September 2012
Draft of Modernized My PBA Screens
The screen mockups are intended to show the expected placement of the data elements for the modernized MyPBA. Please disregard
any data reflected on the screens, e.g., 2012
inconsistent data
review tags shown in brackets (e.g., [*F*], [*R*], etc.).
Form 700 Apply for Pension Benefits 2
Form 701 Payee Information Form 9
Form 705 Beneficiary Application for Pension Benefits 10
Form 706 Beneficiary Application For Pension Benefits – OF 18
Form 707 Designation of Beneficiary for Benefits Owed at Death 26
Form 708 Designation of Beneficiary 27
Form 711 Change of Beneficiary for Certain & Continuous (C&C) Benefits Only 28
Form 716 Continuous Eligibility Certification 29
Form 716A Continuous Eligibility Certification 30
Form 720 Application for Lump-Sum Payment 31
Update Electronic Direct Deposit Screen 33
Election to Withhold Federal Income Tax from Periodic Payments Screen 34
Step 4 Tax Withholding: if option B is selected, fields for that option are displayed.
Step 4 Tax Withholding: if option C is selected, fields for that option are displayed.
Step 4 Tax Withholding: if option B is selected, fields for that option are displayed.
Step 4 Tax Withholding: if option C is selected, fields for that option are displayed.
Step 4 Tax Withholding: if option B is selected, fields for that option are displayed.
Step 4 Tax Withholding: if option C is selected, fields for that option are displayed.
Lump sum Payment Election: if option A is selected, fields for that option are displayed.
Lump sum Payment Election: if option C is selected, fields for that option are displayed.
Tax Withholding: if option B is selected, fields for that option are displayed.
Tax Withholding: if option C is selected, fields for that option are displayed.
Rev. 9/28/2012 - Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | dpcixa31 |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |