| 3220-0203 |
Report of Stock Options and Other Payments |
2023-12-29 |
| 3220-0202 |
Self-Employment/Corporate Officer Work and Earnings Monitoring |
2024-03-21 |
| 3220-0201 |
Applicant Background Survey |
2009-03-25 |
| 3220-0200 |
Designation of Contact Officials |
2023-09-05 |
| 3220-0199 |
System Access Application |
2003-03-11 |
| 3220-0198 |
Request for Internet Services |
2021-03-31 |
| 3220-0197 |
Verification of Supplement Annuity |
2001-09-25 |
| 3220-0196 |
Invetigation of Claim for Possible Days of Employment |
2014-02-27 |
| 3220-0195 |
Statement Regarding Contributions and Support of Children |
2025-01-24 |
| 3220-0194 |
Employee Home Address Report |
1997-12-29 |
| 3220-0193 |
Job Information Report |
2024-03-21 |
| 3220-0192 |
Voluntary Customer Surveys in Accordance with E.O. 12862 |
2026-02-24 |
| 3220-0191 |
Release of Canadian Tax Information |
1995-06-20 |
| 3220-0190 |
FOREIGN EARNINGS QUESTIONNAIRE |
1994-12-01 |
| 3220-0189 |
Evidence of Coverage under An Employer Group Health Plan |
1997-09-24 |
| 3220-0188 |
RRB Customer Satisfaction Survey |
1996-11-05 |
| 3220-0187 |
Continuing Disability Report |
2025-01-21 |
| 3220-0186 |
QUESTIONNAIRE REGARDING NAME DIFFERENCE |
1992-10-15 |
| 3220-0185 |
Report of Medicare State Office on Beneficiary's Buy-In Status |
2023-11-30 |
| 3220-0184 |
Earnings Information Request |
2024-05-21 |
| 3220-0183 |
Statement of Claimant or Other Person |
2025-06-23 |
| 3220-0182 |
PILOT STUDY -- MEDICAL ASSESSMENT REPORTS FOR DISABILITY CLAIMANTS UNDER THE RAILROAD RETIREMENT ACT |
1991-05-01 |
| 3220-0181 |
NOTICES OF INTENT TO OFFSET FEDERAL INCOME TAX REFUND |
1996-11-19 |
| 3220-0179 |
Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment |
2024-11-27 |
| 3220-0178 |
Aged Monitoring Questionnaire |
1999-05-24 |
| 3220-0176 |
Representative Payee Parental Custody Monitoring |
2024-06-27 |
| 3220-0175 |
Sick Pay and Miscellaneous Payments Report |
2004-12-29 |
| 3220-0173 |
Railroad Separation Allowance or Severance Pay Report |
2024-11-25 |
| 3220-0171 |
RUIA Claims Notification System |
2025-06-13 |
| 3220-0170 |
RRB CLIENT SATISFACTION SURVEY |
1989-05-16 |
| 3220-0169 |
Repayment of Debt (ORSP) |
2026-06-01 |
| 3220-0168 |
RAILROAD SEPARATION ALLOWANCE OR SEVERANCE PAY REPORT |
1989-05-26 |
| 3220-0166 |
PILOT STUDY-MAIL REGISTRATION FOR UNEMPLOYMENT BENEFITS |
1989-06-19 |
| 3220-0165 |
Repayment of Debt |
1995-03-27 |
| 3220-0164 |
Availability for Work |
2024-06-28 |
| 3220-0163 |
PLACEMENT QUESTIONNAIRE |
1988-04-12 |
| 3220-0161 |
