About this form

Use this form to make payments requiring an SF 2812 associated with Retirement, Health, and Life insurance.

Attention! If this is your first time submitting your payment electronically through Pay.gov and you have a business checking account, it is recommended to contact your financial institution to provide the company ID 2400000216 before initiating the first transaction. They can setup a filter to allow the payment to process if you have an ACH debit block setup on your account

Accepted Payment Methods:

• Bank account (ACH)

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.
• Set up automatic recurring payments.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.