX/UCFE RESPONSE RECORD Page 11
SSN: 000000000 Name: DEDRIC COLEMAN OTHER SSN: 000000000
EFF. DATE 20010325 LDW UCX: 2000802 LDW UCFE: 00000000
BASE PER BEG: 19991001 BASE PER END: 2000930 BASE YEAR END: 00000000
ENTRY DATE: 20010121 NET SERVICE 1: 000612 PRIOR SERVICE 1: 000000
STATE FIPS:22 TRANS FIPS-1:00 TRANS FIPS-2:00 LOCAL OFFICE:0870
BR SERVICE:01 COMPONENT:ARMY RA CHAR SERV:HO
TRANS DATE:20010328 LCCC DATE:20010328 REC CODE:1
ACCRUED LEAVE:016.5 SEP PAY:000000.00 DISAB PEN:000000.00 PAY GRADE:E01
US NATL:U RETIREMENT:N MICROFILM IDD: 200009051777
DAYS LOST ST-1:00000000 DAYS LOST END-1:00000000
DAYS LOST ST-2:00000000 DAYS LOST END-2:00000000
DAYS LOST ST-3:00000000 DAYS LOST END-3:00000000
DAYS LOST ST-4:00000000 DAYS LOST END-4:00000000
Q1 DATE:20001 Q1 WAGE:004069.10 Q1 WEEK:10 Q1 HOURS:560 Q1 BR SERV: 01
Q2 DATE:20002 Q1 WAGE:005231.70 Q1 WEEK:13 Q1 HOURS:720 Q1 BR SERV: 01
Q3 DATE:20003 Q1 WAGE:002819.30 Q1 WEEK:06 Q1 HOURS:256 Q1 BR SERV: 01
Q4 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q5 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q6 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q7 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q8 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
Q9 DATE:20000 Q1 WAGE:000000.00 Q1 WEEK:00 Q1 HOURS:000 Q1 BR SERV: 00
DAYS LOST ST-5:00000000 DAYS LOST END-5:00000000
DAYS LOST ST-6:00000000 DAYS LOST END-6:00000000
DAYS LOST ST-7:00000000 DAYS LOST END-7:00000000
DAYS LOST ST-8:00000000 DAYS LOST END-8:00000000
COMPONENT 2: ENTRY DATE 2:00000000
SEP DATE 2:00000000 NET SERVICE 2:000000 PRIOR SERVICE 2:000000
ACCRUED LEAVE 2:000.0 AMENDED RESPONSE: MICROFILM ID:000000000000
NARRATIVE: FAILURE TO MEET PROCUREMENT MEDICAL FITNESS STANDARDS
WARNING FLAG:X 1ST FULL:N TYPE:X EDIT/PROCESS:P
MSG:028 REQ SEP DATE 08/03/00 DIFFERENT FROM DD214 SEP DATE. PDG REC CREATED
MSG:035 NAME ON 214 REC IS DEDRICK RCOLEMAN
2. Examples of Responses that States will receive from the
“Inquiry” Control File. States sending request records using the
new system and procedures will receive the following type
responses from the old “Inquiry” file.
a. Situation. There is a UCX request and there is a match
with a record in the “Inquiry” File.
The response will contain identifying claimant and program type
information from the incoming request and the FIPS Code(s) of the
State(s) that previously inquired as follows:
02/09/01 UCX/UCFE Listing of Prior Inquiries Page 1
By Other States
Effective UCX SEP UCFE SEP
SSN NAME DATE DATE DATE
000110000 Robert Gillham 20010209 20001115 00000000
PGM TYPE: X STATES WITH PRIOR INQUIRY: 51 29
b. Situation: There are UCX OR UCFE requests from a State
and there are no matches with records in the “Inquiry” File.
The response will be as follows:
02/09/01 UCX/UCFE Listing of Prior Inquiries Page 1
By Other States
NONE FOR TODAY
Appendix C
FULL SIZE FORMS FOLLOW
(STATE AGENCY IDENTIFICATION)
REQUEST FOR WAGE AND SEPARATION INFORMATION- UCFE
1. State Agency Address: 2. Name of Federal Agency, 3 Digit Agency Code, and
Address:
3. Local Office/Call Center ID: 4. Date of Request: 5. Date claim taken: 6. Effective Date of Claim:
7. Name (Last, First , Middle Initial) 8. Social Security Number
Instructions: Complete and Return Within 4 Workdays
9. A. Did this person perform “Federal Civilian Service” as defined for UCFE purposes for your agency at any
time during the base period shown in Item 10A below? Yes No
B. Under what legal authority was the individual hired?_______________________________________________
C. What funding Source was used for salary payments?
D. Were payroll deductions made for Federal and State taxes? Yes No
* E. Was Employee eligible for:
(1) Annual and Sick leave? ___Yes ___No (2) Health and Life insurance? __Yes __ No
(3) Civil Service or FERS retirement? __Yes __ No
F. Did the Federal agency provide direction and control? Yes __No
G. Duty Station: Enter State of the person’s last employment with your agency (or if outside U.S.,
enter Country):
* NOTE: If “NO” to D, E (1) through E (3) Explain on separate attachment.
10. Are base period wages provided 11. Separation, Terminal Annual Leave, and Severance Pay
electronically? ___Yes ___No. If ‘yes’, go Information
to item 11. If ’no’, report all wages from
base period begin date to separation date. A. Did this person receive a lump sum payment(s) for
A. Base period beginning date____________ terminal annual leave on or after the beginning date
of base period shown in item 10A? ___Yes ___No
B. Report wages for quarters ending after
date in ‘A’ above. If “Yes” or if currently entitled to such a payment,
enter date below: Payment Date: __/__/__
Qtr. Ending Year Gross Wages Days of Leave: ___
__________ ____ $____________ Period From: Date: __/__/__To: Date:__/__/__
__________ ____ $____________ B. Date of Separation__/__/__
__________ ____ $____________ C. Last day of active pay status __/__/__
__________ ____ $____________ D. Reason for separation or nonpay status:
__________ ____ $____________
__________ ____ $____________
__________ ____ $____________ E. Did this person receive or is he/she entitled to receive
__________ ____ $____________ severance pay provided by Federal law or agency
__________ ____ $____________ employee agreement? ___Yes __ No
If “Yes” complete the following information:
C. Report Hours Total Entitlement: $_________ Weekly
No. of Duty Hours ____ Workday entitlement: $_____ Beginning date: __/__/__
____ Basic Workweek Ending Date: __/__/__
Print Name_____________________________________ Title _____________________________________________________________
Signature_______________________________________ Telephone Number (_____) ________________________ Date____/___/____
ETA-931 (Revised 8/2001)
Important Notice
If a completed Form ETA-931 is not received by the 12th calendar day from the ‘date of
request,’ this agency may pay benefits to the claimant based on his/her affidavit as
provided by Department of Labor’s Regulation at 20 CFR 609.6(e)(2). Any benefit
payments made to the claimant will be charged to the Federal employing agency(ies) in
accordance with Section 1023, PL 96-499, Omnibus Reconciliation Act of 1980(94 Stat.
2599).
COMPLETION INSTRUCTIONS TO FEDERAL AGENCY
(Also see Front of this Form)
As an alternative to completing this form, attaching a computer printout containing
complete data of the data requested is acceptable if procedures and forms are cleared
with the U.S. Department of Labor, Washington, DC 20210, and the State agency has
completed items 1-7 and 10A and 10B, which identify the base period and the applicable
calendar quarters for which information is requested.
Item 9A asks if the individual performed “Federal Civilian Service.” If the Federal
agency response is “No,” Items 9B through 9F are to be completed. Item 9G will be
answered when the individual performed “Federal Civilian Service.”
The information is available on the SF-50 or payroll records. Provide a separate
attachment if necessary.
Item 10B and 9C. Enter either gross wages, when paid, in Federal Civilian Service or
“none” if no wages for that period. Do not include as wages: (1) severance pay, (2)
lump sum payment(s) for terminal annual leave, or (3) any other type of separation
payment. Enter hours, such as 8 and 40 for full-time employee.
Item 11A. Self-explanatory.
Items 11B and 11C. Enter dates requested. The date in Item 11C includes annual and
sick leave days if earlier than the date of separation (11B) or if employee is not
separated.
Item 11D. Obtain agency findings from SF 50: Item 5-B “Nature of Action” and Item 45,
“Remarks”, or if SF-50 not used, record equivalent information from other separation
document(s) your agency used. See Federal Personnel Manual (FPM) supplement 296-33 for
standards on work connected “Resignation” cases, carefully review FPM requirements
applicable since January 1,1982. If payroll office records are incomplete or
inadequate, or if information on SF-50 is not sufficient, check with personnel for
additional information and add as part of separation information. ATTACH COPIES OF
DOCUMENTS IF APPROPRIATE.
Item 11E. Self-explanatory.
Signature of Official. Form is not complete unless it (or attached computer printout)
is signed and dated; also enter signer’s title and telephone number.
