Federal Form SF 2810

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a SF 2810 used for?

Form SF 2810 is used to notify changes in health benefits enrollment for federal employees. It is typically completed by the employing agency's Human Resources or Personnel office to reflect changes due to life events such as marriage, divorce, or other qualifying events.

Who needs to fill out a SF 2810 form

Employing agencies' Human Resources or Personnel offices responsible for managing federal employees' health benefits.

How to fill out a SF 2810 online?

Follow these steps to complete your SF 2810 form online.

Step 1
Step 1
Review the form's instructions to understand the requirements.
Step 2
Step 2
Provide necessary personal and employment details.
Step 3
Step 3
Specify the reason for the change in health benefits.
Step 4
Step 4
Ensure the form is completed by the appropriate HR or Personnel office.
Step 5
Step 5
Submit the form according to your agency's guidelines.
U.S. Office of Personnel Management (OPM)

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Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

Form SF 2810 is used by employing agencies to notify changes in federal employees' health benefits enrollment.

The form should be submitted as soon as the change is known, ideally within the timeframe specified by the agency.

Typically, Human Resources or Personnel offices within employing agencies complete this form.

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