Please submit in the following order (original):

1. Route Slip - Request for Title 38, Physician Special Pay
   
   
2. NIH Request for Payment of Title 38 Physician Special Pay
   
   OR if the previously submitted request remains accurate, it may be updated by memorandum addressing the employee's accomplishments since PSP was last requested. Submit updating memorandum with a copy of the previous request.
   
   
3. HHS-691, Request for Special Pay for Physicians and Dentists signed by the IC Director as recommending official.
   
   NOTE: Do not complete item 3.b. Social Security Number. Create a signature line, 7.a.1. for the signature of the ADCR or DDIR as appropriate.
   
   
4. HHS-691-1, Employee Agreement to Receive Special Pay for Physicians and Dentists Under Title 38.
   
   NOTE: Complete all items except 3.b. Social Security Number and 15., employee signature.