Certification of Qualifying District of Columbia Service Under Section 1905 of Public Law 111-84

RI 20-126 is used to certify that an employee performed certain service with the District of Columbia (DC) that qualifies under section 1905 of PL 111-84 for determining retirement eligibility. However, this service cannot be used in the computation of a retirement benefit.The revision date is needed for inventory control of previously obsolete forms. The Privacy Act Statement has been updated due to a generic systematic review by our Chief Privacy Officer.

The latest form for Certification of Qualifying District of Columbia Service Under Section 1905 of Public Law 111-84 expires 2022-10-31 and can be found here.