Form Opm 630 A PDF Details

Stepping through the benevolent corridor of federal employment, the OPM 630 A form emerges as a cornerstone of compassion and bureaucratic efficiency, merging the spirit of altruism with the machinery of government policy. This document, formally recognized as the "Request to Donate Annual Leave to Leave Recipient Under the Voluntary Leave Transfer Program Within Agency," serves as a bridge for federal employees to extend a helping hand to their colleagues in need. It meticulously outlines the conditions and procedural blueprint enabling an employee to transfer their accrued but unused annual leave to another employee suffering from medical emergencies, thereby fostering a culture of solidarity and mutual support within the federal workspace. The form not only delineates the eligibility criteria for donors, ensuring they retain enough leave for their personal use and are not coerced into participation, but it also sets a cap on the amount of leave that can be transferred, thereby injecting fairness and balance in the donation process. With provisions addressing the reversibility of donations and ensuring the privacy of participants, it reinforces the principles of voluntary participation, privacy, and statutory compliance. Rooted in the legal framework provided by 5 U.S.C 6332 and under the stewardship of the Office of Personnel Management, the OPM 630 A form is a testament to the thoughtful regulation of federal employees' welfare and the seamless integration of individual generosity within the stringent contours of federal law.

QuestionAnswer
Form NameForm Opm 630 A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesopm630 a form, opm form form 630a pd, opm 630a form, 630 a

Form Preview Example

Request to Donate Annual Leave to Leave Recipient

Under the Voluntary Leave Transfer Program

Within Agency

I request that annual leave be transferred to the leave account of an approved leave recipient. This recipient is not my immediate supervisor. As of the date indicated below, I have enough annual leave in my account to cover this amount. I understand that if I am projected to forfeit annual leave during this leave year, the amount of leave I am transferring may not exceed the number of hours remaining in the leave year for which I am scheduled to work. The amount of annual leave I am transferring also is not more than half the hours I will earn this year.

I understand that my decision to transfer leave is not revocable. If a sufficient balance of unused leave remains after the recipient's medical emergency has terminated, I can elect to have a pro-rated share returned to me during either the current leave year or the following leave year, or I can elect to donate my pro-rated share to another leave recipient. However, to do so, I must remain employed by a Federal agency and be subject to chapter 63 of title 5, United States Code.

I have not been directly or indirectly intimidated, threatened or coerced, or promised any benefit by any employee for the purpose of donating or using leave.

To Be Completed By Leave Donor

1.Name (Last, first, middle)

2. SSN (last 4 digits)

3. Employee Number

4a. Position title

4b. Pay plan

4c. Grade/pay level

5a. Name of organization (Agency, Department, Office, Division, Branch, etc.)

5b. Office telephone number

6.Amount of annual leave accrued as of end of last pay period

7.Amount of leave projected to forfeit this leave year as of end of last pay period

8. Amount of annual leave to be transferred

9. Individual's name or identification number to whom leave is being donated

10a. Signature

10b. Date signed

Privacy Act Statement

Participation in this program is voluntary; however; solicitation of this information is authorized under 5 U.S.C 6332. The information furnished will be used to identify records properly associated with the transfer of annual leave. It may also be disclosed to a national, State, or local law enforcement agency where there is an indication of a violation or potential violation of civil or criminal law, rule, or regulation; or to another agency or court when the Government is party to a suit. Public Law 104-134 (April 26,1996) requires that any person doing business with the Federal Government furnish a social security number or tax identification number. This is an amendment to title 31, Section 7701. Furnishing the social security number, as well as other data, is voluntary, but failure to do so may delay or prevent action on the application. If your agency uses the information furnished on this form for purposes other than those indicated above, it may provide you with an additional statement reflecting those purposes.

Office of Personnel Management

Local Reproduction Authorized

OPM 630-A

5 CFR 630

 

August 2013

 

Formerly Optional Form (OF) 630 A

 

 

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