Form NIH 2952 Recruitment and Relocation Incentives Service Agreement

Form NIH2952 is a U.S. Department of Health and Human Services - National Institutes of Health form also known as the "Recruitment And Relocation Incentives Service Agreement". The latest edition of the form was released in January 1, 2019 and is available for digital filing.

Download a PDF version of the Form NIH2952 down below or find it on U.S. Department of Health and Human Services - National Institutes of Health Forms website.

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NATIONAL INSTITUTES OF HEALTH
RECRUITMENT AND RELOCATION INCENTIVES
SERVICE AGREEMENT
EMPLOYEE INFORMATION
Name (Last, First, Middle Initial)
Position Title
Pay Plan, Occupation Series, Grade/Step
Organizational Unit
Duty Station
Work Schedule
Rate of Basic Pay (Before incentive)
Full Time
Base pay $
Locality $
Part Time (Number of regularly scheduled hours per pay period
)
$
Other
SERVICE AGREEMENT CONDITIONS
Type of Incentive
Recruitment
Relocation
For relocation incentives, the new geographic area is defined as a worksite that is 50 miles or more from the worksite of the position held
immediately before relocating.
Total Amount of Incentive
Percentage of Incentive’s Rate of Basic Pay (Exact percentage required)
$
%
Is OPM approval required for the incentive (i.e., proposed incentive is greater than 25% )?
Yes
No
Required Service Period
Method of Payment
Lump sum
1
year
Service Period
Type of Appointment
(See above for note in bold print about probationary or
training period)
Permanent
Commences (mm/dd/yyyy)
Term
Years
Terminates (mm/dd/yyyy)
[Must be last day of pay period]
Must be minimum of 2 years
Extent to which time on detail or in a nonpay or paid leave status is creditable toward the service period
Full Credit
Partial Credit %
Not Applicable
NIH 2952 (Rev. 01/19)
PAGE 1 of 2
EF
PSC Publishing Services (301) 443-6740
NATIONAL INSTITUTES OF HEALTH
RECRUITMENT AND RELOCATION INCENTIVES
SERVICE AGREEMENT
EMPLOYEE INFORMATION
Name (Last, First, Middle Initial)
Position Title
Pay Plan, Occupation Series, Grade/Step
Organizational Unit
Duty Station
Work Schedule
Rate of Basic Pay (Before incentive)
Full Time
Base pay $
Locality $
Part Time (Number of regularly scheduled hours per pay period
)
$
Other
SERVICE AGREEMENT CONDITIONS
Type of Incentive
Recruitment
Relocation
For relocation incentives, the new geographic area is defined as a worksite that is 50 miles or more from the worksite of the position held
immediately before relocating.
Total Amount of Incentive
Percentage of Incentive’s Rate of Basic Pay (Exact percentage required)
$
%
Is OPM approval required for the incentive (i.e., proposed incentive is greater than 25% )?
Yes
No
Required Service Period
Method of Payment
Lump sum
1
year
Service Period
Type of Appointment
(See above for note in bold print about probationary or
training period)
Permanent
Commences (mm/dd/yyyy)
Term
Years
Terminates (mm/dd/yyyy)
[Must be last day of pay period]
Must be minimum of 2 years
Extent to which time on detail or in a nonpay or paid leave status is creditable toward the service period
Full Credit
Partial Credit %
Not Applicable
NIH 2952 (Rev. 01/19)
PAGE 1 of 2
EF
PSC Publishing Services (301) 443-6740
Basis for Termination of Service Agreement
1. Employee demoted or separated for cause
2. Employee's rating of record less than Fully Successful or equivalent
3. Employee failed to fulfill the service agreement (other than above)
4. For relocation incentives only: Employee failed to maintain residency in the new geographic area for the duration of the service agreement
5. Management needs of the organization (reduction in force or insufficient funds)
6.Other (describe below)
NOTICE: A DECISION TO TERMINATE A RECRUITMENT OR RELOCATION SERVICE
AGREEMENT IS FINAL AND CANNOT BE GRIEVED OR APPEALED BY THE EMPLOYEE.
Conditions under which the employee must repay the incentive.
If the employee voluntarily, or because of misconduct, fails to complete the period of service in the position for which the incentive is being received, the
employee will refund a pro-rated amount of the incentive received. The employee is entitled only to payments that have already been received up to the
amount attributable to completed service.
Conditions, if any, under which the organization will remit an additional incentive payment, if necessary, for partially completed service if the service
agreement is terminated.
If employee's service agreement is terminated based on management needs prior to the service period completion date, the employee is entitled to all
incentive payments already received and any additional payments, if necessary, to provide payment in the amount attributable to completed service.
AUTHORIZATION
I have read the information contained in this service agreement and understand that the agreement is valid only when signed by the Approving Official and
me. I acknowledge that under certain circumstances I may be required to reimburse amounts attributable to the incentive. I further understand that if the
incentive is terminated for any reason, I am not entitled to grieve or appeal that decision.
Employee Signature
Date (mm/dd/yyyy)
Administrative Officer Signature (funds are available)
Date (mm/dd/yyyy)
I certify that this incentive meets the criteria for approval as provided in HHS Instruction 575-1: Recruitment, Relocation, and Retention Incentives.
Approving Official Signature
Title
Date (mm/dd/yyyy)
NIH 2952 (Rev. 01/19)
PAGE 2 of 2

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