OPM Form SF-50 Notification of Personnel Action

OPM STANDARD form 50 is a U.S. Office of Personnel Management form also known as the "Notification Of Personnel Action". The latest edition of the form was released in July 1, 1991 and is available for digital filing.

Download an up-to-date fillable OPM STANDARD Form 50 in PDF-format down below or look it up on the U.S. Office of Personnel Management Forms website.

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Standard Form 50
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle)
2. Social Security Number
3. Date of Birth
4. Effective Date
FIRST ACTION
5-A. Code 5-B. Nature of Action
6-A. Code 6-B. Nature of Action
5-C. Code 5-D. Legal Authority
6-C. Code 6-D. Legal Authority
5-E. Code 5-F. Legal Authority
6-E. Code 6-F. Legal Authority
7. FROM: Position Title and Number
15. TO: Position Title and Number
8. Pay Plan 9. Occ. Code 10. Grade or Level 11. Step or Rate 12. Total Salary
13. Pay Basis
16. Pay Plan 17.Occ.Code18. Grade or Level 19. Step or Rate 20. Total Salary/Award
21. Pay Basis
12A. Basic Pay
12B. Locality Adj.
12C. Adj. Basic Pay
12D. Other Pay
20A. Basic Pay
20B. Locality Adj.
20C. Adj. Basic Pay
20D. Other Pay
14. Name and Location of Position's Organization
22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
24. Tenure
25. Agency Use
26. Veterans Pref. for RIF
1 - None
3 - 10-Point/Disability
5 - 10-Point/Other
0 - None
2 - Conditional
2 - 5-Point
4 - 10-Point/Compensable
6 - 10-Point/Compensable/30%
1 - Permanent
3 - Indefinite
YES
NO
27. FEGLI
28. Annuitant Indicator
29. Pay Rate Determinant
30. Retirement Plan
31. Service Comp. Date (Leave)
32. Work Schedule
33. Part-Time Hours Per
Biweekly
Pay Period
POSITION DATA
34. Position Occupied
35. FLSA Category
36. Appropriation Code
37. Bargaining Unit Status
1 - Competitive Service
3 - SES General
E - Exempt
2 - Excepted Service
4 - SES Career
N - Non-exempt
39. Duty Station (City - County - State or Overseas Location)
38. Duty Station Code
40. AGENCY DATA
41.
42.
43.
44.
45. Remarks
46. Employing Department or Agency
50. Signature/Authentication and Title of Approving Official
Department of Veterans Affairs
47. Agency Code
48. Personnel Office ID
49. Approval Date
Human Resources Officer
VA
TURN OVER FOR IMPORTANT INFORMATION
Editions Prior to 7/91 Are Not Usable After
5-Part
6/30/93
1 - Employee Copy - Keep for Future Reference
NSN 7540-01-333-6236
Standard Form 50
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle)
2. Social Security Number
3. Date of Birth
4. Effective Date
FIRST ACTION
5-A. Code 5-B. Nature of Action
6-A. Code 6-B. Nature of Action
5-C. Code 5-D. Legal Authority
6-C. Code 6-D. Legal Authority
5-E. Code 5-F. Legal Authority
6-E. Code 6-F. Legal Authority
7. FROM: Position Title and Number
15. TO: Position Title and Number
8. Pay Plan 9. Occ. Code 10. Grade or Level 11. Step or Rate 12. Total Salary
13. Pay Basis
16. Pay Plan 17.Occ.Code18. Grade or Level 19. Step or Rate 20. Total Salary/Award
21. Pay Basis
12A. Basic Pay
12B. Locality Adj.
12C. Adj. Basic Pay
12D. Other Pay
20A. Basic Pay
20B. Locality Adj.
20C. Adj. Basic Pay
20D. Other Pay
14. Name and Location of Position's Organization
22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
24. Tenure
25. Agency Use
26. Veterans Pref. for RIF
1 - None
3 - 10-Point/Disability
5 - 10-Point/Other
0 - None
2 - Conditional
2 - 5-Point
4 - 10-Point/Compensable
6 - 10-Point/Compensable/30%
1 - Permanent
3 - Indefinite
YES
NO
27. FEGLI
28. Annuitant Indicator
29. Pay Rate Determinant
30. Retirement Plan
31. Service Comp. Date (Leave)
32. Work Schedule
33. Part-Time Hours Per
Biweekly
Pay Period
POSITION DATA
34. Position Occupied
35. FLSA Category
36. Appropriation Code
37. Bargaining Unit Status
1 - Competitive Service
3 - SES General
E - Exempt
2 - Excepted Service
4 - SES Career
N - Non-exempt
39. Duty Station (City - County - State or Overseas Location)
38. Duty Station Code
40. AGENCY DATA
41.