ETA 931 (Revised 8/2001)
(STATE AGENCY IDENTIFICATION)
REQUEST FOR SEPARATION INFORMATION - ADDITIONAL CLAIM
1. State Agency Address: 2. Federal Agency Name, 3 Digit Agency Code, and
Address:
3. Local Office/Call Center: 4. Date of Request: 5. Effective Date:
6. Claimant’s Name (Last, First, 7. Social Security Number
Middle Initial)
Federal Agency Response – Complete and Return Within 4 Workdays
8. Separation, Terminal Annual Leave and Severance Pay Information:
A. Date of Separation: __/__/__ I. Last day of active pay status: __/__/__
B. Reason for separation or non-pay status: ______________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
C. Did this person receive a lump sum payment(s) for terminal annual leave on or after the
beginning date of the base period shown? __Yes __No. If “Yes”, or if currently
entitled to such a payment, record date(s) below for each payment(s):
Payment Date: __/__/__ Days of Leave: ___ Period from: __/__/___ To: __/__/__
D. Did person receive or is he/she entitled to receive severance pay provided by Federal
law or agency employee agreement? __Yes __ No. If “Yes”, complete the following
information:
Total Entitlement: $______________ Weekly entitlement $__________
Beginning Date: __/__/__ Ending Date __/__/__
9. Signature of Official _________________ Title: __________________________________
Print Name: ____________________________Telephone: ( )___________Date___/__/___
ETA-931A (Revised 8/2001)
(STATE AGENCY IDENTIFICATION)
REQUEST FOR ADDITIONAL INFORMATION
1. State Agency Address: 2. Federal Agency Name, 3 Digit Agency
Code, and Address:
3. Local Office/Call Center ID: 4. Date of Request: 5. Effective Date: 6.Separation Date:
7. Claimant’s Name (Last, First 8. Social Security Number
Middle Initial)
9. A. State Agency Statement or Questions of Federal Agency:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________________
9. B. Claimant’s Statement:
___________________________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10. Federal Agency Response:
_________________________________________________________________________________________________
___________________________________________________________________________________________________
_______________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
11. Signature of Official __________________________ Title: _____________________________
Print Name: ____________________________________ Telephone:(___)_______Date___/__/___
ETA-934 (Revised 8/2001)
(STATE AGENCY IDENTIFICATION)
CLAIMANT’S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE,
WAGES AND REASON FOR SEPARATION
1. State Agency Address: 2. Claimant’s Name and mailing Address
3. LO/Call Center ID: 4. Date of Request: 5. Eff. Date of Claim: 6. Separation Date
7. Federal Agency Name & Address: 8. Social Security Number
Instructions: Complete and Return Immediately
9. Affidavit of Federal Wage and Separation Information/Documentary Evidence
a. Enter the location of your Official Duty Station: (City, State)
b. Enter your wages with the above named employer below. Show wages by quarter starting with the
wages that you earned after (base period begin date) up to the date you separated from this
employer. Under Documentary Evidence, enter the source of the information provided and attach a
copy. If additional space is needed to explain reason for separation, attach your signed
explanation.
Quarter Ending Year Gross Documentary Evidence
Wages
c. Severance Pay. Did you receive or are you entitled to receive severance pay provided by
Federal law or agency employee agreement? ___Yes __ No If “Yes” complete the following
information: Total Entitlement: $_________. Severance Pay Period Beginning date: __/__/__ Ending
Date __/__/__
d. Pension: Are you entitled to receive a pension from any branch of the Federal Government?
____Yes _____No. Enter Gross Monthly Pension $ _________
e. Reason for Separation:
I, the claimant, understand that penalties are provided by law for an individual making false
statements to obtain benefits and that determinations based on an affidavit are not final: that
determinations are subject to correction upon receipt of wage and separation information from the
Federal agency, that benefit payments made as a result of such determination may have to be
adjusted on the basis of information from the Federal agency, and that any amount overpaid will
have to be repaid or offset against future benefits. I, the claimant, swear or affirm, that the
above statements, to the best of my knowledge, are true and correct.
10. Signature of Claimant___________________________________________ Date ___/___/_____
ETA-935 (Revised 8/2001)
Attachment II to UIPL 47-01
Directory of Federal Agencies - Index
001 0001 U.S. Senate 3
002 0001 U.S. House of Representatives 3
003 0001 Commission on Security & Cooperation in Europe 3
006 0001 U.S. Capitol Police 3
010 0001 Architect of the Capitol 3
012 0001 Copyright Royalty Tribunal 3
015 0001 U.S. Botanical Gardens 3
020 0001 General Accounting Office 3
025 0001 U.S. Government Printing Office 3
030 0001 Library of Congress 3
031 0001 Library of Congress/OIG 1
032 0001 Office of Compliance 3
035 0001 United States Tax Court 3
040 0001 Congressional Budget Office 3
045 0001 Office of Technology Assessment 3
111 0001 Supreme Court of the United States 3
0002 Supreme Court- Office of the Marshall 3
112 0001 Administrative Office of the U.S. Courts 3
0002 Federal Courts 3
0003 Federal Judicial Center 3
0004 Judicial Panel on Multi-District Litigation 3
0005 United States Sentencing Commission 3
113 0001 U.S. Court of Veterans Appeals 3
205 0001 White House Office 3
207 0001 Office of the Vice President 3
210 0001 Office of Management and Budget 3
215 0001 Office of Administration 3
220 0001 Council of Economic Advisers 3
221 0001 Council on Environmental Quality 3
222 0001 Council on Wage and Price Stability 3
223 0001 Executive Mansion & Grounds 3
224 0001 Executive Residence At the White House 3
225 0001 Office of Policy Development 3
230 0001 National Security Council 3
233 0001 Office of Federal Procurement Policy 3
235 0001 Office of Science & Technology Policy 3
238 0001 Office of U.S. Trade Representative 3
239 0001 U.S. Office of Special Counsel 3
250 0001 Regulatory Information Service Center 3
301 0001 Architectural and Transportation Barriers Compliance Board 3
302 0001 Arctic Research Commission 3
303 0001 Barry Goldwater Scholarship & Excellence Foundation 3
308 0001 Corporation For National & Community Services 3
310 0001 Defense Nuclear Facilities Safety Board 3
312 0001 James Madison Foundation 1
321 0001 National Council on Disabilities 3
323 0001 Nuclear Waste Technical Review Board 3
324 0001 Medicare Payment Advisory Commission 3
326 0001 U.S. Institute of Peace 3
338 0001 Thrift Depositor Protection Oversight Board 3
405 0001 Department of State 3
406 0001 International Broadcasting Bureau 3
410 Department of Treasury
0001 Bureau of Alcohol, Tobacco, and Firearms - Treasury 1
0002 Bureau of Engraving/Printing - Treasury 1
0003 Bureau of the Public Debt - Treasury 1
0004 Comptroller of The Currency - Treasury 1
0005 Customs Service - Treasury 1
0006 Departmental Offices - Treasury 1
0007 Federal Law Enforcement Training Center - Treasury 1
0008 Financial Management Systems - Treasury 1
0009 Internal Revenue Service - Treasury 1
0010 Office of The Inspector General - Treasury 1
0011 Savings Bonds Division - Treasury 1
0012 Secret Service - Treasury 1
0013 United States Mint - Treasury 1
421 Department of Defense
0001 Arms Control & Disarmament Agency, Wash, DC - DOD 3
0002 Commissary Agency, Fort Meade, MD - DOD 3
0003 Commissary Agency, Alexandria, VA - DOD 3
0004 Contract Audit Agency, POI 9718, Ft Belvoir, VA - DOD 3
0005 Contract Audit Agency, POI 3195, Ft Belvoir, VA - DOD 3
