7/28/2019 Tsp 1

1/2

Form TSP-1 (10/20

PREVIOUS EDITIONS OBSOLE

V.FOREMPLOYINGOFFICE USEONLY

Use this orm to start, stop, or change the amount o your contributions to the Thrit Savings Plan (TSP).

Beore completing this orm, please read the Summary of the Thrift Savings Planand the instructions on the back o this orm. Type or printall inormation. Return the completed orm to your agency personnel or benefts oice. Your agency should return a copy to you atercompleting Section V.

Note: To choose your investment unds, see the instructions in the General Inormation section on the back o this orm.

11. 12. / /Participants Signature

IV.SIGNATURE

III.STOP SOME ORALL OF YOURCONTRIBUTIONS

II.

CHOOSE THEAMOUNT OFYOURCONTRIBUTIONS

Your choice will cancelall previous elections.

Name (Last) (First) (Middle)

Payroll Oce Number

Signature o Agency Ocial

1.

2.

3. 4.

5.Oce Identication (Agency and Organization)

Social Security Number Daytime Phone (Area Code and Number)

( )

THRIFT SAVINGS PLAN TSP-ELECTION FORM

I.INFORMATIONABOUT YOU

Date Signed (mm/dd/yyyy)

Receipt Date (mm/dd/yyyy) Eective Date (mm/dd/yyyy)

Street Address City State Zip Code

ORIGINAL TO PERSONNEL FOLDERProvide a copy to the employee and to the payroll oice.

To start or change the amount o traditional (pre-tax) or Roth (ater-tax) contributions to your TSP account, enter

either a whole percentage o your basic pay per pay period or a whole dollar amount per pay period or each typo contribution you elect. (You may choose a percentage or one type o contribution and a dollar amount or theother type o contribution.) Remember: A blank line next to a type o contribution equals 0% or $0 contributed.

6. Traditional (Pre-Tax) Contributions .0% OR 7. $ .00

8. Roth (Ater-Tax) Contributions .0% OR 9. $ .00

PRIVACY ACT NOTICE. We are authorized to request the inormation you pro-vide on this orm under 5 U.S.C. chapter 84, Federal Employees Retirement System.Your agency or service will use this inormation to identiy your TSP account and tostart, change, or stop your TSP contributions. In addition, this inormation may beshared with other Federal agencies or statistical, auditing, or archiving purposes.The inormation may also be shared with law enorcement agencies investigating aviolation o civil or criminal law, or agencies implementing a statute, rule, or order.

It may be shared with congressional oces, private sector audit rms, spouses,ormer spouses, and beneciaries, and their attorneys. Relevant portions o theinormation may also be disclosed to appropriate parties engaged in litigation andother routine uses as specied in the Federal Register. You are not required by lawprovide this inormation, but i you do not provide it, your agency or service will nobe able to process your request.

To stop all or any portion o your contributions to the TSP, check the box in Item 10 that applies and completeSection IV. Your payroll contributions will stop no later than the rst ull pay period ater your agency employingoce receives this orm. (I you are a Federal Employees Retirement System (FERS) employee, and you stop youcontributions, your Agency Matching Contributions will stop, but Agency Automatic (1%) Contributions will

continue. Read the instructions on the back.)

10. I choose not to save or my retirement. Please stop all my payroll contributions to my TSP account.

Stop only my traditional (pre-tax) payroll contributions to my TSP account.

Stop only my Roth (ater-tax) payroll contributions to my TSP account.

I you are a newly hired (or rehired) employee, you can generally stop your automatic employee contributions be-ore they start i you submit this orm to your agency beore the end o your rst ull pay period. (See note on back

13. 14. / / 15. / /

16.

7/28/2019 Tsp 1

2/2

Form TSP-1 (10/20

PREVIOUS EDITIONS OBSOLE

GENERALINFORMATION

You may start, stop, or change your contributions at any time. Your TSP election will stay in eect until you submit another election or until you leave Federal service. (This orm only applies to regular contributions. I you are ag50 or older and want to make or change catch-up contributions, use Form TSP-1-C, Catch-Up Contribution Electio

Important note or new TSP participants: All contributions to your account will be invested in the GovernmentSecurities Investment (G) Fund until you direct the TSP to allocate your contributions dierently. The TSP publicatioSummary of the Thrift Savings Plandescribes all o your investment choices and discusses their risks and advan-tages. For more inormation, you can also obtain a copy o the TSP Fund Inormation sheets. (The most current versions o TSP orms and publications are available on the TSP website at www.tsp.gov.)

