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Form OF 5057

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Form OF 5057

Emergency Paid Leave Tracking

This form can be used to track Emergency Paid Leave (EPL) taken by an employee under Public Law 117-2.

This form is for tracking Emergency Paid Leave (EPL) taken by an employee under Public Law 117-2. Employees must report EPL hours to the Office of Personnel Management (OPM) upon retirement using the Final Separation Individual Retirement Record (IRR) - SF2806 or SF 3103. The document includes fields for employee name, date of birth, dates and hours of Emergency Paid Leave taken, and total EPL hours.

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