U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

Honorable {Name of Director of OPM}
Director
U.S. Office of Personnel Management
Washington DC 20415

Dear Director {Name of Director of OPM}:

The {name of requesting agency} requests delegated dual compensation reduction (salary offset) waiver authority as a result of {indicate the emergency or unusual circumstance for which the delegation of waiver authority is being requested.}

The {name of requesting agency} is requesting this waiver under the criteria in 5 CFR 553.202 - "Request for delegation of authority to approve reemployment without reduction or termination of annuity in emergencies or other unusual circumstances." The justification for delegation of waiver authority is as follows:

1. Description of the situation(s) for which the authority is requested. {For emergencies - describe the military threat, natural disaster, or other unforeseen occurrence (e.g., an outbreak of pandemic influenza) for which the delegation is needed. Emergencies must involve direct threats to life or property. Describe how the emergency poses a direct threat to life or property. For unusual circumstances – describe the unusual circumstance, when it first occurred, the length of time your agency expects the unusual circumstance to last, and its impact on your agency's ability to meet mission requirements. Explain how or why the unusual circumstance could not have been avoided/anticipated/addressed prior to the waiver request.}
   
   
2. Identification of the occupations, grades, and locations of positions that might be filled under this delegated authority. {Provide the list of positions by occupational series, grades, and geographic locations for which the agency is requesting the delegation of authority}.
   
   
3. Statement of expected duration. {Provide the expected duration of the reemployment the agency will approve under the delegation.}

Attachments (if any)