AGED MONITORING QUESTIONNAIRE |
1987-08-17 |
| 3220-0159 |
ANNUAL EARNINGS MONITORING |
1986-11-19 |
| 3220-0158 |
SICK PAY COLLECTION |
1986-08-26 |
| 3220-0156 |
Employer's Deemed Service Month Questionnaire |
2026-01-26 |
| 3220-0155 |
Supplement to Claim of Person Outside the United States |
2026-05-29 |
| 3220-0154 |
Employee Noncovered Service Pension Questionnaire |
2024-06-27 |
| 3220-0153 |
RAILROAD VERIFICATION OF CLAIMED UNEMPLOYMENT OR SICKNESS |
1989-04-04 |
| 3220-0152 |
PUBLIC SERVICE PENSION INFORMATION REQUEST |
1985-07-31 |
| 3220-0151 |
Representative Payee Monitoring |
2024-05-23 |
| 3220-0150 |
FREEDOM OF INFORMATION REQUESTS |
1985-05-28 |
| 3220-0149 |
Withholding Certificate for Railroad Retirement Monthly Annuity Payments |
2020-05-22 |
| 3220-0146 |
REQUESTS FOR CONSULTATIVE MEDICAL EXAMINATION |
1984-03-26 |
| 3220-0145 |
Nonresident Questionnaire |
2025-09-12 |
| 3220-0144 |
APPLICATION/CLAIM FOR BENEFITS UNDER THE ROCK ISLAND ACT |
1983-08-11 |
| 3220-0141 |
Vocational Report |
2024-02-07 |
| 3220-0140 |
Employee's Certification |
2025-06-13 |
| 3220-0139 |
PROCUREMENT REQUESTS |
1992-07-29 |
| 3220-0138 |
Self-Employment Questionnaire |
2023-09-05 |
| 3220-0136 |
Public Service Pension Questionnaires |
2023-03-28 |
| 3220-0135 |
PROTECTED EMPLOYEE BENEFITS |
1987-01-28 |
| 3220-0134 |
PROTECTED EMPLOYEE ELECTION |
1987-01-23 |
| 3220-0133 |
DESIGNATION OF CONTACT OFFICIALS |
1981-08-31 |
| 3220-0132 |
GROSS EARNINGS REPORTS |
2024-11-25 |
| 3220-0131 |
Request for Medicare Payment |
2026-01-26 |
| 3220-0127 |
Financial Disclosure Statement |
2024-05-21 |
| 3220-0124 |
REQUESTS FOR CONSULTATIVE MEDICAL EXAMINATIONS RL-12/ID-31A |
1993-08-31 |
| 3220-0123 |
Student Beneficiary Monitoring |
2024-11-25 |
| 3220-0122 |
Railroad Job Vacancies |
1996-04-01 |
| 3220-0121 |
USE OF RRB MONTHLY BENEFIT STATISTICS |
1980-09-26 |
| 3220-0119 |
BENEFIT ACCURACY STUDY |
1980-06-09 |
| 3220-0116 |
APPLICATION FOR EMPLOYMENT SERVICE |
1981-04-24 |
| 3220-0115 |
APPLICATION FOR REIMBURSEMENT/ VERIFICATION OF ENROLLMENT AND NOTICE OF CHANGE IN EDUCATIONAL PROGRAM FOR NEW CAREER TRAINING ASSISTANCE |
1984-01-18 |
| 3220-0114 |
APPLICATION/ CLAIM FOR SUPPLEMENTARY UNEMPLOYMENT INSURANCE |
1984-01-18 |
| 3220-0111 |
PROTECTED EMPLOYEE INVENTORY RECORD AND CLAIMS FOR REIMBURSEMENT ALLOWANCES |
1977-03-14 |
| 3220-0110 |
EMPLOYEE - EMPLOYER STATEMENT OF PAY RATE |
1976-12-15 |
| 3220-0109 |
WORK AND EARNINGS MAY AFFECT YOUR RAILROAD RETIREMENT ANNUITY |
1981-04-24 |
| 3220-0108 |
SUPPLEMENTAL REPORT OF COMPENSATION |
