Federal Work Experience Form

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Name_______________________________

INFORMATION CONCERNING YOUR WORK EXPERIENCE IN THE FEDERAL GOVERNMENT

Please list below ALL of your work experience in the FEDERAL Government. The Personnel Staff must have this information to compute your "Service Computation Date" which will be used to indicate your total federal service in the computation of annual leave and for other purposes.

Include all ACTIVE military service. If you claim military service, you must provide the Personnel Staff with a xerox copy of DD-214 reflecting all the active military service you claim.

Civilian Agency or Military Service
(Be as specific as possible)
Location
City/State)
Approximate Date of Employment

FROM 
TO
   




     
Updated June 25, 2015

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