"Application to Claim Annual Leave Accrual Credit for Prior Service in the Ohio National Guard" - Ohio

Application to Claim Annual Leave Accrual Credit for Prior Service in the Ohio National Guard is a legal document that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio.

Form Details:

  • Released on August 1, 2004;
  • The latest edition currently provided by the Ohio Department of Administrative Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.

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Download "Application to Claim Annual Leave Accrual Credit for Prior Service in the Ohio National Guard" - Ohio

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Employee’s Agency:_______________________________________
For Verification FAX To:
Oh Army Nat’l Guard : 614-336-7373
Personnel Officer: _________________________________________
Oh Air Nat’l Guard :
614-336-7078
Separated Oh Nat’l Guard:614-336-7305
Agency Address: __________________________________________
NOTE: Submit completed form to the
FAX: ___________________________________________________
employee’s personnel officer for
submission to DAS for approval.
SUBJECT:
Application to Claim Annual Leave Accrual Credit for Prior Service in the Ohio National
Guard.
References:
-
Section 9.44 (ORC)
-
Section 124.181 (E) (ORC)
-
OCSEA Arbitration Award 27-32-(00-03-10)-0245-01-03
OHIO NATIONAL GUARD PRIOR SERVICE INFORMATION:
1.________________________________________
2. ______________________________
Last Name
First
MI
SS#
3.________________________________________
4. Branch of National Guard Service
Date of initial entry or transfer to ONG
Army _____ Air _____
5. Service History Dates (ONG only)
6. _________________________________
Current Unit of Assignment
From _____________ To _______________
From _____________ To _______________
7. __________________________________
Total Credit Claimed
From _____________ To _______________
(Days, Months, Years)
___________________________
_________________________________________________
Date
Signature (Employee)
Information above has been verified by:
(Employee of Adj. General’s office)
_________________________________
_________________________________________________
Print Name
Sign Name
Date
Title: _________________________________________
NOTE: The effective date of such adjustments will the the first day of the pay period in which DAS receives the
Personnel Action. No employee, other than an employee who submits proof of prior service within ninety (90) days
after the date of the employee’s hiring, will receive retroactive accrual or longevity adjustment for the period prior to
the director’s approval of prior service credit.
08/04
Employee’s Agency:_______________________________________
For Verification FAX To:
Oh Army Nat’l Guard : 614-336-7373
Personnel Officer: _________________________________________
Oh Air Nat’l Guard :
614-336-7078
Separated Oh Nat’l Guard:614-336-7305
Agency Address: __________________________________________
NOTE: Submit completed form to the
FAX: ___________________________________________________
employee’s personnel officer for
submission to DAS for approval.
SUBJECT:
Application to Claim Annual Leave Accrual Credit for Prior Service in the Ohio National
Guard.
References:
-
Section 9.44 (ORC)
-
Section 124.181 (E) (ORC)
-
OCSEA Arbitration Award 27-32-(00-03-10)-0245-01-03
OHIO NATIONAL GUARD PRIOR SERVICE INFORMATION:
1.________________________________________
2. ______________________________
Last Name
First
MI
SS#
3.________________________________________
4. Branch of National Guard Service
Date of initial entry or transfer to ONG
Army _____ Air _____
5. Service History Dates (ONG only)
6. _________________________________
Current Unit of Assignment
From _____________ To _______________
From _____________ To _______________
7. __________________________________
Total Credit Claimed
From _____________ To _______________
(Days, Months, Years)
___________________________
_________________________________________________
Date
Signature (Employee)
Information above has been verified by:
(Employee of Adj. General’s office)
_________________________________
_________________________________________________
Print Name
Sign Name
Date
Title: _________________________________________
NOTE: The effective date of such adjustments will the the first day of the pay period in which DAS receives the
Personnel Action. No employee, other than an employee who submits proof of prior service within ninety (90) days
after the date of the employee’s hiring, will receive retroactive accrual or longevity adjustment for the period prior to
the director’s approval of prior service credit.
08/04