0006 Contract Audit Agency, Smyrna, GA - DOD 3
0007 Contract Audit Agency, Lexington, MA - DOD 3
0008 Contract Audit Agency, Irving, TX - DOD 3
0009 Contract Audit Agency, La Mirada, CA - DOD 3
0010 Contract Audit Agency, Philadelphia, PA - DOD 3
0011 Contract Management, District West - DOD 3
0012 DPMDFC5/BPT, Randolph AFB, TX - DOD 3
0013 Education Activity, Arlington, VA - DOD 3
0014 Finance & Accounting Service, Arlington, VA - DOD 3
0015 Finance & Accounting Service, Denver, CO - DOD 3
0016 Finance & Accounting Service, Indianapolis, IN - DOD 3
0017 Finance & Accounting Service, Cleveland, OH - DOD 3
0018 Finance & Accounting Service, Columbus, OH - DOD 3
0019 Finance & Accounting Service, Kansas City, MO - DOD 3
0020 Finance & Accounting Service, Norfolk, VA - DOD 3
0021 HQ Human Resource Directorate, Ft Belvoir, VA - DOD 3
0022 Information Systems Agency, Arlington, VA - DOD 3
0023 Information Systems Agency, Reston, VA - DOD 3
0024 Information Systems Agency (Pentagon), Wash, DC - DOD 3
0025 Intelligence Agency, Washington, DC - DOD 3
0026 Investigative Service, Baltimore, MD - DOD 3
0027 Investigative Service, Chicago, IL - DOD 3
0028 Investigative Service, Smyrna, GA - DOD 3
0029 Investigative Service, Boston, MA - DOD 3
0030 Investigative Service, Cherry Hill, NJ - DOD 3
0031 Investigative Service, Long Beach, CA - DOD 3
0032 Joint Field Support Center, Ft Meade, MD - DOD 3
0033 Joint Staff (Pentagon), Washington, DC - DOD 3
0034 Logistics Agency, Stockton, CA - DOD 3
0035 Logistics Agency, Columbus, OH - DOD 3
0036 Logistics Agency, (Ind. Supply) Phila, PA - DOD 3
0037 Logistics Agency, Memphis, TN - DOD 3
0038 Logistics Agency HRO, Ft Belvoir, VA - DOD 3
0039 Logistics Agency, Richmond, VA - DOD 3
0040 Natl Imagery & Mapping Agency, Bethesda, MD - DOD 3
0041 Natl Imagery & Mapping Agency, St Louis, MO - DOD 3
0042 Natl Imagery & Mapping Agency, Ft Belvior, VA - DOD 3
0043 Natl Imagery & Mapping Agency, Reston, VA - DOD 3
0044 Natl Security Agency, Ft Meade, VA - DOD 3
0045 On-Site Inspection Agency, Washington, DC - DOD 3
0046 OPLOC - Pensacola Code P, Pensacola, FL - DOD 3
0047 OPLOC - Charleston Code P, Charleston, SC - DOD 3
0048 Reutilization & Marketing Service - DOD 3
0049 Special Weapons Agency, Alexandria, VA - DOD 3
0050 Supply Center, Philadelphia, PA - DOD 3
0051 Uniformed Services University, Bethesda, MD - DOD 3
0052 Washington Hdqtrs Service, Arlington, VA - DOD 3
422 Department of the Army
0001 6th Infantry Division (Light), USAG-Alaska CPO - Army 3
0002 7th Army Training Command/CPO (Germany) - Army 3
0003 20th Support Group, CPO, EANC-CP, Unit 15494 - Army 3
0004 24th Infantry Div. (MECH) & Fort Stewart, GA - Army 3
0005 26th Area Support Group, Heidelberg, Germany - Army 3
0006 29th Area Support Group, Unit 429, APO, AE - Army 3
0007 34th Support Command Group, Unit 15333 (Korea) - Army 3
0008 98th Area Support Group-Wuerzburg, Germany - Army 3
0009 104th Area Support Group, Unit 20193, APO, AE - Army 3
0010 Armament Munitions & Chem Command, Rock Isl, IL - Army 3
0011 Armor Center, CPO, Fort Knox, KY - Army 3
0012 Aviation Center, CPO, Ft. Rucker, AL - Army 3
0013 Aviation & Missile Command, Redstone, AL - Army 3
0014 Central Rheinland Pfalz, Baumhholder, Germany - Army 3
0015 Chemical & Military Police, Ft. McClellan, AL - Army 3
0016 Chief of Engineers, Washington, DC - Army 3
0017 Civilian Personnel Office, Fort Campbell, KY - Army 3
0018 Civ. Per. Ctr, NE, Aberdeen Proving Ground, MD - Army 3
0019 Cmdr-Netherlands 54th Area Support Group - Army 3
0020 Combined Arms Command, CPO, Ft. Levenworth, KS - Army 3
0021 Commander Anniston Army Depot, Anniston, AL - Army 3
0022 Commander US Army Yuma Proving Ground, Yuma, AZ - Army 3
0023 Corps of Engineers, CEHR-ZA, Washington, DC - Army 3
0024 Corps of Engineers, No. Cent. Div., Chicago, IL - Army 3
0025 Corps of Engineers, St. Paul, MN - Army 3
0026 CPO Center, So. Central, Redstone Arsenal, AL - Army 3
0027 CPO Center, Pacific, Fort Richardson, AK - Army 3
0028 CPO Center, Southeast, Fort Benning, GA - Army 3
0029 CPO Center, North Central, Rock Isl Arsenal, IL - Army 3
0030 CPO Center, Southwest, Fort Riley, KS - Army 3
0031 CPO Center, Camp Henry Hdqtrs, Korea - Army 3
0032 Defense Fin. & Acct Service, Indianapolis, IN - Army 3
0033 Defense Language Inst, Pres. of Monterey, CA - Army 3
0034 Directorate of Civ. Personnel, Ft Devens, MA - Army 3
0035 Directorate of Civ. Per. Ft Leonard Wood, MO - Army 3
0036 DLIFLC & POM, ATZP-CPR, Pres. of Monterey, CA - Army 3
0037 Engineer District, Mobile, AL - Army 3
0038 Engineer District, HRO, Little Rock, AR - Army 3
0039 Engineer District, Anchorage, AK - Army 3
0040 Engineer District, Jacksonville, FL - Army 3
0041 Engineer District, Savannah, GA - Army 3
0042 Engineer District, Rock Island, IL - Army 3
0043 Engineer District, Kansas, City, KS - Army 3
0044 Engineer District, Louisville, KY - Army 3
0045 Engineer District, New Orleans, LA - Army 3
0046 Engineer District, Baltimore, MD - Army 3
0047 Engineer District, HRO, Detroit, MI - Army 3
0048 Engineer District, HRO, St. Louis, MO - Army 3
0049 Engineer Division, Huntsville, AL - Army 3
0050 Engineer Div., So.Pacific, Sacramento, CA - Army 3
0051 Engineer Div. So. Atlantic, Atlanta, GA - Army 3
0052 Engineer Division, Concord, MA - Army 3
0053 Fitzsimons Army Medical Center, Aurora, CO - Army 3
0054 Forces Command, CPO, Ft McPherson, GA - Army 3
0055 Ft. Carson 4th Infantry Div., Ft. Carson, CO - Army 3
0056 Garrison, Dir of CP, Ft McPherson, GA - Army 3
0057 Garrison - Panama, Unit 7150, APO, AA - Army 3
0058 Garrison, CPO, Ft Detrick, Frederick, MD - Army 3
0059 HQ USAREUR & 7th Army, Unit 29351, APO, AE - Army 3
0060 HQ U.S. Army - Pacific, Fort Shafter, HI - Army 3
0061 HQ 17th Area Support Group, Camp Zama, Japan - Army 3
0062 HQ USAREUR & 7TH ARMY, Chieves Belgium - Army 3
0063 HQ USAREUR, CPO, Unit 29150, APO, AE - Army 3
0064 HQ 1st Infantry Div. (MECH) & Fort Riley, KS - Army 3
0065 HQ Army Military Dist of Wash, Jacksonville, FL - Army 3
0066 HQ Army Military Dist of Wash, Washington, DC, - Army 3
0067 HQ Army Research Lab, HR Mgmt Div., Adelphi, MD - Army 3
0068 HQ Army Reserve Command, CPO, Atlanta, GA - Army 3
0069 HQ U.S. Army Garrison, Ft. Meade, MD - Army 3
0070 Infantry Ctr, Dir of CP, Ft Benning, GA) - Army 3
0071 Intelligence Ctr, CPO, Ft Huachuca, AZ - Army 3
0072 Jefferson Proving Ground, Madison, IN - Army 3
0073 Joint Readiness Training Center, Fort Polk, LA - Army 3
0074 Lexington Bluegrass Army Depot, Richmond, KY - Army 3
0075 MTMC Western Area, Oakland, CA - Army 3
0076 Natick Research Dev. & Eng. Center, Natick, MA - Army 3
0077 NTC & Ft. Irwin, Attn: AFZJ-CP, Ft. Irwin, CA - Army 3
0078 Office of the Secy of the Army, Washington, DC - Army 3
0079 OPM SANG-Riyadh Saudi Arabia, #61304, APO, AE - Army 3
0080 Pine Bluff Arsenal - Pine Bluff, AR - Army 3
0081 Reserve, Personnel Ctr., St. Louis,, MO - Army 3
0082 Rock Island Arsenal, CPO - Rock Island, IL - Army 3
0083 Savannah Army Depot - Activity, Savannah, IL - Army 3
0084 Sierra Army Depot, SDSSI-CP, Herlong, CA - Army 3
0085 Signal School, CPO, (ATZH-CP) Ft. Gordon, GA - Army 3
0086 Stuttgart/6th Area Support Group, APO, AE - Army 3
0087 Support Activity - Aberdeen Proving Ground, MD - Army 3
0088 Tank Automotive, Command CPO, Warren, MI - Army 3
0089 Vicinza Civ. Per. Support Center, APO, AE - Army 3
0090 Walter Reed Army Med. Ctr(HSHL-CP) Wash., DC - Army 3
423 Department of the Navy
0001 Camp Lejeune Satelite Off-HRO-Camp Lejeune, NC - Navy 3
0002 CHRO East Albany Sat Off, Albany, GA - Navy 3
0003 Commander(Code 164) HRO, NUWCDIV, WA - Navy 3
0004 Costal Systems Station, PC-80, Panama City, FL - Navy 3
0005 European Reg. (OCPM-EURR)-PSC 8022, FPO, AE - Navy 3
0006 Fleet and Industrial S.C (3231), San Diego, CA - Navy 3
