Federal Government Reimbursement
Qualified federal employees can receive agency reimbursement of up to 50% (or $150) towards their Federal Employee Professional Liability Insurance (FEPLI) premium.
Here's how to get reimbursed if you qualify:
1. Get your Certificate of Insurance and receipt showing proof of payment in full
2. Ask your Human Resources Office how they accept reimbursement filings
3. Submit your reimbursement request and accompanying documents
4. Get money back for protecting your career
Each agency handles reimbursement differently. Some require a printed form, some require submission through an online portal, etc. Some of the common printable forms and reimbursement directives can be found below for your convenience.
Click here to download: Standard Form 1164 | Standard Form 1034
Agriculture, Department of (USDA): Standard Form 1164
View U.S. Forest Service PLI Directive
Commerce, Department of: Form CD-138 found in Commerce Connection form library
Consumer Product Safety Commission, U.S. (CPSC): Standard Form 1164
View Consumer Product Safety Commission PLI Directive
Defense, Department of (DOD): Standard Form 1034 or Standard Form 1164 - check with your HR department
General Services Administration (GSA): Enter a voucher in CONCUR
Health and Human Services, Department of (HHS): Standard Form 1164
National Institutes of Health (NIH): Standard Form 1034
View Food and Drug Administration (FDS) PLI Directive
Homeland Security, Department of (DHS): Standard Form 1164
View Department of Homeland Security PLI Directive
View Federal Emergency Management Agency (FEMA) PLI Directive
View Transportation Security Administration (TSA) PLI Directive
Housing and Urban Development, Department of (HUD): Standard Form 1034
Interior, Department of (DOI): Standard Form 1164
View Bureau of Land Management (BLM) PLI Directive
View U.S. Fish & Wildlife Service PLI Directive
View U.S. Geological Survey (USGS) PLI Directive
Justice, Department of (DOJ): Standard Form 1164
Federal Bureau of Intelligence (FBI): FD 794
View U.S. Capitol Police (USCP) employee benefit overview
Labor, Department of (DOL): Standard Form 1164
Social Security Administration (SSA): Form SSA 1060 - Request directly from HR
State, Department of: Optional Form 1164
Transportation, Department of (DOT): Standard Form 1164
Treasury, Department of: Request form directly from HR
View Bureau of Engraving and Printing (BEP) PLI Directive
View Internal Revenue Service (IRS) PLI Directive
Veterans Affairs, Department of (VA)