Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 48 - Federal Acquisition Regulations System |
Chapter 16 - Office of Personnel Management Federal Employees Health Benefits Acquisition Regulation |
SubChapter H - Clauses and Forms |
Part 1653 - Forms |
§ 1653.000 - FEHBP forms.
Latest version.
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1653.000 FEHBP forms.
The following forms specified in FAR subparts 53.2 and 53.3 are applicable to FEHBP acquisitions:
Part 53.2 Part 53.3 Form title 53.201-1 53.301-1402 SF 1402-Certificate of Appointment. 53.203 53.301-119 SF 119 - Statement of Contingent or Other Fees. 53.204-2(a) 53.301-279 SF 279 FPDS - Individual Contract Action Report (over $10,000). 53.204-2(b) 53.301-281 SF 281 FPDS - Summary of Contract Actions of $10,000 or less. 53.229 53.301-1094 SF 1094 - U.S. Tax Exemption Certificate. 53.229 53.301-1094A SF 1094A - Tax Exemption Certificates Accountability Record. [52 FR 16048, May 1, 1987, as amended at 62 FR 47583. Sept. 10, 1997]