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Request to Activate Leave Accounting for Unclassified Rehired Annuitant

Complete this form to activate leave accounting for an Unclassified Rehired Annuitant.

Employee Name (Last, First, Middle Initial)
 Person ID
 UDDS
Appointment ID
 Effective Date (mm/dd/yyyy)
Submitted By (Last, First Name)
   

File last updated: August 7, 2008
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