0007 Fleet and Industrial S.C (4221), San Diego, CA - Navy 3
0008 Fleet and Industrial Supply Ctr, Norfolk, VA - Navy 3
0009 Great Lakes Ser. Ctr. HRO, Great Lakes, IL - Navy 3
0010 HRO Groton, Code 00G18, UC Div. Groton, CT - Navy 3
0011 Human Resources Ser Ctr NW, Silverdale, WA - Navy 3
0012 Human Resources SE, (2179), Stennis Space, MS - Navy 3
0013 Human Resources SE, (2417), Stennis Space, MS - Navy 3
0014 IIQs III Armored Corps & FH CPO, FT Hood, TX - Navy 3
0015 Lemore NAS 2800, San Diego, CA - Navy 3
0016 Marine Corps (MPC-37), Washington, DC - Navy 3
0017 Marine Corps Base, HRO, (Okinawa) FPO, AP - Navy 3
0018 Marine Corps Air Station, HRO 35404, FPO, AP - Navy 3
0019 Marine Corps-DC/S-Man & Res-(MPL 30)- Wash, DC - Navy 3
0020 Marine Corps Civ. HRO-W, Twentynine Palms, CA - Navy 3
0021 Marine Corps Civ. (HQ) HRB, Washington, DC - Navy 3
0022 Military Sealift Command, Virginia BH, VA - Navy 3
0023 MCCHRO, West, POI 2023, Barstow, CA - Navy 3
0024 Monterey Post Grad School, SW, San Diego, CA - Navy 3
0025 NAVACTS, HRO, PSC 455, FPO, AP - Navy 3
0026 NAVAIRWARCENWPNSDIV., China Lake, CA - Navy 3
0027 NAVSEA 07, Vallejo, CA - Navy 3
0028 NAVSEASYSCMD, Yorktown, VA - Navy 3
0029 NAVSTA HRO, New Orleans, LA - Navy 3
0030 NAWC Training Systems Division, Orlando, FL - Navy 3
0031 NAWCAD, HRO, Patuxent River, MD - Navy 3
0032 NAWCAD Code 731400B150-1, Lakehurst, NJ - Navy 3
0033 NCCOSC RDTE Div. Code 122, San Diego, CA - Navy 3
0034 Naval Academy, HRO, Annapolis, MD - Navy 3
0035 Naval Activities-United Kingdom-PSC 802, FPO, AE- Navy 3
0036 Naval Air Station -N. Isl (3231) San Diego, CA - Navy 3
0037 Naval Air Station, Joint Res. Base-Ft Worth, TX - Navy 3
0038 Naval Air Station, HRO, Jacksonville, FL - Navy 3
0039 Naval Air Warfare Ctr, COG, Patuxent River, MD - Navy 3
0040 Naval Aviation Depot, CHRO-E, Cherry Point, NC - Navy 3
0041 Naval Const Batt Ctr- Pt Hueneme, San Diego, CA - Navy 3
0042 Naval Inventory Control Point, Philadelphia, PA - Navy 3
0043 Naval Hospital, POI 3231, San Diego, CA - Navy 3
0044 Naval Hospital, POI 4221, San Diego, CA - Navy 3
0045 Naval Intelligence Civ Per Off, Washington, DC - Navy 3
0046 Naval Ordnance Ctr- Seal Beach, San Diego, CA - Navy 3
0047 Naval Research Laboratory, Washington, DC - Navy 3
0048 Naval Sea Systems Command, HRO, Arlington, VA - Navy 3
0049 Naval Shipyard, Long Beach, CA - Navy 3
0050 Naval Station, HRO, PSC 819, FPO, AE - Navy 3
0051 Naval Station Roosevelt Rds- PSC 1008, FPO, AA - Navy 3
0052 Naval Submarine Base-Bangor, Silverdale, CA - Navy 3
0053 Naval Support Activity, HRO, PSC 817, FPO, AE - Navy 3
0054 Naval Surface Warfare Ctr (3231) San Diego, CA - Navy 3
0055 Naval Surface Warfare Ctr., Crane, IN - Navy 3
0056 Naval Surface Warfare Ctr-HRO, Bethesda, MD - Navy 3
0057 Naval Surface Warfare Ctr-HRO, Indian Head, MD - Navy 3
0058 Naval Surface Warfare Ctr-P50, Dahlgren, VA - Navy 3
0059 Naval Undersea Warfare Ctr Div, Newport, RI - Navy 3
0060 Navy Ship Parts Control Ctr, Mechanicsburg, PA - Navy 3
0061 Norfolk Naval Base, HRO, Norfolk, Va - Navy 3
0062 Norfolk Naval Shipyard, Portsmouth, VA - Navy 3
0063 Office of Civ. Personnel Mgmt -Arlington, VA - Navy 3
0064 OPCM - Pacific Region-Code 51, Honolulu, HI - Navy 3
0065 Pearl Harbor Naval Shipyard HRO, Pearl Harbor, HI- Navy 3
0066 Portsmouth Naval Shipyard-HRO, Indian Head, MD - Navy 3
0067 Public Works Ctr, N. Isl San Diego, CA - Navy 3
0068 Public Works Ctr, N. Isl(Coronado) San Diego, CA- Navy 3
0069 Public Works Ctr, HRO Code 42A, Honolulu, HI - Navy 3
0070 Puget Sound Naval Shipyard, Bremerton, WA - Navy 3
0071 S/HRO, Arlington Annex, Washington, DC - Navy 3
0072 Secretariat/HQ - HRO, Arlington, VA - Navy 3
0073 SPAWAR, POI 3231, HRO, San Diego, CA - Navy 3
0074 SPAWAR, POI 4219, HRO, San Diego, CA - Navy 3
0075 Stennis Space Ctr, SE HR Ctr., Mississippi - Navy 3
0076 U. S. Naval Base - HRO, FPO, AE - Navy 3
424 Department of the Air Force (Appropriated Funds)
0001 11 MSS/DPC/CPO, Bolling AFB, Washington, DC - Air Force 3
0002 Academy/MAJCOM Dir. HQ, Colorado Springs, CO - Air Force 3
0003 Civilian Personnel Office, Grissom AFB, IN - Air Force 3
0004 Civilian Personnel Office, Andrews AFB, MD - Air Force 3
0005 Civilian Personnel Office, Kirkland AFB, NM - Air Force 3
0006 Combat Command/CPO/24MSS, Howard AFB APO, AA - Air Force 3
0007 Combat Command/CPO/65MSS, Lajes Fld Unt APO, AE - Air Force 3
0008 Combat Command/CPO/355MSS, Davis-Monthan AFB, AZ- Air Force 3
0009 Combat Command/CPO/9MSS, Beale AFB, CA - Air Force 3
0010 Combat Command/CPO/6MSS/DPC/ACC, MacDill AFB, FL- Air Force 3
0011 Combat Command/CPO/347MSS, Moody AFB, GA - Air Force 3
0012 Combat Command/CPO/366MSS, Mountain Home AFB, ID- Air Force 3
0013 Combat Command/CPO/2MSS, Barksdale AFB, LA - Air Force 3
0014 Combat Command/CPO/509MSS, Whiteman AFB, MO - Air Force 3
0015 Combat Command/CPO/55MSS, Offutt AFB, NE - Air Force 3
0016 Combat Command/CPO/554MSS, Nellis AFB, NV - Air Force 3
0017 Combat Command/CPO/27MSS, Cannon AFB, NM - Air Force 3
0018 Combat Command/CPO/49MSS/MSC, Holloman AFB, NM - Air Force 3
0019 Combat Command/CPO/23MSS, Pope AFB, NC - Air Force 3
0020 Combat Command/CPO/4MSS, Seymour Johnson AFB, NC- Air Force 3
0021 Combat Command/CPO/5MSS/DPC/ACC, Minot AFB, ND - Air Force 3
0022 Combat Command/CPO/28MSS, Ellsworth AFB, SD - Air Force 3
0023 Combat Command/CPO/20MSS/DPC/ACC, Shaw AFB, SC - Air Force 3
0024 Educ & Training Command, 42MSS, Maxwell AFB, AL - Air Force 3
0025 Educ & Training Command, 56MSS, Luke AFB, AZ - Air Force 3
0026 Educ & Trg Command, 314MSS, Little Rock AFB, AR - Air Force 3
0027 Educ & Training Command, 325MSS, Tyndall AFB, FL- Air Force 3
0028 Educ & Training Command, 14MSS, Columbus AFB, MS- Air Force 3
0029 Educ & Training Command, 81MSS, Keesler AFB, MS - Air Force 3
0030 Educ & Training Command, 97MSS, Altus AFB, OK - Air Force 3
0031 Educ & Training Command, 71MSS, Vance AFB, OK - Air Force 3
0032 Europe/CPO, 31 MSS/MSC(USAFE) Aviano, APO, AE - Air Force 3
0033 Europe/CPO, 425 ABS/DPC(USAFE) Izmir, APO, AE - Air Force 3
0034 Europe/CPO, 3 AF/DPC(USAFE) Mildenhall, APO, AE - Air Force 3
0035 Europe/CPO, 86 MSS/DPC, Ramstein AB GE, APO, AE - Air Force 3
0036 Europe/CPO, 39 MSS/MSC, Incirlik AB, TU, APO, AE- Air Force 3
0037 Europe/CPO, 52 MSS, Spangdahlem AB, GE, APO, AE - Air Force 3
0038 Headquarters USAF/DPC, Pentagon, Wash, DC - Air Force 3
0039 MAJCOM Directors/HQ USA/FE/DPC, APO, AE - Air Force 3
0040 MAJCOM Directors/HQ AFSPC/DPC, Peterson AFB, CO - Air Force 3
0041 MAJCOM Directors/HQ 11 SPTW/DPC, Washington, DC - Air Force 3
0042 MAJCOM Directors HQ AFRES/DPC, Robins AFB, GA - Air Force 3
0043 MAJCOM Directors HQ PACAF, Hickam AFB, HI - Air Force 3
0044 MAJCOM Directors, HQ AMC/DPC, Scott AFB, IL - Air Force 3
0045 MAJCOM Dir/HQ AFMC/DPC, Wright Patterson AFB, OH- Air Force 3
0046 Materiel Command/CPO/95MSS, Edwards AFB, CA - Air Force 3
0047 Materiel Command/CPO/61MSS, Los Angeles AFB, CA - Air Force 3
0048 Materiel Command/CPO/77SPTG, McClellan AFB, CA - Air Force 3
0049 Materiel Command/CPO/96MSS, Eglin AFB, FL - Air Force 3
0050 Materiel Command/CPO/78SPTG, Robins AFB, GA - Air Force 3
0051 Materiel Command/CPO/66SPTG, Hanscom AFB, MA - Air Force 3
0052 Materiel Command/88SPTG-Wright-Patterson AFB, OH- Air Force 3
0053 Materiel Command/CPO/OC-ALC, Tinker AFB, OK - Air Force 3
0054 Materiel Command/CPO/656ABS, Arnold AS, TN - Air Force 3
0055 Materiel Command/CPO/CASC/DPC, Battlecreek, MI - Air Force 3
0056 Mobility Command/CPO/22MSS, McConnell AFB, KS - Air Force 3
0057 Mobility Command/CPO/89MSS, Andrews AFB, MD - Air Force 3
0058 Mobility Command/CPO/437MSS, Charleston AFB, SC - Air Force 3
0059 Mobility Command/CPO/305MSS, McGuire AFB, NJ - Air Force 3
0060 Mobility Command/CPO319MSS, Grand Forks AFB, ND - Air Force 3
0061 Mobility Command/CPO/375MSS/DPC, Scott AFB, IL - Air Force 3
