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Get Canada TBS 325-9E 1999-2024

Secr tariat du Conseil du Tr sor du Canada Treasury Board of Canada Secretariat PROTECTED WHEN COMPLETED APPLICATION FOR PRE-RETIREMENT TRANSITION LEAVE Information on this form is used to assess requests for Pre-retirement Transition Leave in accordance with approved policies. It is protected by the provisions of the Privacy Act and should be stored in standard employee bank PSE 901. PART I - EMPLOYEE DATA Surname Print Given name / Initials Department Branch / Division / Section Personal Record Identifier Address PART II - APPLICATION Duration of leave arrangement max. 2 years FROM TO Please indicate days to be taken off Leave Period day / week or hours / week if non-standard I request a leave arrangement in accordance with the Pre-retirement Transition Leave Policy. I agree not to work for the federal Public Service during the above period of leave. I understand that once accepted by the deputy head or his or her delegated authority and once my leave arrangement is completed my resignation is irrevocable. Day Month Year I resign effective conditional upon my leave arrangement not being cancelled prior to the dates agreed to above. DATED AT THIS DAY OF YEAR. Employee signature PART III - APPROVAL D LEAVE ARRANGEMENT APPROVED From To D I certify that the employee meets the eligibility criteria Responsibility Centre Manager print name Date PART IV - ACCEPTANCE OF RESIGNATION I accept your conditional resignation upon completion of the leave arrangement as agreed to above. TBS 325-9E Rev* 1999-05-18 Signature of Deputy Head or Delegated Authority Once completed provide employee with a photocopy. It is protected by the provisions of the Privacy Act and should be stored in standard employee bank PSE 901. PART I - EMPLOYEE DATA Surname Print Given name / Initials Department Branch / Division / Section Personal Record Identifier Address PART II - APPLICATION Duration of leave arrangement max. PART I - EMPLOYEE DATA Surname Print Given name / Initials Department Branch / Division / Section Personal Record Identifier Address PART II - APPLICATION Duration of leave arrangement max. 2 years FROM TO Please indicate days to be taken off Leave Period day / week or hours / week if non-standard I request a leave arrangement in accordance with the Pre-retirement Transition Leave Policy. 2 years FROM TO Please indicate days to be taken off Leave Period day / week or hours / week if non-standard I request a leave arrangement in accordance with the Pre-retirement Transition Leave Policy. I agree not to work for the federal Public Service during the above period of leave. I understand that once accepted by the deputy head or his or her delegated authority and once my leave arrangement is completed my resignation is irrevocable. I agree not to work for the federal Public Service during the above period of leave. I understand that once accepted by the deputy head or his or her delegated authority and once my leave arrangement is completed my resignation is irrevocable. Day Month Year I resign effective conditional upon my leave arrangement not being cancelled prior to the dates agreed to above. .

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