This form type, issued by the OPM, details monthly annuity payments and related information. It includes gross annuity amount, potential deductions or additions (like income tax withholding), and net amount. This statement records retirement income and is crucial for understanding retirement benefits and tax purposes.

To use the Upload PDF endpoint for this document, you must use OFFICE_OF_PERSONNEL_MANAGEMENT_ANNUITY_STATEMENT in the form_type parameter.

Field descriptions

The following fields are available on this document type:

JSON Attribute	Data Type	Description
`office_of_personnel_management_annuity_statement-Part01-General:nameOfAnnuitant`	Text	Name Of Annuitant
`office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:addressLine1`	Text	Annuitant Address
`office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:addressLine2`	Text	Annuitant Address
`office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:city`	Text	Annuitant Address
`office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:state`	State	Annuitant Address
`office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:zip`	ZIP Code	Annuitant Address
`office_of_personnel_management_annuity_statement-Part01-General:paymentDated`	Date	Payment Dated
`office_of_personnel_management_annuity_statement-Part01-General:grossAmountOfAnnuity`	Money	Gross Amount Of Annuity
`office_of_personnel_management_annuity_statement-Part01-General:netAmountOfAnnuity`	Money	Net Amount Of Annuity

Sample document

OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf

drive.google.com

OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf

Sample JSON result

{
  "pk": 61387565,
  "uuid": "70740119-4651-4fa6-a2b5-fdf305108e26",
  "name": "OFFICE_OF_PERSONNEL_MANAGEMENT_ANNUITY_STATEMENT",
  "created": "2025-05-22T21:43:23Z",
  "created_ts": "2025-05-22T21:43:23Z",
  "verified_pages_count": 1,
  "book_status": "ACTIVE",
  "id": 61387565,
  "forms": [
    {
      "pk": 67813889,
      "uuid": "1446e187-4780-4ac2-86bd-5dd69dd82ce2",
      "uploaded_doc_pk": 99571915,
      "form_type": "OFFICE_OF_PERSONNEL_MANAGEMENT_ANNUITY_STATEMENT",
      "form_config_pk": 1558781,
      "tables": [],
      "attribute_data": null,
      "raw_fields": {
        "office_of_personnel_management_annuity_statement-Part01-General:paymentDated": {
          "value": "01/02/2020",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:nameOfAnnuitant": {
          "value": "JOHN SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:netAmountOfAnnuity": {
          "value": "90.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:zip": {
          "value": "12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:grossAmountOfAnnuity": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:city": {
          "value": "NEW CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:addressLine1": {
          "value": "123ANY SW STREET",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        },
        "office_of_personnel_management_annuity_statement-Part01-General:annuitantAddress:addressLine2": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "OFFICE OF PERSONNEL MANAGEMENT ANNUITY STATEMENT.pdf",
          "confidence": 1.0
        }
      }
    }
  ],
  "book_is_complete": true
}