Suitability Action Procedures for Suitability Adjudicators Payment Form
Each trainee must complete a separate form. Tuition is $1,068 per student, which includes all educational services and
materials. Travel, meals, and lodging are at the expense of the trainee’s agency.
When paying by Intra-Governmental Payment and Collection (IPAC), an Interagency Agreement (IAA) is required if sending three or
more trainees. When paying by Government Purchase Card (GPC), an IAA is preferred if sending three or more trainees and
payment can be processed in one transaction (versus separate transactions).
If you need help completing this form or need a copy of an IAA, please contact SuitEAtraining@opm.gov.
Section A Trainee Information
Desired Session
Trainees Last Name Work Email
Trainees First Name
Work Phone Ext.
Name of Agency/Department Agency
Section B Payment Information
OPM only accepts IPAC and Government Purchase Card (GPC) Payments. The ALC and TAS codes are required for both payment types.
Agency Location Code (ALC)
Must be 8 digits
OPM’s ALC: 24000001
Component Treasury Account
Symbol (TAS)
Required as of 10/1/2014 for all
methods of payment
SP ATA AID BPOA EPOA A MAIN SUB
SP ATA AID BPOA EPOA A MAIN SUB
024 X 4571 024
OR Current TAS format OPM’s TAS: 24X4571.24
Please select either IPAC or GPC and provide the requested information:
IPAC Payment Complete All Fields Below (OPM will initiate all IPACs)
Line of Accounting Object Class Code
Fiscal Station Number
(DoD Only)
BPN/DUNS
OPM’s BPN/DUNS: 126536929
Obligating Document
Number
(Attach Document)
OPM’s Tax ID: 52-1136517
OR
GPC Payment We reserve the right to bill prior to the start of class
GPC Number GPC Expiration Date (MM/YY) GPC Verification Code
Complete street address associated with the GPC Zip Code
GPC Holder Name GPC Holder Phone
Section C Approvals
Authorizing Official (AO) is anyone who is able to authorize the charge from your agency.
AO Name AO Phone Ext.
Title Email
Signature Date Signed
Submit upon completion to SuitEAtraining@opm.gov.
OPM Internal Use Only
Suitability Training Support Name
Suitability Training Support Signature
Date Signed
OPM Form 5034
Revised
May 2019
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