To choose your investment und(s), use the TSP website (www.tsp.gov) or the ThritLine at 1-TSP-YOU-FRST(1-877-968-3778; outside the U.S. and Canada, call 404-233-4400). On the TSP website, you will need your TSPaccount number (or user ID) and 8-character Web password. I you use the ThritLine, you will need your TSPaccount number and 4-digit ThritLine Personal Identication Number (PIN). I you are a new participant, your TSPaccount number, ThritLine PIN, and Web password will be mailed to you (separately) ater your account has beenestablished.

I you change your address, notiy your agency immediately to correct your records or your TSP account.

SECTION I Complete all items in this section.

SECTION III

SECTION V

(To be completedby personnel orbenefts oice)

You must complete this section.

The Receipt Date (Item 14)is the date that a properly completed orm is received by the agency personnel oceI the orm has not been properly completed, it should be returned to the employee.

Requests must be processed immediately or new and rehired employees who want to stop automatic enrollmentbeore it begins. This will help avoid a payroll deduction that may have to be reunded. The Eective Date (Item 15)must be no later than the rst ull pay period ater receipt o a properly completed orm.

You should provide the participant with a copy o this completed election orm.

TSP-1, INFORMATION AND INSTRUCTIONS

SECTION IV

SECTION II

Your choice willcancel all previous

elections.

Example

Previous Election:

Traditional 5%Roth 2%

New Election:

Traditional 5%Roth 10%

Complete this section to start your TSP contributions or to change the amount and type o contributions. Becausewhatever you enter in this section will cancel all previous elections, be sure to indicate exactly what percentages/amounts you want to contribute, even i part o your election has not changed (see the example in the margin). Yocan elect to make traditional (pre-tax) and Roth (ater-tax) contributions simultaneously. Traditional contributionscome out o your pay beore income taxes are calculated; you pay income taxes on these contributions and theirearnings when you withdraw them. Roth contributions are made rom your payater taxes, and the earnings groin your account tax-deerred. Withdrawals o Roth contributions are tax-ree. The earnings associated with Rothcontributions are also tax-ree, but only i 5 years have passed since January 1 o the calendar year in which you

made your rst Roth contribution, and you have reached age 59 , have a permanent disability, or have died. Noor FERS: All agency contributions to your account are tax-deerred, even i they are matching your Roth contribution

Complete either Item 6 or Item 7 (not both) or traditional (pre-tax) contributions; either Item 8 or Item 9 (not bothor Roth contributions. You may choose a percentage o basic pay or one type o contribution and a dollar amou(as little as $1) or the other type o contribution.

I you choose a percentage o basic pay, your contribution amount will automatically increase when you receivepay raise.

I you choose a dollar amount per pay period, your contribution amount will not increase when you receive a praise; you must submit a new Form TSP-1 to change the amount.

Contribution limit. The total o your traditional and Roth contributions cannot exceed the Internal Revenue Code(IRC) annual elective deerral limit ($17,000 in 2012 and $17,500 in 2013). Since the elective deerral limit may beadjusted annually or infation, check the TSP website, www.tsp.gov, to be sure that you have the most up-to-datelimit amount (and the most recent version o this orm).

Complete Item 10 to stop all (or just one type) o your contributions. You may restart your contributions at any time.

FERS employees: Your Agency Automatic (1%) Contributions will continue ater you stop your employee contributions, but you will no longer receive valuable Agency Matching Contributions. (I you restart your contributions, thematching contributions will resume.)

Note or newly hired or rehired FERS or CSRS employees: As a new employee, your agency automatically de-ducts 3% o your pay, tax-deerred, and deposits the money in your TSP account or your retirement savings. I youwant all or any portion o your automatic contributions to be ater-tax Roth contributions, you must complete Sec-tion II and indicate what percentages or amounts you want as traditional (pre-tax) and Roth (ater-tax) contributionYou can stop your automatic employee contributions beore they start i you submit this orm to your agency at the

start o your rst ull pay period, subject to your agencys processing deadlines. I your agency has already begun deduct your automatic employee contributions rom your pay each pay period, you are entitled to request a reundo your initial contributions by submitting Form TSP-25, Automatic Enrollment Reund Request. The TSP must receivForm TSP-25 within 90 days o your rst contribution.