0062 Mobility Command/CPO/60MSS/DPC, Travis AFB, CA - Air Force 3
0063 Mobility Command/CPO/436MSS/DPC, Dover AFB, DE - Air Force 3
0064 National Guard(5USC)/CPO/102MSS/DPC, Milford, MA- Air Force 3
0065 National Guard(5USC)CPO/127FW-Selfridge ANGB, MI- Air Force 3
0066 Onizuka, Air Station 750MSS, Sunnyvale, CA - Air Force 3
0067 Pacific/CPO/354MSS/MSC, Eielson AFB, AK - Air Force 3
0068 Pacific/CPO/3MSS/DPC, Elmendorf AFB, AK - Air Force 3
0069 Pacific/CPO/18MSS/DPC, Kadena,AB JA, APO, AP - Air Force 3
0070 Pacific/CPO/374MSS/DPC, Yokota AB JA, APO, AP - Air Force 3
0071 Pacific/CPO/8MSS/MSCK, Kunsan AB KOR, APO, AP - Air Force 3
0072 Pacific/CPO/36MSS/MSC, Andersen AFB GU, APO, AP - Air Force 3
0073 Pacific/CPO/51MSS/MSC, Osan AB KOR, APO, AP - Air Force 3
0074 Pacific/CPO/15MSS.DPC, Hickam AFB, HI - Air Force 3
0075 Pacific/CPO/432MSS/MSC, Misawa AB JA, APO,AP - Air Force 3
0076 PALACE COMPASS-SCOTT/AMCCPO/DPCC, Scott AFB, IL - Air Force 3
0077 Reserve Command/CPO/452SPTG/DPC, March AFB, CA - Air Force 3
0078 Reserve/CPO/482SPTG/DPC/AFRES, Homestead AFB, FL- Air Force 3
0079 Reserve/CPO/94SUG/DPC/AFRES, Dobbins ARB, GA - Air Force 3
0080 Reserve/911SPTG-Pittsburgh IAP-ARS Coraopolis PA- Air Force 3
0081 Reserve/CPO/939SPTG/DPC/AFRES, Portland IAP, OR - Air Force 3
0082 Reserve/CPO/913Sptg/DPC, Willow Grove ARS, PA - Air Force 3
0083 Reserve/CPO/439SPTG/DPC, Westover AFB, MA - Air Force 3
0084 Reserve/CPO/926SPTG/DPC, New Orleans, LA - Air Force 3
0085 Reserve/CPO/934SPTG/DPC, St Paul, MN - Air Force 3
0086 Reserve/910SPTG, Yngstwn-Warren Aprt, Vienna, OH- Air Force 3
0087 Reserve/CPO/914SPTG, Niagra Falls IAP-ARS, NY - Air Force 3
0088 Space Command/CPO/341MSS/DPC, Malmstrom AFB, MT - Air Force 3
0089 Space Command/CPO/21MSS, Peterson AFB, CO - Air Force 3
0090 Space Command/CPF/45MSS/DPC, Patrick AFB, FL - Air Force 3
425 0001 Army-Central Payroll Office/NAF, Texarkana, TX - Army 3
427 Department of the Air Force (Non-Appropriated Funds)
0001 Bergstrom Air Reserve Station/924FG, Austin, TX - Air Force 3
0002 Combat Command/NAF/7MSS/MSC, Dyess AFB, TX - Air Force 3
0003 Combat Command/NAF/1MSS/DPC, Langley AFB, VA - Air Force 3
0004 Combat Command/CPO/NAF/92MSS, Fairchild AFB, WA - Air Force 3
0005 Educ & Trg Command/NAF17MSS, Goodfellow AFB, TX - Air Force 3
0006 Educ & Trg Command/NAF/37MSS, Lackland AFB, TX - Air Force 3
0007 Educ & Trg Command/NAF/47MSS, Laughlin AFB, TX - Air Force 3
0008 Educ & Trg Command/NAF/12MSS, Randolph AFB, TX - Air Force 3
0009 Educ & Trg Command/NAF/82MSS, Sheppard AFB, TX - Air Force 3
0010 Hdqtrs USAF AFCPMC/DR/NAF, Randolph AFB, TX - Air Force 3
0011 Hdqtrs AFPC/DPCM/NAF, Randolph AFB, TX) - Air Force 3
0012 Intelligence Command/NAF/HQ AIA, San Antonio, TX- Air Force 3
0013 Mobility Command/NAF/62MSS/MSC, McChord AFB, WA - Air Force 3
0014 MAJCOM Directors/NAF/HQ AETC, Randolph AFB, TX - Air Force 3
0015 MAJCOM Directors/NAF, Langley AFB, VA - Air Force 3
0016 Materiel Command/NAF/HSC/DPC, Brooks AFB, TX - Air Force 3
0017 Materiel Command/NAF/76SPTG/DPC, Kelly AFB, TX - Air Force 3
0018 Materiel Command/NAF/75SPTG/DPC, Hill AFB, UT - Air Force 3
0019 Reserve/NAF301SPTG, Ft Worth, TX - Air Force 3
0020 Reserve/CPO/NAF440SPTG, Milwaukee, WI - Air Force 3
0021 Space Command/NAF/90MSS, Fran E. Warren AFB, WY - Air Force 3
429 0001 Army & Air Exchange Service (Dallas, TX) - Army 3
430 Department of Justice
0001 Alternative Dispute Resolution Justice 1
0002 Antitrust Division Justice 1
0003 Associate Attorney General Justice 1
0004 Attorney General Justice 1
0005 Civil Division Justice 1
0006 Civil Rights Division Justice 1
0007 Community Oriented Policing Services Justice 1
0008 Community Relations Service Justice 1
0009 Court Services & Offender Supervision for DC Justice 1
0010 Criminal Division Justice 1
0011 Drug Enforcement Administration Justice 1
0012 Executive Office For Immigration Review Justice 1
0013 Environment and Natural Resources Division Justice 1
0014 Federal Prison System Justice 1
0015 Foreign Claims Settlement Commission Justice 1
0016 Immigration and Naturalization Service Justice 1
0017 Independent Counsel RE: Madison Justice 1
0018 Information and Privacy Justice 1
0019 Intelligence Policy and Review Justice 1
0020 Intergovernmental Affairs Justice 1
0021 Inspector General Justice 1
0022 Justice Programs Justice 1
0023 Legal Counsel Justice 1
0024 Legislative Affairs Justice 1
0025 Management Division Justice 1
0026 Marshals Service Justice 1
0027 National Drug Intelligence Center Justice 1
0028 Office of Professional Responsibility Justice 1
0029 Pardon Attorney Justice 1
0030 Parole Commission Justice 1
0031 Policy Development Justice 1
0032 President’s Crime Prevention Council Justice 1
0033 Professional Responsibility Advisory Office Justice 1
0034 Public Affairs Justice 1
0035 Solicitor General Justice 1
0036 Special Counsel Justice 1
0037 Tax Division Justice 1
0038 Trustee Program Justice 1
0039 U.S. Trustees Justice 1
0040 United States Attorneys Justice 1
0041 USNCB - Interpol Justice 1
431 0001 Federal Bureau of Investigation Justice 3
432 0001 Drug Enforcement Agency Justice 3
440 Department of the Interior
0001 Bureau of Indian Affairs Interior 1
0002 Bureau of Land Management Interior 1
0003 Bureau of Mines Interior 1
0004 Bureau of Reclamation Interior 1
0005 Minerals Management Services Interior 1
0006 National Park Service Interior 1
0007 Office of The Secretary Interior 1
0008 Office of The Solicitor Interior 1
0009 Office of Surface Mining Interior 1
0010 U.S. Fish & Wildlife Service Interior 1
0011 U.S. Geological Survey Interior 1
445 Department of Agriculture
0001 Agricultural Marketing Service Agriculture 1
0002 Agricultural Research Service Agriculture 1
0003 Animal And Plant Health Inspection Service Agriculture 1
0004 Cooperative State Research Service Agriculture 1
0005 Economic Analysis Staff Agriculture 1
0006 Economics Management Staff Agriculture 1
0007 Economic Research Service Agriculture 1
0008 Farmers Home Administration Agriculture 1
0009 Federal Crop Insurance Corporation Agriculture 1
0010 Federal Grain Inspection Service Agriculture 1
0011 Food and Nutrition Service Agriculture 1
0012 Food Safety and Inspection Service Agriculture 1
0013 Forest Service Agriculture 1
0014 Natural Resources Conservation Service Agriculture 1
0015 National Agricultural Statistical Service Agriculture 1
0016 Office of Energy Agriculture 1
0017 Office of Finance and Management Agriculture 1
0018 Office of Personnel Agriculture 1
0019 Office of Operations Agriculture 1
0020 Packers and Stockyards Administration Agriculture 1
0021 Soil Conservation Service Agriculture 1
0022 World Agricultural Outlook Board Agriculture 1
450 Department of Commerce
0001 Bureau of the Census Commerce 1
0002 Bureau of Economic Analysis Commerce 1
0003 Bureau of Export Administration Commerce 1
0004 Economic Development Administration Commerce 1
0005 Economics and Statistics Administration Commerce 1
0006 International Trade Administration Commerce 1
0007 Minority Business Development Agency Commerce 1
0008 Natl Institute of Standards and Technology Commerce 1
0009 National Oceanic & Atmospheric Admin. Commerce 1
0010 National Technical Information Service Commerce 1
0011 National Telecommunications & Info. Admin. Commerce 1
0012 Patent and Trademark Office Commerce 1
0013 Office of the Inspector General Commerce 1
0014 Office of the Secretary Commerce 1
0015 Technology Administration Commerce 1
0016 Travel & Tourism Administration Commerce 1
455 U.S. Department of Labor
0001 Atlanta (GA)Region Labor 3
0002 Boston (MA) Region Labor 3
0003 Chicago (IL) Region Labor 3
0004 Dallas (TX) Region Labor 3
0005 Philadelphia (PA) Region Labor 3
0006 San Francisco (CA) Region Labor 3
0007 Washington (DC) National Office Labor 3