1981-03-21 |
| 3220-0107 |
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings |
2024-11-25 |
| 3220-0106 |
Application for Search of Census Records (Railroad Retirement Purposes Only) |
1998-05-21 |
| 3220-0105 |
APPLICATION FOR PARENT'S INSURANCE ANNUITY |
1978-04-10 |
| 3220-0103 |
PHYSICIANS STATEMENT |
1981-02-28 |
| 3220-0100 |
REQUEST FOR REVIEW PART B MEDICARE CLAIM |
2002-10-03 |
| 3220-0099 |
Statement Regarding Contributions and Support |
2024-05-21 |
| 3220-0098 |
REQUEST FOR TERMINATION OF SUPPLEMENTARY MEDICAL INSURANCE |
1988-04-08 |
| 3220-0097 |
PAY RATE REPORTS |
2007-08-23 |
| 3220-0096 |
NOTICE OF BENEFIT STATUS |
1981-03-21 |
| 3220-0095 |
APPLICATION AND STATEMENT OF SICKNESS, MISCARRIAGE, OR CHILDBIRTH |
1981-02-19 |
| 3220-0094 |
SUPPLEMENT TO APPLICATION FOR WIDOW(ER)'S INSURANCE ANNUITY |
1980-05-28 |
| 3220-0093 |
NOTICE OF PAYMENT OF SEPARATION ALLOWANCE |
1986-06-30 |
| 3220-0092 |
APPLICATION FOR CHILDS INSURANCE ANNUITY --FULL TIME STUDENT |
1978-04-10 |
| 3220-0091 |
REQUEST FOR PAYMENT BY QUALIFIED ORGANIZATIONS |
1981-01-08 |
| 3220-0090 |
EMPLOYER'S SUPPLEMENTAL PENSION REPORT |
1980-05-01 |
| 3220-0089 |
SUPPLEMENTAL ANNUITY QUESTIONNAIRE |
2024-03-22 |
| 3220-0086 |
APPLICATION FOR REIMBUSEMENT FOR HOSPITAL INSURANCE SERVICE FURNISHED IN CANADA |
2014-09-30 |
| 3220-0085 |
REQUEST FOR PAYMENT-MEDICAL INSURANCE BENEFITS FOR RR BENEFI CIARIES-SOCIAL SECURITY ACT |
1980-06-24 |
| 3220-0084 |
REPORT OF FORMER SPOUSE - ANNUITANT |
1977-11-10 |
| 3220-0083 |
STATEMENT REGARDING STUDENT AGE 18-22 |
2024-11-25 |
| 3220-0082 |
Medicare |
2025-04-02 |
| 3220-0081 |
UNEMPLOYMENT CLAIMS (AGENTS AND CLAIMANTS STATEMENT RE BENE FITS FOR DAYS WORKED BY CLAIMANTS) |
1981-03-21 |
| 3220-0079 |
Certification Regarding Rights to Unemployment Benefits |
2023-09-05 |
| 3220-0078 |
DISABILITY ANNUITANT'S REPORT TO THE U.S. RAILROAD RETIREMENT BOARD |
1981-05-28 |
| 3220-0077 |
STATEMENTS OF DEATH AND BURIAL EXPENSES BY FUNERAL DIRECTOR |
1986-05-29 |
| 3220-0076 |
CLAIMANT'S STATEMENT OF SERVICE FOR RAILROAD UNEMPLOYMENT INSURANCE BENEFITS |
1981-03-21 |
| 3220-0075 |
CONTINUING DISABILITY REPORT |
1981-03-21 |
| 3220-0074 |
CANADIAN UNEMPLOYMENT INSURANCE BENEFIT INFORMATION (FORM) |
1992-10-30 |
| 3220-0073 |
EARNINGS AND DISABILITY MONITORING |
1995-05-03 |
| 3220-0072 |
CLAIM FOR CREDIT FOR MILITARY SERVICE (RUI ACT) |
1995-06-14 |
| 3220-0071 |
SUPPLEMENT TO APPLICATION FOR EMPLOYEE ANNUITY |
1976-10-13 |
| 3220-0070 |
