Form RI 30-1, Request for Information, is the questionnaire the U.S. Office of Personnel Management (OPM) sends to people who receive a disability annuity so it can check whether the condition behind their retirement is still disabling. You return it, with a signed medical letter from your treating physician or facility, to OPM's Medical Call-Up Review Team within 90 days. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by OPM at opm.gov.
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What is RI 30-1?
Form RI 30-1, Request for Information, is the Office of Personnel Management (OPM) Retirement Operations questionnaire used for the periodic check of disability annuitants. It helps OPM decide whether a person's disability annuity should continue to be paid.
The form carries the heading "This Questionnaire Must Be Returned Within 90 Days for Your Disability Annuity to Continue." It explains that the retirement system periodically checks whether the condition on which an annuitant retired continues to be disabling. The first page is a letter from the Medical Call-Up Review Team that lists the medical information your physician or treating medical facility must supply on letterhead. The reverse side holds three questions and the signed affirmation in Item 4.
The form is issued under OMB No. 3206-0143. Its Privacy Act Statement cites Title 5, U.S. Code, Chapter 83, Section 8337(c) and Chapter 84, Section 8454 as the authority for collecting the information. The form notes that a previous edition is usable.
The title is generic, so do not confuse it with other agency requests: this document is specifically the OPM disability annuity continuation questionnaire, and it is not an application for retirement.
Who needs to file RI 30-1?
Disability annuitants who receive Form RI 30-1 from OPM complete it. The letter on the form tells you that you were approved for disability retirement on the basis of the documentation you provided, and that OPM now needs current information to decide whether you are entitled to continued annuity payments.
Your treating physician or treating medical facility also takes part: the form asks that the physician or facility provide the medical information on its own letterhead, signed by the treating physician. You answer questions 1, 2 and 3 on the reverse side and sign Item 4 yourself.
The form is sent to you by the Medical Call-Up Review Team. It does not describe anyone else signing for you, and it names no exclusions. If you are unable to respond within the time limit, or need help, contact the Medical Call-Up Review Team at 724-794-7799 (TTY: 724-294-3392).
When to file RI 30-1
Return Form RI 30-1 and the requested medical documentation within 90 days of receiving it. The form is dated at the top, and the 90-day period is the one printed on the questionnaire.
If OPM does not receive the questionnaire and the medical documentation within 90 days, it may suspend your annuity payments until the requested information arrives. If you cannot respond in time, contact the Medical Call-Up Review Team at 724-794-7799 (TTY: 724-294-3392).
Answer every question before you return the form: the form warns that failure to answer all questions may delay processing. If the information shows you are still disabled for your former position, the annuity continues without further correspondence from OPM. If OPM needs more information, it notifies you.
Documents you need
- A letter from your physician or treating medical facility on its letterhead, signed by the treating physician, covering the four items listed on the form.
- Within that letter: current clinical findings from a recent physical examination, including results of any diagnostic tests performed.
- Within that letter: an update since your retirement of the specific medical condition(s) that required you to retire, with a current prognosis.
- Within that letter: an assessment, with a current prognosis, of the specific medical condition(s) and plans for future treatment.
- Within that letter: a clinical assessment of the risk of injury or hazard to yourself and others from performing the essential duties of a position similar to the one you retired from.
- A copy of the position description for your current job, if you answer Yes to question 2 and one is available.
How to fill out RI 30-1
Check the identifying details at the top
Confirm the date (mm/dd/yyyy), your claim number, your CSA number and your date of birth (mm/dd/yyyy) in the header block of the first page.
Ask your physician for the medical letter
Give the first page to your physician or treating facility. The letter must be on letterhead, signed by the treating physician, and cover the four items listed on the form.
Answer question 1 on recovery
On the reverse side, check Yes or No to whether you have recovered sufficiently to return to work.
Answer question 2 on employment
Check Yes or No for any employment, including self-employment, now or in the last 12 months. If Yes, enter dates from and to (mm/dd/yyyy), hours per day, total earnings, and the employer's name and address with ZIP code.
