1150 Form PDF Details

The Standard Form 1150, known as the Record of Leave Data, is an essential document within the Department of Defense (DoD) for managing employees' leave records. It meticulously catalogs various types of leave data such as annual, sick, home, and military leave, alongside pertinent information like the employee's name, social security number, and details related to their service and separation. This form serves a critical function in outlining the balance of leave days, including carryover balances from the previous year, current accruals, and adjustments due to absence without pay or other deductions. Complexity is added with specific sections dedicated to service members, reflecting periods of active duty or training and civil disturbance leave. Additionally, the form encompasses data on types of insurance deductions through the end of the fiscal year, underscoring its comprehensive utility in the administrative processes. Essentially, the SF 1150 is a detailed record that supports transparency and accuracy in the leave management system within the DoD, abiding by regulations such as the 5 U.S.C. 6304(B) which imposes a ceiling on the accumulation of leave days, thereby ensuring a standardized approach to leave entitlements and obligations among DoD personnel.

QuestionAnswer
Form Name1150 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesV2, sf-1150, AWOP, sf 1150

Form Preview Example

RECORD OF LEAVE DATA

1.

Name (Last, First, Middle)

2.

Social Security

Number

3. (For agency use)

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Date and Nature of Separation

5.

A. Subject to 5

U.S.C. 6304(B) (45 day leave ceiling)

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Last Date Subject to 5 U.S.C. 6304(B)

C. Annual Leave Balance as of That Date

 

 

 

 

 

 

 

 

 

 

 

(Hours)

 

 

 

6.

Total Service for

 

More than 15 Years

 

 

 

 

 

 

 

 

 

 

 

Leave (as of Date

 

Less Than 15 Years (show)

Years

 

 

Months

 

 

Days

 

 

 

of Separation)

 

 

 

 

 

 

 

 

SUMMARY OF ANNUAL AND SICK LEAVE

 

SUMMARY OF HOME LEAVE

 

 

7. Carryover Bal-

MO.

DAY

YEAR

 

HOURS

 

18. Basic Service Period of 24

 

 

MO.

DAY

YEAR

 

ance From

 

 

Annual

Sick

Restored

Months of Continuous

Date Started

 

 

 

 

Prior Leave

 

 

 

 

 

 

 

 

 

 

 

 

Service Abroad:

 

 

 

 

 

 

 

Year Ending

 

 

 

 

 

 

 

Date Completed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Current Leave

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Accrual Through Pay Period Ending

 

 

 

19. Current 12 Months Accrual Period

 

MO.

DAY

YEAR

 

(if 90 day restriction applicable,

 

 

 

 

 

 

 

 

 

 

Began on

 

 

 

 

 

 

 

explain in remarks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Total

 

 

 

 

 

 

Hours Absent Without Pay Since

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Reduction in Credits, If Any (current year)

 

 

 

That Date

 

 

 

 

 

 

11. Total Leave Taken, Current Year Through

 

 

 

20. Current Balance (or accrual) as of

 

MO.

DAY

YEAR

 

Date of Separation

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Balance

 

 

 

 

 

 

Number of Days

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Total Hours Paid in Lump Sum

 

 

 

 

 

 

 

 

 

 

 

 

(includes

hours for holidays)

 

 

 

21. Twelve Months Accrual Date as of Date of Separation

 

 

14. Salary Rate(s) Per Hour:

 

 

 

 

 

Number of Days

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

 

 

MO.

DAY

YEAR

HOURS

22. Dates Leave

 

FROM

 

 

TO

 

Lump Sum Leave Dates (if part-time

From

 

 

 

Used Prior 24

MO.

DAY

YEAR

MO.

DAY

YEAR

 

 

 

Months

Thru

 

 

 

 

 

 

 

 

 

tour, explain in Remarks)

 

 

 

 

 

 

 

 

 

 

 

a. Restored

 

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

b. Annual Leave Above Ceiling

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

c. Annual Leave Within Ceiling

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

 

 

ABSENCE WITHOUT PAY

 

 

 

 

 

 

 

 

 

 

16. During Leave Year in Which Separated

 

 

Hours

MILITARY LEAVE

 

FROM

 

 

TO

 

 

 

 

 

 

 

 

 

23. During Current

MO.

DAY

YEAR

MO.

DAY

YEAR

 

 

 

 

 

 

 

 

Calendar Year

17. A. Date of Last Equivalent Increase

MO.