460 Department of Health and Human Services (DHHS)
0001 ACF/OA/OHRM, L’Enfant Promenade, SW, Washington, DC HHS 3
0002 AHCPR (Rockville, MD) HHS 3
0003 Center for Disease Control/HRMO, Atlanta, GA HHS 3
0004 Food & Drug Admin, OHRMS, San Francisco, CA HHS 3
0005 Food & Drug Administration, HQ, Rockville, MD HHS 3
0006 Food & Drug Admin, NY Pers. Office, New York, NY HHS 3
0007 Gillis W. Long Hansen Disease, Carville, LA HHS 3
0008 HCFA, Baltimore, MD HHS 3
0009 HRSA, Fishers Lane, Rockville, MD HHS 3
0010 Indian Health Services, Anchorage, AK HHS 3
0011 Indian Health, Personnel Office, Window Rock, AR HHS 3
0012 Indian Health Services, OHR, Phoenix, AZ HHS 3
0013 Indian Health Services, Tucson, AZ HHS 3
0014 Indian Health Services, Albuquerque, NM HHS 3
0015 Indian Health Services, Oklahoma City, OK HHS 3
0016 Indian Health Service/PHS, Portland, OR HHS 3
0017 Indian Health Services, Billings, MT HHS 3
0018 Indian Health Services, Aberdeen, SD HHS 3
0019 National Institute of Health/CIT, Bethesda, MD HHS 3
0020 National Institute of Health2/NCI, Bethesda, MD HHS 3
0021 National Institute of Health2/NHLBI, Bethesda, MD HHS 3
0022 National Institute of Health/NIMH, Bethesda, MD HHS 3
0023 National Institute of Health/NIDDK/OHRM, Bethesda, MD HHS 3
0024 National Institute of Health/NICHDHRMB, Bethesda, MD HHS 3
0025 NCHS, 6525 Belcrest Road, Hyattsville, MD HHS 3
0026 NIAID/OHRM, Rockville, MD HHS 3
0027 NIEHS/EC-II, Research Triangle Park, NC HHS 3
0028 NIOSH/CDC, Cincinnati, OH HHS 3
0029 NIOSH/Spokane Research Laboratory, Spokane, WA HHS 3
0030 NLM, Bethesda, MD HHS 3
0031 OD, MSC 2215, 31 Center Drive, Bethesda, MD HHS 3
0033 OHRMS/Central RO, Chicago Personnel Operation HHS 3
0034 PHS, CA Area Office, Bell Street, Sacramento, CA HHS 3
0035 POD/OS, 330 C St. SW, Washington, DC HHS 3
0036 PSC, Fisher Lane, Rockville, MD HHS 3
0037 SAMHSA/DPM/POB, Fisher Lane, Rockville, MD HHS 3
465 0001 Dept of Housing and Urban Development, Chicago, IL 3
466 0001 Department of Housing and Urban Development/OIG 1
470 Department of Transportation
0001 Federal Aviation Administration Transportation 1
0002 Federal Highways Administration Transportation 1
0003 Federal Railroad Administration Transportation 1
0004 Inspector General Transportation 1
0005 Maritime Administration Transportation 1
0006 Natl Highway Transportation Safety Admin. Transportation 1
0007 Office of the Secretary Transportation 1
0008 Research-Special Programs Administration Transportation 1
0009 Transportation System Center Transportation 1
0010 U.S. Coast Guard Transportation 1
0011 Urban Mass Transportation Safety Admin. Transportation 1
475 0001 Department of Energy 3
0002 African Development Foundation 1
480 0001 Department of Education 1
502 0001 Action 3
503 0001 Administrative Conference of the U.S. 3
505 0001 Advisory Committee on Federal Pay 3
506 0001 U.S. Agency for International Development 3
507 0001 Advisory Council on Historic Preservation 3
508 0001 Alaska National Gas Transportation 3
509 0001 Appalachian Regional Commission 3
510 0001 American Battle Monuments Commission 3
511 0001 Board For International Broadcasting 3
512 0001 U.S. Arms Control & Disarmament Agency 3
520 0001 Federal Reserve System 3
531 0001 Commission For the Purchase of Products From the Handicap 3
532 0001 Delaware River Basin Commission 3
535 0001 Office of Personnel Management 3
538 0001 Commission on Fine Arts 3
539 0001 U.S. Commission on Civil Rights 3
540 0001 Office of Government Ethics 3
541 0001 U.S. Consumer Product Safety Commission 3
543 0001 Commodity Futures Trading Commission 3
545 0001 Advisory Commission On Intergovernmental Relations 3
552 0001 Environmental Protection Agency 1
554 0001 Equal Employment Opportunity Commission 3
555 0001 Export-Import Bank 3
557 0001 Farm Credit Administration 3
558 0001 Farm Credit System Assistance Board 3
570 0001 Federal Communications Commission 3
572 0001 Federal Election Commission 3
574 0001 Federal Emergency Management Agency 1
575 0001 Federal Deposit Insurance Corporation 1
576 0001 Office of Thrift Supervision 3
577 0001 Federal Labor Relations Authority 1
578 0001 Federal Maritime Commission 3
579 0001 Federal Housing Finance Board 3
580 0001 Federal Mediation and Conciliation Service 3
583 0001 Federal Mine, Safety & Health Rev. Commission 3
584 0001 Federal Retirement Thrift Investment Board 3
590 0001 Federal Trade Commission 1
592 0001 Foreign Claims Settlement Commission 3
600 0001 General Services Administration 1
601 0001 Harry S. Truman Scholarship 1
602 0001 Japan-U.S. Friendship Commission 1
603 0001 U.S. Chemical Safety and Hazard Investigation Board 1
618 0001 Institute of Museum Services 3
619 0001 JFK Center For The Performing Arts 3
620 0001 U.S. Information Agency 3
621 0001 Inter-American Foundation 1
622 0001 International Boundary and Water Comm 3
623 0001 International Trade Commission 1
625 0001 Interstate Commerce Commission 1
0002 Surface Transportation Board (Interstate Commerce) 3
0003 St. Lawrence Seaway Dev. Corp. (Interstate Commerce) 3
626 0001 Interagency Council On the Homeless 3
627 0001 Marine Mammal Commission 3
628 0001 U.S. Merit Systems Protection Board 3
631 0001 National Aeronautics & Space Administration 3
633 0001 National Archives & Records Administration 1
634 0001 National Credit Union Administration 3
635 0001 National Commission for Employment Policy 3
640 0001 National Capital Planning Commission 3
642 0001 National Gallery Of Arts 3
645 0001 National Labor Relations Board 3
646 0001 National Endowment For the Arts 3
647 0001 National Endowment For the Humanities 3
650 0001 National Mediation Board 3
652 0001 National Railroad Adjustment Board 3
655 0001 National Science Foundation 3
656 0001 National Transportation Policy Study Commission 3
657 0001 Navajo & Hopi Indian Relocation Commission 3
659 0001 Nuclear Regulatory Commission 3
660 0001 National Transportation Safety Board 3
661 0001 NUC Safety Oversight Committee 3
663 0001 Occupational Safety & Health Review Commission 3
664 0001 Overseas Private Investment Corp. 1
665 0001 Panama Canal Commission 3
667 0001 Pension Benefit Guaranty Corporation 3
668 0001 Postal Rate Commission 3
670 0001 Railroad Retirement Board 3
677 0001 Peace Corps 3
678 0001 Pennsylvania Avenue Development Corporation 3
680 0001 President’s Commission on Ethical Problems 3
682 0001 President’s Commission on Pension Policy 3
683 0001 Railroad Accounting Principles Board 3
687 0001 Social Security Administration 1
690 0001 U.S. Securities and Exchange Commission 1
695 0001 Selective Service System 1
697 0001 Susquehanna River Basin Commission 3
700 0001 Small Business Administration 1
701 0001 United States Holocaust Memorial Museum 3
705 0001 Smithsonian Institution 3
710 0001 Soldiers’ and Airmen’s Home 3
730 0001 Tennessee Valley Authority 3
732 0001 U.S. Postal Service, St Paul, MN 1
0002 U.S. Postal Service, Washington, DC 1
735 Department of Veterans Affairs
0001 Health Care Center (756), El Paso, TX 3
0002 Medical Center (619), Montgomery, AL 3
0003 Medical Center (644), Phoenix, AZ 3
0004 Medical Center (649), Prescott, AZ 3
0005 Medical Center (564), Fayetteville, AR 3
0006 Medical Center (598), W. 7th Street, Little Rock, AR 3
0007 Medical Center (570), East Clinton Avenue, Fresno, CA 3
0008 Medical Center (599), Concord, CA 3
0009 Medical Center (605), Loma Linda, CA 3
0010 Medical Center (600), E. 7th Street, Long Beach, CA 3
0011 Medical Center (691), Wilshire Blvd., Los Angeles , CA 3
0012 Medical Center (640), Miranda Avenue, Palo Alto, CA 3
0013 Medical Center (664), La Jolla Village Dr., San Diego, CA 3
0014 Medical Center (662), Clement Street, San Francisco, CA 3
0015 Medical Center (665), Plummer Street, Sepulveda, CA 3
0016 Medical Center (339), Denver, CO 3