Describe your position and supervisor
State the type of position and nature of duties, and attach a copy of the position description if available. Enter your immediate supervisor's name and telephone number with area code.
Answer question 3 on workers' compensation
Check Yes or No to whether you ever received or applied for compensation from the U.S. Department of Labor, Office of Workers' Compensation Programs, under the Federal Employee's Compensation Act. If Yes, enter the claim number and the period(s) (From and To, mm/dd/yyyy).
Sign and complete Item 4
Sign the affirmation that your answers are true to the best of your knowledge and belief. Add your mailing address with ZIP code, the date (mm/dd/yyyy), telephone number with area code, email address and CSA claim number.
Review, download and assemble
Check that every question is answered and Item 4 is signed, then download or print the completed PDF from FillingPDF. Add the physician's letter and mail the package as described under How to submit.
How to submit RI 30-1
The form tells you to mail the completed questionnaire and the medical documents to one address. It names no other channel.
- By mail: Medical Call-Up Review Team, Office of Personnel Management, P.O. Box 45, Boyers, PA 16017.
- Questions or more time: call the Medical Call-Up Review Team at 724-794-7799 (TTY: 724-294-3392).
The package contains the answers to questions 1, 2 and 3 on the reverse side, the signed Item 4, and the physician's or facility's letter on letterhead. OPM does not pay for any expenses you incur in getting the medical documentation. The address for comments on the form's time estimate, Retirement Services Publications Team, Washington, DC 20415-0001, is not where you send the completed questionnaire. FillingPDF lets you fill out and download the PDF; submission follows the mailing instructions above.
Common mistakes to avoid
- Returning the form after the 90-day limit; OPM may suspend annuity payments until it receives the questionnaire and medical documentation.
- Sending the questionnaire without the physician's or facility's letter on letterhead signed by the treating physician.
- Leaving question 1, 2 or 3 on the reverse side unanswered; the form says failure to answer all questions may delay processing.
- Leaving Item 4 unsigned or without the date, mailing address, telephone number and CSA claim number.
- Omitting the employment details when you answer Yes to question 2, including self-employment in the last 12 months.
- Answering No to question 3 when you have ever received or applied for compensation from the U.S. Department of Labor, Office of Workers' Compensation Programs.
- Giving an intentionally false statement; the form warns it is punishable by fine or imprisonment under 18 USC 1001.
- Mailing the completed form to the Washington, DC address for comments on the time estimate instead of P.O. Box 45, Boyers, PA 16017.
Frequently asked questions
What is Form RI 30-1, Request for Information?
It is the OPM questionnaire sent to disability annuitants for the periodic check of whether the condition on which they retired is still disabling. You return it with a signed medical letter so OPM can decide if your disability annuity continues.
How long do I have to return Form RI 30-1?
90 days. The form says that if OPM does not receive the questionnaire and the requested medical documentation within 90 days, it may suspend your annuity payments until the information arrives. If you cannot respond in time, call 724-794-7799 (TTY: 724-294-3392).
Where do I mail Form RI 30-1?
Mail it to the Medical Call-Up Review Team, Office of Personnel Management, P.O. Box 45, Boyers, PA 16017. The form names no other channel. Include the signed medical letter and your answers to questions 1, 2 and 3.
What medical information does my doctor need to provide?
A signed letter on letterhead with current clinical findings and test results, an update on the condition(s) that required you to retire with a prognosis, an assessment and treatment plans, and a clinical assessment of risk of injury or hazard to you and others in a similar position.
Will OPM pay for the medical documentation?
No. The form states that OPM will not pay for any expenses you incur in acquiring the documentation. Ask your physician or facility about their requirements before requesting the letter.
What happens if I do not answer every question?
Processing may be delayed. The form says failure to answer all questions may delay your case, and its Privacy Act Statement says that failing to supply all requested information will result in suspension of your disability annuity.
How long does Form RI 30-1 take to complete?
OPM estimates an average of 60 minutes per response, including reviewing instructions, getting the needed data and reviewing the completed form. Getting the physician's letter may take additional time.
Can I fill out Form RI 30-1 online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not send the form to OPM: you mail it, with the physician's letter, to the address on the form.
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