USPS Form 3189 PDF Details

Managing work-life balance can often require adjustments to one’s professional schedule, especially within structured organizations like the United States Postal Service (USPS). The USPS 3189 Form plays a pivotal role in this adjustment process. Designed for employees seeking a temporary change in their regular work schedule for personal convenience, this form outlines a clear procedure to request such alterations. From specifying the duration of the change to detailing the original and requested schedules, the form captures essential information to process the request. Moreover, the form underscores the importance of employee understanding that approval of this request exempts them from receiving out-of-schedule premiums for hours worked outside their regular schedule. In addition to employee and steward endorsements, the form requires supervisory approval or disapproval, ensuring a transparent and standardized process. Furthermore, the document highlights the legal and administrative framework governing its use, including the disclosure of information under specific circumstances and the voluntary nature of the submission. Overall, the USPS 3189 Form embodies a critical resource for employees seeking flexibility, while maintaining the operational integrity of the Postal Service.

QuestionAnswer
Form NameUSPS Form 3189
Form Length1 pages
Fillable?Yes
Fillable fields24
Avg. time to fill out5 min 7 sec
Other namesform 3189, psform 3189, 3189 usps, uspsform 3189

Form Preview Example

Request for Temporary Schedule Change for Personal Convenience

For my own personal convenience, I ________________________________________

hereby submit this written request for a temporary change in my regular schedule from (DATE) ____________________________ through _____________________________

From Regular Schedule:

Change Schedule To:

 

 

BT—

BT—

 

 

ET—

ET—

 

 

SDO—

SDO—

 

 

I understand that should this request be granted, I will not be entitled to the payment of out of schedule premium for hours worked outside of and instead of my regular schedule.

Employee’s Signature

Social Security No.

Date Signed

Pay Location

I hereby condone and agree to the above request.

Steward’s Signature

 

Date Signed

 

 

 

APPROVED

Processing Date

PSD Tech Initials

 

 

DISAPPROVED (GIVE REASON)

 

 

 

 

 

Supervisor’s Signature

 

Date Signed

 

 

 

PS Form 3189, February 1986

 

 

The collection of this information is authorized by 39 USC 401, 1003, 1005, 5 USC 8339. It will be used to consider a temporary change of schedule. As a routine use, this information may be disclosed to a Federal agency when relevant to the administration of employee benefits and programs including EEO, to an appropriate law enforcement agency for investigative or prosecution proceedings, to a Congressional office at your request, to the OMB for review of private relief legislation, to a labor organization as required by NLRA, and where pertinent, in a legal proceeding to which the Postal Service is a party. Completion of this form is voluntary; however, if this information is not provided, it is possible that your request may not be granted.

PS Form 3189, February 1986 (REVERSE)

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