48 CFR § 1653.000 - 1653.000 Fehbp Forms.

---
identifier: "/us/cfr/t48/s1653.000"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "48 CFR § 1653.000 - 1653.000   FEHBP forms."
title_number: 48
title_name: "Federal Acquisition Regulations System"
section_number: "1653.000"
section_name: "1653.000   FEHBP forms."
chapter_number: 16
chapter_name: "OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES HEALTH BENEFITS ACQUISITION REGULATION"
subchapter_number: "H"
subchapter_name: "CLAUSES AND FORMS"
part_number: "1653"
part_name: "FORMS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "5 U.S.C. 8913; 40 U.S.C. 486(c); 48 CFR 1.301."
cfr_part: "1653"
---


# 1653.000 1653.000   FEHBP forms.

The following forms specified in FAR subparts 53.2 and 53.3 are applicable to FEHBP acquisitions:

| Part 53.2 | Part 53.3 | Form title |
| --- | --- | --- |
| 53.201-1 | 53.301-1402 | SF 1402-Certificate of Appointment. |
| 53.203 | 53.301-119 | SF 119—Statement of Contingent or Other Fees. |
| 53.204-2(a) | 53.301-279 | SF 279 FPDS—Individual Contract Action Report (over $10,000). |
| 53.204-2(b) | 53.301-281 | SF 281 FPDS—Summary of Contract Actions of $10,000 or less. |
| 53.229 | 53.301-1094 | SF 1094—U.S. Tax Exemption Certificate. |
| 53.229 | 53.301-1094A | SF 1094A—Tax Exemption Certificates Accountability Record. |

[52 FR 16048, May 1, 1987, as amended at 62 FR 47583. Sept. 10, 1997]