Click here to skip navigation
OPM.gov Home  |  Subject Index  |  Important Links  |  Contact Us  |  Help

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

Advanced Search

Templates for Dual Compensation Waiver Requests

(Other Unusual Circumstances)


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 a dual compensation reduction (salary offset) waiver for Mr. (or Ms.) ___________. This waiver will enable {name of requesting agency} to reemploy Mr. (or Ms.) ________ for work needed as a result of {describe the unusual circumstance for which the individual's services are needed}. The {name of requesting agency} will appoint Mr. (or Ms.) ________ on a {indicate the appointing authority which the agency intends to use to reemploy the annuitant} appointment to {indicate the position the reemployed annuitant will have.}

The {name of requesting agency} is requesting this waiver under the criteria in 5 CFR 553.201(f) - "Requests based on other unusual circumstances." The criteria for approving a waiver for Mr. (or Ms.) ________ are met by the following information:

  1. The unusual circumstance. {describe the unusual circumstance, when it first occurred, and the length of time your agency expects the unusual circumstance to last.}

  2. Relationship between the waiver request and the agency's mission. {describe how the waiver request directly supports your agency's mission.}

  3. Why the unusual circumstance could not be avoided {explain how or why the unusual circumstance could not have been avoided/anticipated/addressed prior to the waiver request.}

  4. Candidate's unique qualifications. Mr. (or Ms.) _______ {describe the knowledge, skills, and abilities possessed by the candidate that are essential to the position being filled or that the urgency of response justifies making the appointment without further delay; Provide a justification which shows that these knowledge, skills, and abilities could not be acquired by another appointee within a reasonable amount of time}
Sincerely,

{Name of requestor, and title}


Attachments (if any)