0017 Medical Center (554), Clemont Street, Denver, CO 3
0018 Medical Center (567), Fort Lyon, CO 3
0019 Medical Center (575), Grand Junction, CO 3
0020 Medical Center (627), Willard Avenue, Newington, CT 3
0021 Medical Center (689), Campbell Avenue, West Haven, CT 3
0022 Medical Center (688), Irving Street, N.W, Washington, DC 3
0023 Medical Center (573), Archer Road, Gainesville, FL 3
0024 Medical Center (594), Lake City, FL 3
0025 Medical Center (546), Northwest 16th Street, Miami, FL 3
0026 Medical Center (673), Bruce B. Downs Blvd., Tampa, FL 3
0027 Medical Center (548), N. Military Dr., W. Palm Beach, FL 3
0028 Medical Center (557), 1826 Veteran’s Blvd., Dublin, GA 3
0029 Medical Center (531), West Fort Street, Boise, ID 3
0030 Medical Center (535), East Huron Street, Chicago, IL 3
0031 Medical Center (537), So. Damen Avenue, Chicago, IL 3
0032 Medical Center (556), Green Bay Road North, Chicago, IL 3
0033 Medical Center (550), Danville, IL 3
0034 Medical Center (578), Hines, IL 3
0035 Medical Center (609), West Main Street, Marion, IL 3
0036 Medical Center (569), Fort Wayne,IN 3
0037 Medical Center (583), West 10th Street, Indianapolis, IN 3
0038 Medical Center (610), Marion, IN 3
0039 Medical Center (555), 30th & Euclid Avenue, Des Moines, IA 3
0040 Medical Center (584), Highway 6 West, Iowa City, IA 3
0041 Medical Center (592), W. Pleasant Street, Knoxville, IA 3
0042 Medical Center (696), Leavenworth, KS 3
0043 Medical Center (677), Gaple Blvd, Topeka, KS 3
0044 Medical Center (596), Lexington, KY 3
0045 Medical Center (603), Zorn Avenue, Louisville, KY 3
0046 Medical Center (629), Perdido Street, New Orleans, LA 3
0047 Medical Center (66 ), East Stoner Avenue, Shreveport, LA 3
0048 Medical Center (566), Fort Howard, MD 3
0049 Medical Center (641), Perry Point, MD 3
0050 Medical Center (325), Belmont Street Brockton, MA 3
0051 Medical Center (631), Northampton, MA 3
0052 Medical Center (553), John R (Street), Detroit, MI 3
0053 Medical Center (585), Iron Mountain, MI 3
0054 Medical Center (655), Weiss Street, Saginaw, MI 3
0055 Medical Center (618), Veterans Drive, Minneapolis, MN 3
0056 Medical Center (656), 8th Street North, St. Cloud, MN 3
0057 Medical Center (586), East Woodrow Wilson Dr, Jackson, MS 3
0058 Medical Center (543), Hospital Drive Columbia, MO 3
0059 Medical Center (589), Linwood Boulevard, Kansas City, MO 3
0060 Medical Center (647), Poplar Bluff, MO 3
0061 Medical Center (657), Jefferson Barracks, St. Louis, MO 3
0062 Medical Center (617), Miles City, MT 3
0063 Medical Center (574), Grand Island, NE 3
0064 Medical Center (597), South 70th Street, Lincoln, NE 3
0065 Medical Center (636), Woolworth Avenue, Omaha, NE 3
0066 Medical Center (593), Vegas Drive, Las Vegas, NV 3
0067 Medical Center (654), Locust Street, Reno, NV 3
0068 Medical Center (608), Smyth Road, Manchester, NH 3
0069 Medical Center (561), East Orange, NJ 3
0070 Medical Center (604), Knollcroft Road, Lyons, NJ 3
0071 Medical Center (526), West Kingsbridge Road, Bronx, NY 3
0072 Medical Center (527), Poly Place, Brooklyn, NY 3
0073 Medical Center (528), Bailey Avenue, Buffalo, NY 3
0074 Medical Center (532), Fort Hill Avenue, Canandaigua, NY 3
0075 Medical Center (533), Castlepoint, NY 3
0076 Medical Center (620), P.O. Box 100, Rt 9A , Montrose, NY 3
0077 Medical Center (630), East 23rd Street, New York, NY 3
0078 Medical Center (632), Northport, NY 3
0079 Medical Center (670), Irving Ave & Univ. Pl., Syracuse, NY 3
0080 Medical Center (637), Asheville, NC 3
0081 Medical Center (558), Fulton Street, Durham, NC 3
0082 Medical Center (565), Ramsey Street, Fayetteville, NC 3
0083 Medical Center (659), Brenner Avenue, Salisbury, NC 3
0084 Medical Center (538), Chillicothe, OH 3
0085 Medical Center (539), Vine Street, Cincinnati, OH 3
0086 Medical Center (541), East Blvd, Cleveland, OH 3
0087 Medical Center (552), West Third Street, Dayton, OH 3
0088 Medical Center (623), Honor Heights Drive, Muskogee, OK 3
0089 Medical Center (635), NE 13th Street, Oklahoma City, OK 3
0090 Medical Center (648), P.0. Box 1034, Portland, OR 3
0091 Medical Center (653), Roseburg, OR 3
0092 Medical Center (692), Crater Lake Highway, White City, OR 3
0093 Medical Center (529), Butler, PA 3
0094 Medical Center (542), Coatesville, PA 3
0095 Medical Center (562), East 38th Street, Erie, PA 3
0096 Medical Center (595), Lebanon, PA 3
0097 Medical Center (642), Univ. & Woodland Aves., Phila. PA 3
0098 Medical Center (646), Highland/Univ. Drive, Pittsburgh, PA 3
0099 Medical Center (693), East End Blvd, Wilkes-Barre, PA 3
0100 Medical Center (677), San Juan, PR 3
0101 Medical Center (650), Providence, RI 3
0102 Medical Center (534), Bee Street, Charleston, SC 3
0103 Medical Center (544), Garners Road, Columbia, SC 3
0104 Medical Center (558), Comanche Road, Fort Meade, SD 3
0105 Medical Center (579), Hot Springs, SD 3
0106 Medical Center (614), Jefferson Avenue, Memphis, TN 3
0107 Medical Center (621), (Johnson City) Mountain Home, TN 3
0108 Medical Center (622), Lebanon Road, Murfreesboro, TN 3
0109 Medical Center (626), 24th Avenue South, Nashville, TN 3
0110 Medical Center (549), South Lancaster Road, Dallas, TX 3
0111 Medical Center (580), Holcombe Blvd Houston, TX 3
0112 Medical Center (591), Memorial Blvd. Kerrville, TX 3
0113 Medical Center (611), Marlin, TX 3
0114 Medical Center (671), Merton Miriter Blvd San Antonio, TX 3
0115 Medical Center (674), South 1st Street, Temple, TX 3
0116 Medical Center (685), Memorial Drive, Waco, TX 3
0117 Medical Center (660), Foothill Blvd, Salt Lake City, UT 3
0118 Medical Center (590), Hampton, VA 3
0119 Medical Center (652), Broad Rock Road, Richmond, VA 3
0120 Medical Center (658), Salem, VA 3
0121 Medical Center (663), South Columbia Way, Seattle, WA 3
0122 Medical Center (668), Spokane, WA 3
0123 Medical Center (687), Wainwright Drive, Walla Walla, WA 3
0124 Medical Center (540), Clarksburg, WV 3
0125 Medical Center (581), Spring Valley Drive, Huntington, WV 3
0126 Medical Center (613), Martinsburg, WV 3
0127 Medical Center (607), Overlook Terrace, Madison, WI 3
0128 Medical Center (G95), West National Avenue, Milwaukee, WI 3
0129 Medical Center (676), Torriah, WI 3
0130 Medical Center (666), Sheridan, WY 3
0131 Northern CA Systems of Clinics (612), Pleasant Hill, CA 3
0132 Outpatient Clinic (752), East Tenipic, Los Angeles, CA 3
0133 Outpatient Clinic (677), San Juan, PR 3
0134 Outpatient Clinic (750), Causeway Street, Boston, MA 3
0135 Outpatient Clinic (757), Taylor Avenue, Columbus, OH 3
0136 Regional Office (322), Perry Hill Road, Montgomery, AL 3
0137 Regional Office (343), N. Central Avenue, Phoenix, AZ 3
0138 Regional Office (350), North Little Rock, AR 3
0139 Regional 0ffice (344), 11000 Wilshire Blvd, LA, CA 3
0140 Regional Office (343), 1301 Clay Street, Oakland, CA 3
0141 Regional Office (359), 1301 Clay Street, Oakland, CA 3
0142 Regional Office (339), P.O. Box 25126, Denver, CO 3
0143 Regional Office (308), Main Street, Hartford, CT 3
0144 Regional Office (317), P.O. Box 1437, St. Petersburg, FL 3
0145 Regional Office Peachtree Street, NE, Atlanta, GA 3
0146 Regional Office (480), P.O. Box 50188, Honolulu, HI 3
0147 Regional Office (347), West Franklin Street, Boise, ID 3
0148 Regional Office (329), PO Box 91336, Chicago, IL 3
0149 Regional Office (326), N. Penn. St., Indianapolis, IN 3
0150 Regional Office (333), Walnut Street, Des Moines, IA 3
0151 Regional Office (327), S. Third Street, Louisville, KY 3
0152 Regional Office (321), Loyola Avenue, New Orleans, LA 3
0153 Regional Office (313), 31 Hopkins Plaza, Baltimore, MD 3
0154 Regional Office (301), Govt Center, Boston, MA 3
0155 Regional Office (329), Michigan Avenue, Detroit, MI 3
0156 Regional Office (Fort Snelling) St. Paul, MN 3
0157 Regional Office (323), West Capitol Street, Jackson, MS 3
0158 Regional Office (131), N. Market Street, St. Louis, MO 3