DAY

YEAR

 

A. Regular -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Active Duty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Training

 

 

 

 

 

 

 

B. Total AWOP Hours Since Last Equivalent Increase (except

Hours

B. Special -

 

 

 

 

 

 

 

during military service and while in receipt of OWCP payments)

 

Civil

 

 

 

 

 

 

 

 

Disturbance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. Remarks (include shore leave information, if applicable):

 

Balance of Unused Days for Current Fiscal Year

Last deduction for: FEHB

 

Amt

(Block 23A)

 

 

Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Stand. FEGLI

 

Amt

 

 

Option A FEGLI

 

Amt

 

 

Option B FEGLI

 

 

Amt

 

 

Option C FEGLI

 

 

Amt

 

Deducted Through

 

 

 

 

25. Certified Correct By: (Signature)

26. Title, Agency, Address, Telephone Number

27. Date

1150-113-01

DoD Exception to SF 1150 Approved

STANDARD FORM 1150 (REV. 12-77)

 

by GSA/OIRM 9-85

CIVIL SERVICE COMMISSION

 

DoD Exception - Use ONLY within DoD

FPM SUPP. 296-31 AND 990-2

 

 

FormFlow V2.1

RECORD OF LEAVE DATA

1.

Name (Last, First, Middle)

2.

Social Security

Number

3. (For agency use)

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Date and Nature of Separation

5.

A. Subject to 5

U.S.C. 6304(B) (45 day leave ceiling)

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Last Date Subject to 5 U.S.C. 6304(B)

C. Annual Leave Balance as of That Date

 

 

 

 

 

 

 

 

 

 

 

(Hours)

 

 

 

6.

Total Service for

 

More than 15 Years

 

 

 

 

 

 

 

 

 

 

 

Leave (as of Date

 

Less Than 15 Years (show)

Years

 

 

Months

 

 

Days

 

 

 

of Separation)

 

 

 

 

 

 

 

 

SUMMARY OF ANNUAL AND SICK LEAVE

 

SUMMARY OF HOME LEAVE

 

 

7. Carryover Bal-

MO.

DAY

YEAR

 

HOURS

 

18. Basic Service Period of 24

 

 

MO.

DAY

YEAR

 

ance From

 

 

Annual

Sick

Restored

Months of Continuous

Date Started

 

 

 

 

Prior Leave

 

 

 

 

 

 

 

 

 

 

 

 

Service Abroad:

 

 

 

 

 

 

 

Year Ending

 

 

 

 

 

 

 

Date Completed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Current Leave

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Accrual Through Pay Period Ending

 

 

 

19. Current 12 Months Accrual Period

 

MO.

DAY

YEAR

 

(if 90 day restriction applicable,

 

 

 

 

 

 

 

 

 

 

Began on

 

 

 

 

 

 

 

explain in remarks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Total

 

 

 

 

 

 

Hours Absent Without Pay Since

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Reduction in Credits, If Any (current year)

 

 

 

That Date

 

 

 

 

 

 

11. Total Leave Taken, Current Year Through

 

 

 

20. Current Balance (or accrual) as of

 

MO.

DAY

YEAR

 

Date of Separation

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Balance

 

 

 

 

 

 

Number of Days

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Total Hours Paid in Lump Sum

 

 

 

 

 

 

 

 

 

 

 

 

(includes

hours for holidays)

 

 

 

21. Twelve Months Accrual Date as of Date of Separation

 

 

14. Salary Rate(s) Per Hour:

 

 

 

 

 

Number of Days

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

 

 

MO.

DAY

YEAR

HOURS

22. Dates Leave

 

FROM

 

 

TO

 

Lump Sum Leave Dates (if part-time

From

 

 

 

Used Prior 24

MO.

DAY

YEAR

MO.

DAY

YEAR

 

 

 

Months

Thru

 

 

 

 

 

 

 

 

 

tour, explain in Remarks)

 

 

 

 

 

 

 

 

 

 

 

a. Restored

 

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

b. Annual Leave Above Ceiling

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

c. Annual Leave Within Ceiling

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thru

 

 

 

 

 

 

 

 

 

 

 

 

ABSENCE WITHOUT PAY

 

 

 

 

 

 

 

 

 

 

16. During Leave Year in Which Separated

 

 

Hours

MILITARY LEAVE

 

FROM

 

 

TO

 

 

 

 

 

 

 

 

 

23. During Current

MO.

DAY

YEAR

MO.

