OPM Form 5058 Agency Request for Covid-19 Emergency Paid Leave Reimbursement

OPM Form 5058 Agency Request for Covid-19 Emergency Paid Leave Reimbursement

What Is OPM Form 5058?

This is a legal form that was released by the U.S. Office of Personnel Management and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is OPM Form 5058?
A: OPM Form 5058 is the Agency Request for Covid-19 Emergency Paid Leave Reimbursement form.

Q: What is the purpose of OPM Form 5058?
A: The purpose of OPM Form 5058 is to request reimbursement for Covid-19 emergency paid leave.

Q: Who can use OPM Form 5058?
A: OPM Form 5058 can be used by federal agencies.

Q: How do I fill out OPM Form 5058?
A: You need to fill out the form with the required information, including employee details, leave information, and reimbursement details.

Q: Is there a deadline for submitting OPM Form 5058?
A: Specific deadlines may vary, so it's best to check with your agency for the submission deadline.

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Form Details:

  • The latest available edition released by the U.S. Office of Personnel Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of OPM Form 5058 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download OPM Form 5058 Agency Request for Covid-19 Emergency Paid Leave Reimbursement

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  • OPM Form 5058 Agency Request for Covid-19 Emergency Paid Leave Reimbursement, Page 1
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