0159 Regional Office (334), South 48th Street, Lincoln, NE 3
0160 Regional Office (054), Terminal Way, Reno, NV 3
0161 Regional Office (373), Chestnut, Manchester, NH 3
0162 Regional Office (309), Washington Place, Newark, NJ 3
0163 Regional Office (340), Gold Avenue, S.W., Albuquerque, NM 3
0164 Regional Office (307), West Huron Street, Buffalo, NY 3
0165 Regional Office (306), Houston Street, New York, NY 3
0166 Regional Office (319), N. Main St., Winston-Salem, NC 3
0167 Regional Office (325), East Ninth Street, Cleveland, OH 3
0168 Regional Office (351), South Main Street, Muskogee, OK` 3
0169 Regional Office S.W. Third Avenue, Portland, OR 3
0170 Regional Office (310), Wissahickon Ave., Philadelphia, PA 3
0171 Regional Office (311), Liberty Avenue, Pittsburgh, PA 3
0172 Regional Office (355), GPO Box 364867, San Juan, PR 3
0173 Regional Office Westminister Mall, Providence, RI 3
0174 Regional Office (311), Assembly Street, Columbia, SC 3
0175 Regional Office (320), Ninth Avenue, South, Nashville, TN 3
0176 Regional 0ffice (349), N. Valley Mills Drive, Waco, TX 3
0177 Regional Office (341), S. State St., Salt Lake City, UT 3
0178 Regional Office (314), Franklin Road S.W., Roanoke, VA 3
0179 Regional Office (346), 2nd Avenue, Seattle, WA 3
0180 Regional Office (315), 4th Avenue, Huntington, WV 3
0181 Regional Office P.O. Box 6, Milwaukee, WI 3
801 0001 Department of Army/NAF/DFAS/IN/UCX 3
802 0001 Department of Navy/NAF 3
803 0001 Department of Air Force/NAF/HQ AFPC/DPPTU 3
804 0001 U.S. Marine Corps/NAF/DFAS-KC 3
805 0001 U.S. Coast Guard/NAF/Coast Guard Pers. Command 3
806 0001 National Oceanic and Atmospheric Administration 1
807 0001 Navy Exchange Service Navy 3
808 DEPARTMENT OF NAVY/NAF - MORALE, WELFARE, & RECREATION
0001 Administrative Unit, S.W Asia Bahrain, FPO, AE Navy 3
0002 Administrative Unit, Scotia, NY Navy 3
0003 Air Engineering Station, Lakehurst, NJ Navy 3
0004 Air Facility, Atsugi Japan, FPO, AP Navy 3
0005 Air Facility, Building 318, Code 60, El Centro, CA Navy 3
0006 Air Station, Sigonella, Italy, FPO, AE Navy 3
0007 Air Station, (Keflavik) FPO, AP Navy 3
0008 Air Station, ADAK, PSC 486 Box 1219, FPO, AP Navy 3
0009 Air Station, N. Island, PO Box 357083, San Diego, CA Navy 3
0010 Air Station, Cecil Field, FL Navy 3
0011 Air Station, Jacksonville, FL Navy 3
0012 Air Station, Key West, FL Navy 3
0013 Air Station, Milton, FL Navy 3
0014 Air Station, (Atlanta) Marietta, GA Navy 3
0015 Air Station, Brunswick, ME Navy 3
0016 Air Station-Patuxent, Annapolis, MD Navy 3
0017 Air Station, Meridian, MS Navy 3
0018 Air Station, Fallon, NV Navy 3
0019 Air Station/Joint Reserve, Willow Grove, PA Navy 3
0020 Air Station, Corpus Christi, TX Navy 3
0021 Air Station, Fort Worth, TX Navy 3
0022 Air Station, Kingville, TX Navy 3
0023 Air Station, Oceana, Virginia Beach, VA Navy 3
0024 Air Weapons Station, Building 21, China Lake, CA Navy 3
0025 Air Weapons Station, 521 9th Street, Point Mugu, CA Navy 3
0026 Air Weapons Station, P.O. Box 6169, Ridgecrest, CA Navy 3
0027 Amphibious Base, Little Creek, Norfolk, VA Navy 3
0028 Antarctic Support Unit, Christchurch, FPO, AP Navy 3
0029 Armed Forces Staff College, Norfolk, VA Navy 3
0030 Coastal Systems Station, Panama City, FL Navy 3
0031 Communications Station, Stockton, CA Navy 3
0032 Computers & Tele Area Station (Guam), FPO, AP Navy 3
0033 Computers & Tele Command, MA Ave, Washington, DC Navy 3
0034 Computers & Tele Station, Cutler, ME Navy 3
0035 Construction Battalion Center, Port Hueneme, CA Navy 3
0036 Construction Battalion Center, Gulfport, MS Navy 3
0037 Education and Training, Pensacola, FL Navy 3
0038 Education and Training, Newport, RI Navy 3
0039 Fleet Activities, China, FPO, AP Navy 3
0040 Fleet Activities, Okinawa, Japan, FPO, AP Navy 3
0041 Fleet Activities, Sasebo, FPO, AP Navy 3
0042 Fleet Activities, Yokosuka, FPO, AP Navy 3
0043 Fleet & Industrial Supply, Exec. Way, Oakland, CA Navy 3
0044 Fleet & Industrial Supply, Williamsburg, VA Navy 3
0045 Hospital,(Guam), FPO, AP Navy 3
0046 Inventory Control Point, Mechanicsburg, PA Navy 3
0047 Joint Maritime Facility, St, Mawgan, FPO, AE Navy 3
0048 Joint Military Affairs Group, Korea, FPO, AP Navy 3
0049 Joint Services Activity, New Sanno, FPO, AP Navy 3
0050 Marine Corp Barracks, 8th & I Sts. Washington, DC Navy 3
0051 Medical Center, Code BEA Building 26, San Diego, CA Navy 3
0052 Medical Center, Bethesda, MD Navy 3
0053 Medical Center, Portsmouth, VA Navy 3
0054 MWR Department, Comnavact UK, FPO, AE Navy 3
0055 MWR Department, NSA, Gaeta, FPO, AE Navy 3
0056 MWR Department, Naval Forces Korea, FPO, AP Navy 3
0057 MWR Department, US Forces Marianas, FPO, AP Navy 3
0058 MWR Department, Building 950 Code 90, Lemoore, CA Navy 3
0059 MWR Department, Regulus Ave, Virginia Beach, VA Navy 3
0060 NCTAMS EASTPAC, Wahiawa, HI Navy 3
0061 Naval District Washington, Anacostia, Washington, DC Navy 3
0062 Naval Forces Europe, FPO, AE Navy 3
0063 Naval Magazine Lualualei, Waianae, HI Navy 3
0064 Naval Station, Roosevelt Roads, FPO, AA Navy 3
0065 Naval Station, Guantanamo Bay, Cuba, FPO, AE Navy 3
0066 Naval Station, Rota Spain, FPO, AP Navy 3
0067 Naval Station, Recreation Way, San Diego, CA Navy 3
0068 Naval Station, Mayport, FL Navy 3
0069 Naval Station, Pearl Harbor, HI Navy 3
0070 Naval Station, Annapolis, MD Navy 3
0071 Naval Station, Pascagoula, MS Navy 3
0072 Naval Station, Ingleside, TX Navy 3
0073 Naval Station, Norfolk, VA Navy 3
0074 Office of Naval Intelligence, Suitland Rd, Wash, DC Navy 3
0075 Ordnance Test Unit, Cape Canaveral, FL Navy 3
0076 Pacific Missile Range Facility, Kekaha, HI Navy 3
0077 Recreation Center, Solomons, MD Navy 3
0078 Regional Contracting Center, FPO, AP Navy 3
0079 Research Lab/Rec Club, Overlook Ave, Washington, DC Navy 3
0080 Security Group Activity, Edzell, FPO, AE Navy 3
0081 Security Group Activity, Sabana Seca, FPO, AP Navy 3
0082 Security Group Activity, Winter Harbor, ME Navy 3
0083 Security Group Activity, Chesapeake, Va Navy 3
0084 Security Group Activity, Suger Grove, WV Navy 3
0085 Security Station, Nebraska Ave, Washington, DC Navy 3
0086 Shipyard, Portsmouth, NH Navy 3
0087 Shipyard, (Norfolk) Portsmouth, VA Navy 3
0088 Submarine Base (New London) Groton, CT Navy 3
0089 Submarine Base, Kings Bay, GA Navy 3
0090 Supply Corps School, Athens, GA Navy 3
0091 Support Activity, Souda Bay, Crete, Greece, FPO, AP Navy 3
0092 Support Activity, Code 45 NSAMB, Monterey, CA Navy 3
0093 Support Activity, Naples Italy, FPO, AE Navy 3
0094 Support Activity, New Orleans, LA Navy 3
0095 Support Activity, (Memphis), Millington, TN Navy 3
0096 Support Facility, Diego Garcia, FPO, AE Navy 3
0097 Support Facility, Kami Seya, Japan, FPO, AP Navy 3
0098 Support Facility, Pascagoula, MS Navy 3
0099 Support Office, La Maddalena Italy, FPO, AE Navy 3
0100 Surface Warfare Ctr, Crane, IN Navy 3
0101 Surface Warfare, Indian Head, MD Navy 3
0102 Surface Warfare, Dahlgren, VA Navy 3
0103 Tech Training Center, Pensacola, FL Navy 3
0104 Training Center, Great Lakes, IL Navy 3
0105 Undersea Warfare Center, Keyport, WA Navy 3
0106 Weapons Station, 10 Delta Street, Concord, CA Navy 3
0107 Weapons Station, 800 Seal Beach Blvd, Seal Beach, CA Navy 3
0108 Weapons Station Earle, Colts Neck, NJ Navy 3
0109 Weapons Station, (Charleston) Goose Creek, SC Navy 3
0110 Weapons Station, Lackey, VA Navy 3
0111 Weapons Station, Yorktown, VA Navy 3
809 0001 U.S. Marine Corps 3
811 0001 U. S. Coast Guard - Non-Appropriated Fund 3
902 0001 Central Intelligence Agency 3
910 0001 Bureau of Census 1
911 0001 Presidio Trust 1
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Information
2 = Electronic Request for Wage Information and Mail
Request for Separation Information
3 = Mail Request for Wage ands Separation Information
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