42.
43.
44.
45. Remarks
46. Employing Department or Agency
50. Signature/Authentication and Title of Approving Official
Department of Veterans Affairs
47. Agency Code
48. Personnel Office ID
49. Approval Date
Human Resources Officer
VA
TURN OVER FOR IMPORTANT INFORMATION
Editions Prior to 7/91 Are Not Usable After
5-Part
6/30/93
1 - Employee Copy - Keep for Future Reference
NSN 7540-01-333-6236
NOTICE TO EMPLOYEE
This is your copy of the official notice of a personnel action. Keep it with your records because it could be used
to make employment, pay, and qualifications decisions about you in the future.
The Action
Block 31 - Service computation Date (Leave)
Blocks 5-B and 6-B describe the personnel action(s) that occurred.
Shows when your Federal service began unless you have prior creditable service. If
Blocks 15-22 show the position and organization to which you are assigned.
so, this date is constructed to include your total years, months and days of prior
creditable civilian and military service.
Pay
Full-time employees with fewer than 3 years of service earn 4 hours of annual leave
each pay period; those with 3 or more years but less than 15 years earn 6 hours each
When the personnel action is an award or bonus, block 20 shows the amount of that
pay period; and those with 15 or more years earn 8 hours each pay period.
one-time cash payment. When the action is not an award or bonus, block 12 shows
Your earnings and leave statement or your time and attendance card will show the
your former total annual salary, and block 20 shows your new total annual salary
rate at which you earn leave and your current unused leave balance.
(block 20C plus 20D). The amount in blocks 12 and 20 do not include any one-time
cash payments (such as performance awards and recruitment or relocation bonuses)
or payments that may vary from one pay period to the next (such as overtime pay), or
Block 32 - Work Schedule
other forms of premium pay.
Block 20A is the scheduled amount for your grade and step, including any special
Your work Schedule is established by your supervisor.
salary rate you receive. It does not include any locality-based pay. This rate of pay
A full-time employee works on a prearranged scheduled tour of duty that is usually 40
serves as the basis for determining your rate of pay upon promotion, change to a
hours per week. A part-time employee has a prearranged scheduled tour of duty that
lower grade, or reassignment, and is used for pay retention purposes.
is usually between 16 and 32 hours per week. An intermittent employee has no
Block 20B is the annual dollar amount of your interim Geographic Adjustment or,
prearranged scheduled tour of duty and works when needed.
beginning in 1994, your locality-based comparability payment.
Full-Time and part-time employees whose appointments are for 90 days or more are
Block 20C is your Adjusted Basic Pay, the total of blocks 20A and 20B. It serves as
usually eligible to earn annual leave; intermittent employees are not. Seasonal
the basis for computing your retirement benefits, life insurance, preimium pay, and
employees work on an annually recurring bases for periods of less than 12 months
severance pay.
each year; they may have a full-time, a part-time, or an intermittent schedule during
Block 20D is the total dollar amount of any Retention Allowances, Supervisory
their work season.
Differentials, and Staffing Differentials that are listed in the remarks block. These
On-call employees work during periods of heavy workload and are in pay status for at
payments are made in the same manner as basic pay, but are not a part of basic pay
least 6 months of each year; they may have either a full-time or a part-time schedule
for any purpose.
when they are in pay status.
Block 24 - Tenure
Block 33 - Part-time Hours Per Biweekly Pay Period
Identifies the nature of your appointment and is used to determine your rights during a
Indicates the number of hours a part-time employee is scheduled to work during a
reduction in force (RIF). Tenure groups are explained in more detail in subchapter 26
two-week pay period.
of FPM Supplement 296-33 and RIF is explained in FPM Supplement 351-1; both
should be available fo review in your personnel office.
Block 34 - Position Ocupied
Block 26 - Veterans Preference to RIF
Identifies the employment system under which you are serving -- the Competitive
Service, the Excepted Service, or the Senior Executive Service (SES).
Indicates whetehr you have preference for reduction-in-force purposes.
The employment system determines your eligibility to move to other jobs in the
Block 30 - Retirement Plan
Federal service, your rights in disciplinary and adverse actions, and your eligibility for
reemployment if you have Federal service.