DAY

YEAR

 

 

 

 

 

 

 

 

Calendar Year

17. A. Date of Last Equivalent Increase

MO.

DAY

YEAR

 

A. Regular -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Active Duty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Training

 

 

 

 

 

 

 

B. Total AWOP Hours Since Last Equivalent Increase (except

Hours

B. Special -

 

 

 

 

 

 

 

during military service and while in receipt of OWCP payments)

 

Civil

 

 

 

 

 

 

 

 

Disturbance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. Remarks (include shore leave information, if applicable):

 

Balance of Unused Days for Current Fiscal Year

Last deduction for: FEHB

 

Amt

(Block 23A)

 

 

Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Stand. FEGLI

 

Amt

 

 

Option A FEGLI

 

Amt

 

 

Option B FEGLI

 

 

Amt

 

 

Option C FEGLI

 

 

Amt

 

Deducted Through

 

 

 

 

25. Certified Correct By: (Signature)

26. Title, Agency, Address, Telephone Number

27. Date

1150-113-01

DoD Exception to SF 1150 Approved

STANDARD FORM 1150 (REV. 12-77)

 

by GSA/OIRM 9-85

CIVIL SERVICE COMMISSION

 

DoD Exception - Use ONLY within DoD

FPM SUPP. 296-31 AND 990-2

 

 

FormFlow V2.1

How to Edit 1150 Form Online for Free

Using PDF files online is certainly a piece of cake using our PDF tool. You can fill in GSA here and use various other options available. In order to make our tool better and simpler to work with, we continuously implement new features, bearing in mind feedback from our users. Getting underway is easy! All you should do is adhere to the following simple steps down below:

Step 1: First, access the pdf editor by pressing the "Get Form Button" above on this page.

Step 2: Once you start the online editor, you will find the document made ready to be completed. Other than filling in various fields, you may also perform other things with the file, specifically putting on any textual content, changing the initial textual content, inserting graphics, putting your signature on the document, and more.

It is actually straightforward to finish the pdf adhering to our detailed guide! Here is what you have to do:

1. The GSA involves specific information to be entered. Ensure the following blank fields are finalized:

How you can complete sf1150 step 1

2. Once your current task is complete, take the next step – fill out all of these fields - a Restored, b Annual Leave Above Ceiling, c Annual Leave Within Ceiling, From Thru From Thru From Thru From, During Leave Year in Which, Hours, ABSENCE WITHOUT PAY, A Date of Last Equivalent Increase, DAY, YEAR, B Total AWOP Hours Since Last, Hours, during military service and while, MILITARY LEAVE, and During Current Calendar Year A with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Writing part 2 in sf1150

3. In this specific step, review Deducted Through, Certified Correct By Signature, Title Agency Address Telephone, Date, DoD Exception to SF Approved by, STANDARD FORM REV CIVIL SERVICE, and FormFlow V. All these must be completed with highest attention to detail.

sf1150 completion process outlined (portion 3)

Always be very careful while filling out Date and DoD Exception to SF Approved by, as this is where many people make mistakes.

4. This part comes with the following blanks to fill out: Name Last First Middle, Social Security Number, For agency use, Date and Nature of Separation, A Subject to USC B day leave, No B Last Date Subject to USC B C, Yes, Total Service for Leave as of, More than Years Less Than Years, Years, Months, Days, SUMMARY OF ANNUAL AND SICK LEAVE, SUMMARY OF HOME LEAVE, and Carryover Bal.

More than  Years Less Than  Years, Months, and Yes inside sf1150

5. Since you near the finalization of the file, you'll find a couple more things to undertake. Mainly, Used Prior Months, FROM DAY, YEAR MO, TO DAY, YEAR, Lump Sum Leave Dates if parttime, a Restored, b Annual Leave Above Ceiling, c Annual Leave Within Ceiling, From Thru From Thru From Thru From, During Leave Year in Which, Hours, ABSENCE WITHOUT PAY, A Date of Last Equivalent Increase, and DAY must all be filled out.

sf1150 writing process outlined (step 5)

Step 3: Before finalizing this form, it's a good idea to ensure that all form fields have been filled out properly. The moment you are satisfied with it, click “Done." Go for a 7-day free trial account at FormsPal and gain direct access to GSA - downloadable, emailable, and editable inside your FormsPal cabinet. FormsPal is focused on the confidentiality of all our users; we always make sure that all information handled by our system is kept protected.