SUPPLEMENTAL REPORT SERVICE OR COMPENSATION (BY EMPLOYER FOR PERIODS SUBSEQUENT TO THOSE ALREADY FILED) |
2026-02-19 |
| 3220-0068 |
EMPLOYEE ANNUITANT'S STATEMENT REGARDING FAMILY AND EARNINGS |
1977-08-11 |
| 3220-0067 |
STATEMENT OF SPOUSE OF EMPLOYEE ANNUITANT |
1977-09-27 |
| 3220-0066 |
REQUEST FOR INFORMATION FROM ANNUITANT (REGARDING DEPENDENTS |
1976-08-20 |
| 3220-0065 |
REQUEST FOR COURT STATEMENT REGARDING DIVORCE OR ANNULMENT |
1981-03-21 |
| 3220-0064 |
STATEMENT OF RESIDENCE (FROM TIME OF SEPARATION FROM SPOUSE UNTIL DEATH) |
1981-03-21 |
| 3220-0063 |
REQUEST FOR INFORMATION RE AND STATEMENT OF MARITAL STATUS ( LEGAL TERMINATION OF (PREVIOUS MARRIAGE) |
1977-04-26 |
| 3220-0057 |
UNEMPLOYMENT CLAIMS AGENTS PLACEMENT REPORT |
2023-11-30 |
| 3220-0056 |
APPLICATION FOR ACCRUIED BENEFITS UNPAID AT DEATH |
1981-09-25 |
| 3220-0055 |
CLAIM FOR SICKNESS BENEFITS DUE EMPLOYEE...AT DEATH |
2025-06-13 |
| 3220-0053 |
REPORT CONCERNING EMPLOYMENT |
1981-03-21 |
| 3220-0052 |
Railroad Retirement Act Continuing Entitlement |
2026-05-29 |
| 3220-0051 |
SUPPLEMENT TO APPLICATION FOR SPOUSE'S WIDOW(ER)S AND/OR CHILD INSURANCE ANNUITY (DISABLED CHILD) |
1977-02-17 |
| 3220-0050 |
WAIVER OF ANNUITY OR PENSION UNDER THE RR ACT |
1979-08-08 |
| 3220-0049 |
LETTER TO NON-RR EMPLOYERS ON EMPLOYMENT AND EARNINGS OF A CLAIMANT |
1997-06-26 |
| 3220-0047 |
SUPPLEMENTAL INFORMATION ON ACCIDENT AND INSURANCE |
1982-06-07 |
| 3220-0046 |
EMPLOYERS SUPPLEMENTAL REPORT OF SERVICE AND COMPENSATION |
1976-08-20 |
| 3220-0045 |
SUPPLEMENTAL DOCTORS STATEMENT (TO SUPPORT FUTHER CLAIMS FOR SICKNESS BENEFITS) |
1987-03-30 |
| 3220-0044 |
APPLICATION FOR RECOMPUTATION OF EMPLOYEE ANNUITY UNDER RRA |
1977-04-26 |
| 3220-0043 |
HUSBANDS CERTIFICATION (TO SUPPORT WIFES APPLICATION FOR ANN UITY) |
1981-05-28 |
| 3220-0042 |
APPLICATION FOR SPOUSES ANNUITY UNDER THE RR ACT |
2025-06-23 |
| 3220-0041 |
AUTHORIZATION OF PAYMENT AND RELEASE OF ALL CLAIMS TO DEATH BENEFITS AND ANNUITY PAYMENTS |
1980-05-19 |
| 3220-0040 |
STATEMENT REGARDING ADOPTION |
1988-04-22 |
| 3220-0039 |
Railroad Unemployment Insurance Act Applications |
2025-01-10 |
| 3220-0038 |
Medical Reports |
2023-12-29 |
| 3220-0037 |
ANNUITANT'S REPORT OF EARNINGS AND DISABILITY |
1980-05-19 |
| 3220-0036 |
Supplemental Information on Accident and Insurance |
2024-06-27 |
| 3220-0035 |
REPORT OF PHYSICAL CONDITION OF CLAIMANT UNDER RUIA |
1981-01-08 |
| 3220-0034 |
STATEMENT OF AUTHORITY TO ACT FOR EMPLOYEE - SICKNESS BENEFITS |
2024-06-27 |
| 3220-0033 |
CLAIM FOR SICKNESS BENEFITS - EMPLOYEES STATEMENT |
1980-04-02 |