FICA
- Social Security System
CS
- Civil Service Retirement System
Block 35 - FLSA Category
CS-Spec
- Civil Service Retirement System for law enforcement and
Exempt employees are not covered by the minimum wage and overtime law (the Fair
firefighter personnel
Labor Standards Act); nonexempt employees are covered.
FS
- Foreign Service Retirement and Disability System
FERS
FERS-
Reserve
Block 37 - Bargaining Unit Status
Tech
- Federal Employees' Retirement System for National Guard
Identifies a bargaining unit to which you belong, whether or not you are actually a
Reserve Technicians
member of a labor organization. Code "7777" indicates you are eligible but not in a
FERS-
bargaining unit; code "8888" indicates you are ineligible for inclusion in a bargaining
ATC
- Federal Employees' Retirement System for Air
unit.
Traffic Controllers
FERS-
Spec
- Federal Employees' Retirement System for law enforcement
Block 38 and 39 - Duty Station
and firefighter personnel
FSPS
- Foreign Service Pension System
Identifies the city, county, and state or the overseas location, where you actually work.
OTHER INFORMATION
If your appointment entitles you to elect health benefits or life insurance, and you have
If you have questions or need more information about your rights and benefits, ask
not been provided materials explaining the programs available and the enrollment
your supervisor or your personnel office.
forms, contact your personnel specialist.
Definitions for any coded data in Blocks 1-24, 27-39 and 45-50 may be found in
Your personnel specialist will also tell you if your position is covered by an agreement
Federal Personnel Manuals Supplement 292-1.
between an employee organization (union) and your agency. If you are eligible to and
elect to join an employee organization, you can elect to have your dues withheld from
your salary.
It is your responsibility to read all the information on the front of this notice and tell your personnel office
immediately if there is an error in it.
Standard Form 50
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle)
2. Social Security Number
3. Date of Birth
4. Effective Date
FIRST ACTION
5-A. Code 5-B. Nature of Action
6-A. Code 6-B. Nature of Action
5-C. Code 5-D. Legal Authority
6-C. Code 6-D. Legal Authority
5-E. Code 5-F. Legal Authority
6-E. Code 6-F. Legal Authority
7. FROM: Position Title and Number
15. TO: Position Title and Number
8. Pay Plan 9. Occ. Code 10. Grade or Level 11. Step or Rate 12. Total Salary
13. Pay Basis
16. Pay Plan 17.Occ.Code18. Grade or Level 19. Step or Rate 20. Total Salary/Award
21. Pay Basis
12A. Basic Pay
12B. Locality Adj.
12C. Adj. Basic Pay
12D. Other Pay
20A. Basic Pay
20B. Locality Adj.
20C. Adj. Basic Pay
20D. Other Pay
14. Name and Location of Position's Organization
22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
24. Tenure
25. Agency Use
26. Veterans Pref. for RIF
1 - None
3 - 10-Point/Disability
5 - 10-Point/Other
0 - None
2 - Conditional
2 - 5-Point
4 - 10-Point/Compensable
6 - 10-Point/Compensable/30%
1 - Permanent
3 - Indefinite
YES
NO
27. FEGLI
28. Annuitant Indicator
29. Pay Rate Determinant
30. Retirement Plan
31. Service Comp. Date (Leave)
32. Work Schedule
33. Part-Time Hours Per
Biweekly
Pay Period
POSITION DATA
34. Position Occupied
35. FLSA Category
36. Appropriation Code
37. Bargaining Unit Status
1 - Competitive Service
3 - SES General
E - Exempt
2 - Excepted Service
4 - SES Career
N - Non-exempt
38. Duty Station Code
39. Duty Station (City - County - State or Overseas Location)
40. AGENCY DATA
41.
42.
43.
44.
45. Remarks
46. Employing Department or Agency
50. Signature/Authentication and Title of Approving Official
Department of Veterans Affairs
47. Agency Code
48. Personnel Office ID
49. Approval Date
Human Resources Officer
VA
TURN OVER FOR IMPORTANT INFORMATION
Editions Prior to 7/91 Are Not Usable After
5-Part
6/30/93
2 - OPF Copy - Long-Term Record - DO NOT DESTROY
NSN 7540-01-333-6236
Standard Form 50
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle)
2. Social Security Number
3. Date of Birth
4. Effective Date
FIRST ACTION
5-A. Code 5-B. Nature of Action
6-A. Code 6-B. Nature of Action
5-C. Code 5-D. Legal Authority
6-C. Code 6-D. Legal Authority
5-E. Code 5-F. Legal Authority
6-E. Code 6-F. Legal Authority
7. FROM: Position Title and Number
15. TO: Position Title and Number
8. Pay Plan 9. Occ. Code 10. Grade or Level 11. Step or Rate 12. Total Salary
13. Pay Basis
16. Pay Plan 17.Occ.Code18. Grade or Level 19. Step or Rate 20. Total Salary/Award
21. Pay Basis
12A. Basic Pay
12B. Locality Adj.
