Claim for Unpaid Compensation of Deceased Civilian Employee

OMB 3206-0234

OMB 3206-0234

5 CFR 178.205(a) directs the agency in which a deceased employee was last employed to request, in the order of payment precedence outlined in 5 CFR 178.204, the appropriate person or persons to execute Standard Form 1153, "Claim for Unpaid Compensation of Deceased Civilian Employee." The information collected on this form is needed by the employing agencies and, in the event of a disputed claim, by OPM to help determine the claimant's and others' rights to the unpaid compensation of the deceased employee. 31 USC 3702 authorizes the Director of the Office of Personnel Management (OPM) to settle claims involving Federal civilian employees' compensation and leave. OMB promulgated regulations at 5 CFR 178 describing general procedures applicable to claims against the United States that may be settled by the OPM Director.

The latest form for Claim for Unpaid Compensation of Deceased Civilian Employee expires 2021-06-30 and can be found here.

OMB Details

Claim for Unpaid Compensation of Deceased Civilian Employee

Federal Enterprise Architecture: General Government - Executive Functions

Form SF-1153Claim for Unpaid Compensation of Deceased Civilian EmployeeFillable PrintableForm

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