Grievance - Back Pay Documentation Requirement Checklist
Lump Sums Only
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<
$10,000.00 |
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>
$9,999.99 |
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>
$99,999.99 |
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PS Form
2240 |
PS Form
8038 |
PS Form
8039 |
PS Form
8041 |
Copy of
Award |
Mailing
Address |
PS Form
8038 |
PS Form
8039 |
PS Form
8041 |
Copy of
Award |
Mailing
Address |
PS Form
8038 |
PS Form
8039 |
PS Form
8041 |
Copy of
Award |
Mailing
Address |
| Grievance * |
Y |
blank |
blank |
blank |
blank |
(1) |
blank |
Y |
blank |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
Pre-
arbitration * |
blank |
blank |
blank |
Y |
Y |
(2) |
blank |
blank |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| Arbitration ** |
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blank |
Y** |
Y |
Y |
(2) |
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Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| MSPB ** |
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blank |
Y** |
Y |
Y |
(2) |
blank |
Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| EEOC ** |
blank |
blank |
Y** |
Y |
Y |
(2) |
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Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| OPM ** |
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blank |
Y** |
Y |
Y |
(2) |
blank |
Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| Court ** |
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blank |
Y** |
Y |
Y |
(2) |
blank |
Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
| Other ** |
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blank |
Y** |
Y |
Y |
(2) |
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Y** |
Y |
Y |
(3) |
blank |
Y |
blank |
Y |
(3) |
* GATS is the recommended method to process
these types of awards.
** Third party or agency decisions (not settlements) always require PS
Form 8039 in lieu of PS Form 8041.
Based on Wages, Hours, or Benefits
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<
80 Consecutive Hours |
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>
79 Consecutive Hours |
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PS Form
2240 |
PS Form
8038 |
PS Form
8039 |
PS Form
8041 |
Copy of
Award |
Mailing
Address |
PS Form
8038 |
PS Form
8039 |
PS Form
8041 |
Copy
of Award |
Mailing
Address |
| Grievance |
Y |
blank |
blank |
blank |
blank |
(1) |
Y |
Y |
blank |
Y |
(3) |
| Pre-arbitration |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| Arbitration *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| MSPB *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| EEOC *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| OPM *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| Court *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
| Other *** |
blank |
blank |
Y |
blank |
Y*** |
(2) |
Y |
Y |
blank |
Y |
(3) |
*** Third party or agency decisions (not settlements) always require a copy of the decision award.
(1) USPS SCANNING &
IMAGING CENTER
PO BOX 9000
SIOUX FALLS SD 57117-9000
(2) USPS EAGAN IT/ASC PAYROLL SERVICES PAY LOCATION
9633
2825 LONE OAK PARKWAY
EAGAN MN 55121-9633
(3) USPS EAGAN IT/ASC FINANCIAL PROCESSING PAY LOCATION
9616
2825 LONE OAK PARKWAY
EAGAN MN 55151-9616 |
MSPB - Merit Systems Protection
Board
EEOC - Equal Employment Opportunity Commission
OPM - Office of Personnel Management |
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