12C. Adj. Basic Pay
12D. Other Pay
20A. Basic Pay
20B. Locality Adj.
20C. Adj. Basic Pay
20D. Other Pay
14. Name and Location of Position's Organization
22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
24. Tenure
25. Agency Use
26. Veterans Pref. for RIF
1 - None
3 - 10-Point/Disability
5 - 10-Point/Other
0 - None
2 - Conditional
2 - 5-Point
4 - 10-Point/Compensable
6 - 10-Point/Compensable/30%
1 - Permanent
3 - Indefinite
YES
NO
27. FEGLI
28. Annuitant Indicator
29. Pay Rate Determinant
30. Retirement Plan
31. Service Comp. Date (Leave)
32. Work Schedule
33. Part-Time Hours Per
Biweekly
Pay Period
POSITION DATA
34. Position Occupied
35. FLSA Category
36. Appropriation Code
37. Bargaining Unit Status
1 - Competitive Service
3 - SES General
E - Exempt
2 - Excepted Service
4 - SES Career
N - Non-exempt
38. Duty Station Code
39. Duty Station (City - County - State or Overseas Location)
40. AGENCY DATA
41.
42.
43.
44.
45. Remarks
46. Employing Department or Agency
50. Signature/Authentication and Title of Approving Official
Department of Veterans Affairs
47. Agency Code
48. Personnel Office ID
49. Approval Date
Human Resources Officer
VA
TURN OVER FOR IMPORTANT INFORMATION
Editions Prior to 7/91 Are Not Usable After
5-Part
6/30/93
3 - PAYROLL COPY
NSN 7540-01-333-6236
Standard Form 50
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle)
2. Social Security Number
3. Date of Birth
4. Effective Date
FIRST ACTION
5-A. Code 5-B. Nature of Action
6-A. Code 6-B. Nature of Action
5-C. Code 5-D. Legal Authority
6-C. Code 6-D. Legal Authority
5-E. Code 5-F. Legal Authority
6-E. Code 6-F. Legal Authority
7. FROM: Position Title and Number
15. TO: Position Title and Number
8. Pay Plan 9. Occ. Code 10. Grade or Level 11. Step or Rate 12. Total Salary
13. Pay Basis
16. Pay Plan 17.Occ.Code18. Grade or Level 19. Step or Rate 20. Total Salary/Award
21. Pay Basis
12A. Basic Pay
12B. Locality Adj.
12C. Adj. Basic Pay
12D. Other Pay
20A. Basic Pay
20B. Locality Adj.
20C. Adj. Basic Pay
20D. Other Pay
14. Name and Location of Position's Organization
22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
24. Tenure
25. Agency Use
26. Veterans Pref. for RIF
1 - None
3 - 10-Point/Disability
5 - 10-Point/Other
0 - None
2 - Conditional
2 - 5-Point
4 - 10-Point/Compensable
6 - 10-Point/Compensable/30%
1 - Permanent
3 - Indefinite
YES
NO
27. FEGLI
28. Annuitant Indicator
29. Pay Rate Determinant
30. Retirement Plan
31. Service Comp. Date (Leave)
32. Work Schedule
33. Part-Time Hours Per
Biweekly
Pay Period
POSITION DATA
34. Position Occupied
35. FLSA Category
36. Appropriation Code
37. Bargaining Unit Status
1 - Competitive Service
3 - SES General
E - Exempt
2 - Excepted Service
4 - SES Career
N - Non-exempt
38. Duty Station Code
39. Duty Station (City - County - State or Overseas Location)
40. AGENCY DATA
41.
42.
43.
44.
45. Remarks
46. Employing Department or Agency
50. Signature/Authentication and Title of Approving Official
Department of Veterans Affairs
47. Agency Code
48. Personnel Office ID
49. Approval Date
Human Resources Officer
VA
TURN OVER FOR IMPORTANT INFORMATION
Editions Prior to 7/91 Are Not Usable After
5-Part
6/30/93
4 - Chronological Journal File Copy
NSN 7540-01-333-6236

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