PART D - Remarks by Requesting Office Yes No (Note to Supervisors: Do you know of additional or conflicting reasons for the employee's resignation/retirement? If "YES", please state these facts on a separate sheet and attach to SF 52.) USED WHEN EMPLOYEE ENTERS MILITARY TRAINING OR ACTIVE DUTY. ORDERS SHOWING A BEGINNING AND ENDING DATE OF TRAINING OR ACTIVE DUTY ORDERS MUST BE ATTACHED TO SF 52. EMPLOYEE MUST ALSO RECEIVE A BRIEFING ON HIS/HER USERRA BENEFITS PRIOR TO DEPARTING FOR TRAINING. EMPLOYEE MUST ATTACH COMPLETED TECHNICIAN LEAVE WITHOUT PAY CHECKLIST. THIS CHECKLIST CAN BE OBTAINED FROM EMPLOYEE SERVICES IN HRO OR THE HRO WEBSITE. LEAVE CODE FOR TIME CARD IS: KG PART E - Employee Resignation/Retirement Privacy Act Statement You are requested to furnish a specific reason for your resignation or retirement and a with regard to employment of individuals in the Federal service and their records, while forwarding address. Your reason may be considered in any future decision regarding your section 8506 requires agencies to furnish the specific reason for termination of Federal re-employment in the Federal service and may also be used to determine your eligibility for service to the Secretary of Labor or a State agency in connection with administration of unemployment compensation benefits. Your forwarding address will be used primarily to unemployment compensation programs. mail you copies of any documents you should have or any pay or compensation to which you are entitled. The furnishing of this information is voluntary; however, failure to provide it may result in your not receiving: (1) your copies of those documents you should have; (2) pay or other This information is requested under authority of sections 301, 3301, and 8506 of title 5, U.S. compensation due you; and (3) any unemployment compensation benefits to which you may Code. Sections 301 and 3301 authorize OPM and agencies to issue regulations be entitled. 1. Reasons for Resignation/Retirement (NOTE: Your reasons are used in determining possible unemployment benefits. Please be specific and avoid generalizations. Your resignation/retirement is effective at the end of the day - midnight - unless you specify otherwise.) 2. Effective Date 3. Your Signature 4. Date Signed 5. Forwarding Address (Number, Street, City, State, Zip Code) PART F - Remarks for SF 50 U.S.GPO: 1996-404-763/40019
PART D - Remarks by Requesting Office (Note to Supervisors: Do you know of additional or conflicting reasons for the employee's resignation/retirement? Yes No If "YES", please state these facts on a separate sheet and attach to SF 52.) USED WHEN EMPLOYEE ENTERS MILITARY TRAINING OR ACTIVE DUTY. ORDERS SHOWING A BEGINNING AND ENDING DATE OF TRAINING OR ACTIVE DUTY ORDERS MUST BE ATTACHED TO SF 52. EMPLOYEE MUST ALSO RECEIVE A BRIEFING ON HIS/HER USERRA BENEFITS PRIOR TO DEPARTING FOR TRAINING. EMPLOYEE MUST ATTACH COMPLETED TECHNICIAN LEAVE WITHOUT PAY CHECKLIST. THIS CHECKLIST CAN BE OBTAINED FROM EMPLOYEE SERVICES IN HRO OR THE HRO WEBSITE. LEAVE CODE FOR TIME CARD IS: KG PART E - Employee Resignation/Retirement Privacy Act Statement You are requested to furnish a specific reason for your resignation or retirement and a forwarding address. Your reason may be considered in any future decision regarding your re-employment in the Federal service and may also be used to determine your eligibility for unemployment compensation benefits. Your forwarding address will be used primarily to mail you copies of any documents you should have or any pay or compensation to which you are entitled. This information is requested under authority of sections 301, 3301, and 8506 of title 5, U.S. Code. Sections 301 and 3301 authorize OPM and agencies to issue regulations with regard to employment of individuals in the Federal service and their records, while section 8506 requires agencies to furnish the specific reason for termination of Federal service to the Secretary of Labor or a State agency in connection with administration of unemployment compensation programs. The furnishing of this information is voluntary; however, failure to provide it may result in your not receiving: (1) your copies of those documents you should have; (2) pay or other compensation due you; and (3) any unemployment compensation benefits to which you may be entitled. 1. Reasons for Resignation/Retirement (NOTE: Your reasons are used in determining possible unemployment benefits. Please be specific and avoid generalizations. Your resignation/retirement is effective at the end of the day - midnight - unless you specify otherwise.) 2. Effective Date 3. Your Signature 4. Date Signed 5. Forwarding Address (Number, Street, City, State, Zip Code) PART F - Remarks for SF 50 U.S.GPO: 1996-404-763/40019
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