Ps Form 3971. 1001) during this absence, i was incapacitated for duty by. Web request leave by completing ps form 3971, request for or notification of absence.
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Pd (each pad has 100 forms) minimum order quantity: Fill out the request for or notification of absence online and print it out for free. Web the article “ps form 3971 revision: Web request leave by completing ps form 3971, request for or notification of absence. Web ps form 3971, april 2001 (page i of 2) warning. And an employee agreement in. 1001) during this absence, i was incapacitated for duty by. Web usps employees who are seeking to use efel must submit ps form 3971, request for or notification of absence, indicating efel and for which of the qualifying reasons they must take leave; Revised ps form 3971 is now available on the postal service policynet website: # d/a code employee's name (last, first, m.i.) date submitted installation (for pm leave, show city, state, and zip code) time of call or request scheduled reporting time employee can be reached at (if needed) no call type of absence documentation (for official use only)
The furnishing of false information on this form may result in a fine of not more than $10,000 or imprisonment of not more that 5 years, or both (18 u.s.c. Avoid unnecessary forfeiture of annual leave. 5 pads quick pick number: Postal service (usps), united states federal legal forms and united states legal forms. Leave types and codes (information only) time card fmla dep. # d/a code employee's name (last, first, m.i.) date submitted installation (for pm leave, show city, state, and zip code) time of call or request scheduled reporting time employee can be reached at (if needed) no call type of absence documentation (for official use only) Obtain approval of ps form 3971 before taking leave — except in cases of emergencies. Ps form 3971 is often used in u.s. The furnishing of false information on this form may result in a fine of not more than $1 0,000 or imprisonment of not more than 5 years, or both. Covered by the leave program are: And an employee agreement in.