| 3220-0032 |
Survivor Questionnaire |
2026-01-26 |
| 3220-0031 |
Application for Survivor Death Benefits |
2025-12-31 |
| 3220-0030 |
APPLICATION FOR WIDOW'S OR WIDOWER'S INSURANCE ANNUITY |
2025-01-21 |
| 3220-0029 |
APPLICATION ON BEHALF OF CHILD FOR CHILDS INSURANCE ANNUITY |
1978-01-11 |
| 3220-0028 |
APPLICATION FOR WIDOWS AND CHILD'S INSURANCE ANNUITIES |
1978-01-11 |
| 3220-0027 |
REFERRAL CARD - REPORT ON PLACEMENT OR REFUSAL OF REFERRAL OR OFFER TO RAILROAD RETIREMENT BOARD |
1981-04-24 |
| 3220-0026 |
UNEMPLOYMENT INSURANCE CLAIMANTS REFERRAL REPORT |
1981-04-24 |
| 3220-0025 |
Statements of Claimed Railroad Service and Earnings |
2024-03-22 |
| 3220-0023 |
CERTIFICATE OF RESPONSIBILITY OF MINOR APPLICANT |
1982-02-03 |
| 3220-0022 |
APPLICATION FOR UNEMPLOYMENT BENEFITS AND EMPLOYMENT SERVICE AND RECORD OF UI APPLICATION |
2023-11-30 |
| 3220-0021 |
STATEMENTS REGARDING MARITAL RELATIONSHIP (APPLICANTS FOR BE NEFITS UNDER RAILROAD RETIREMENT ACT) |
2026-02-19 |
| 3220-0020 |
APPEALS FROM DETERMINATIONS UNDER RAILROAD UNEMPLOYMENT INSURANCE ACT |
1987-02-11 |
| 3220-0019 |
CLAIM FOR UNEMPLOYMENT BENEFITS |
1980-04-02 |
| 3220-0016 |
EMPLOYERS' SUPPLEMENTAL REPORT OF SERVICE AND COMPEN- SATION AND EMPLOYEES' TERMINATION OF SERVICE |
2024-06-27 |
| 3220-0015 |
CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE |
1981-03-21 |
| 3220-0014 |
Employee Representatives' Status and Compensation Reports |
2025-09-12 |
| 3220-0013 |
EMPLOYEE REPRESENTATIVES REPORT OF COMPENSATION |
1981-02-28 |
| 3220-0012 |
EMPLOYERS REPORT OF CONTRIBUTIONS UNDER THE RAILROAD UNEMPLO YMENT INSURANCE ACT |
2025-06-23 |
| 3220-0011 |
EMPLOYEE REGISTRATION (RAILROAD EMPLOYEES) |
1980-12-27 |
| 3220-0010 |
SUMMARY REPORT OF COMPENSATION OF EMPLOYEES |
1980-06-13 |
| 3220-0009 |
REPORT OF CREDITABLE COMPENSATION ADJUSTMENTS |
1981-02-19 |
| 3220-0008 |
REPORT OF CREDITABLE COMPENSATION (PAID BY EMPLOYEES) |
2024-06-27 |
| 3220-0007 |
Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act |
2024-11-25 |
| 3220-0006 |
EMPLOYEE'S STATEMENT OF SERVICE PERFORMED BEFORE JAN. 1, 1937, TO EMPLOYERS UNDER THE RR ACT |
1981-03-21 |
| 3220-0005 |
NOTICE OF DEATH AND STATEMENT OF COMPENSATION |
2026-01-27 |
| 3220-0004 |
DESIGNATION OR CHANGE OF BENEFICIARY BY RAILROAD EMPLOYEES |
1981-03-21 |
| 3220-0003 |
RECORD OF EMPLOYEES PRIOR SERVICE |
1993-12-21 |
| 3220-0002 |
EMPLOYEE (AGE AND SERVICE) ANNUITY UNDER THE RAILROAD RETIRE MENT ACT |
2025-03-03 |
| 3220-0001 |
EXTENDED BENEFIT TRIGGER RATES WITHOUT EB CLAIMS |
1980-05-21 |