USPS Resignation Form PDF Details

When an individual decides to leave their position at the United States Postal Service (USPS), a critical step in the resignation process involves completing the USPS Resignation form, officially known as PS Form 2574. This form serves not only as a formal declaration of one's intention to resign but also initiates the process of finalizing an employee's record with the USPS. The form requires various personal details, including the employee's identification number, contact information, and the effective date of resignation or transfer. Moreover, it captures the reason behind the employee’s departure, offering a range of pre-defined choices, ranging from employment opportunities in private industry to health issues or dissatisfaction with job conditions such as pay, recognition, or work hours. Additionally, for those transferring to another federal agency, specific information regarding the new position is also requested. The Privacy Act Statement accompanying the form outlines how the submitted information will be used and under which circumstances it might be disclosed, reassuring employees about the privacy and handling of their personal data. It's essential for departing USPS employees to carefully complete and submit this form to ensure a smooth transition out of the Postal Service, adhering to the detailed provisions for privacy and data usage the USPS has put in place.

QuestionAnswer
Form NameUSPS Resignation Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusps resignation form, service postal transfer, resignations mailing postal, resignation submitted form pdf

Form Preview Example

Resignation/Transfer from the Postal Service

Privacy Act Statement: Your information will be used to finalize the record of your employment with the Postal Service. Collection is authorized by 39 U.S.C. 401, 410, 1001, 1005, and 1206.

Providing the information is voluntary. We may disclose your information as follows: in relevant legal proceedings; to law enforcement when the U.S. Postal Service® (USPS®) or requesting agency becomes aware of a violation of law; to a congressional office at your request; to entities or individuals under contract with USPS; to entities authorized to perform audits; to labor organizations as required by law; to federal, state, local or foreign government agencies regarding personnel matters; to the Equal Employment Opportunity Commission; and to the Merit Systems Protection Board or Office of Special Counsel. For additional information regarding our privacy policies, visit www.usps.com/privacypolicy.

Instructions: Complete items 1-10 and submit this form to your immediate supervisor, manager, or other official designated to

receive resignations. Do not complete this form if you are retiring.

A. EMPLOYEE INFORMATION

1. Employee Identification Number

2.Printed Name (Last, First, Middle Initial)

3. Effective Date of Resignation/Transfer (MM/DD/YYYY)

4.Mailing Address (House/Apt. No., Street, City, State and ZIP + 4®)

5. Telephone Number

6. Installation or Station

7. Tour

8.Reason for Action (check one)

Resignation. A resignation is the formal act of giving up or quitting your employment with the U.S. Postal Service. Resignations are accepted and binding once submitted. Check the appropriate box indicating the reason for your resignation. (If you wish to withdraw a resignation that you submitted, see instructions at the bottom of the page.)

Job offer in private industry (621)

Commute too long (640)

Pursuing self-employment (641)

Job was not in line with career plans (632)

Pursuing farming (642)

Skills not utilized (633)

Pursuing full-time education (617)

Lack of job security (627)

Did not get along with fellow workers (645)

Did not get along with supervisor (646)

Health reasons-self (622)

Change of domicile does not work with family (647)

No promotion opportunities (628)

Health reasons-family (634)

Not accepting directed reassignment (648)

Household responsibilities (644)

Marriage plans (635)

Following spouses to new duty station (619)

Work hours not compatible (639)

Relocating (652)

Insufficient benefits (630)

Not enough recognition (631)

Work is too hard (636)

Insufficient pay (629)

Other (specify on page 2)

Separation/Transfer. A separation/transfer is the formal act of voluntarily ending employment with the U.S. Postal Service in order to transfer to another federal agency without a break in service. Complete 8a-d with the information for the agency to which you are transferring and its Human Resources (HR) office. Use reverse for additional remarks.

8a. Agency’s Name

8b. Agency’s HR Representative’s Name

8c. Agency’s HR Office’s Mailing Address

9. Employee Signature

8d. Agency’s HR Office’s Telephone Number

10. Date Submitted (MM/DD/YYYY)

B. SUPERVISOR/MANAGER INFORMATION

1. Supervisor/Manager (Print Name)

2. Signature

3. Telephone Number

4.Date (MM/DD/YYYY)

To withdraw a submitted resignation: You must submit a written request to the Human Resources Shared Service Center (HRSSC) by mail, email, or fax, no later than close of business on the effective date of the submitted resignation. Send mailed withdrawals to HRSSC, ATTN SEPARATIONS, PO BOX 970520, GREENSBORO NC 27497-0520, emailed withdrawals to the HRSSC Separations (Career) email account at BRHGP1@usps.gov, or faxed withdrawals to 1-651-994-3521. Mailed withdrawals must be postmarked no later than close of business on the effective date of the submitted resignation.

PS Form 2574, May 2019 PSN 7530-01-000-9707 (Page 1 of 2)

C. ADDITIONAL REMARKS

PS Form 2574, May 2019 PSN 7530-01-000-9707 (Page 2 of 2)

How to Edit USPS Resignation Form Online for Free

Our PDF editor will make managing files simple and easy. It is quite convenient to change the [FORMNAME] document. Follow the next steps if you would like do this:

Step 1: The first step will be to pick the orange "Get Form Now" button.

Step 2: At the moment you are on the form editing page. You can enhance and add information to the file, highlight specified content, cross or check selected words, insert images, sign it, delete unnecessary areas, or eliminate them completely.

These segments are included in the PDF template you'll be filling in.

ps form 2574 fields to complete

Write down the required data in the area SeparationTransfer A, a Agencys Name, b Agencys HR Representatives Name, c Agencys HR Offices Mailing, d Agencys HR Offices Telephone, Employee Signature, Date Submitted MMDDYYYY, B SUPERVISORMANAGER INFORMATION, SupervisorManager Print Name, Signature, Telephone Number, Date MMDDYYYY, To withdraw a submitted, and PS Form May PSN Page of.

part 2 to filling out ps form 2574

The application will require you to put down some key details to conveniently fill out the section C ADDITIONAL REMARKS.

Completing ps form 2574 step 3

In the field , list the rights and responsibilities of the parties.

Filling out ps form 2574 part 4

Look at the areas PS Form May PSN Page of and thereafter complete them.

Filling out ps form 2574 stage 5

Step 3: Click the button "Done". Your PDF form may be exported. It's possible to obtain it to your device or email it.

Step 4: Come up with a duplicate of each separate file. It should save you time and permit you to stay away from worries in the future. Also, your details isn't going to be used or analyzed by us.

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