Forms

New PS Form 2499, Offer of Modified Assignment (Limited Duty)

New PS Form 2499, Offer of Modified Assignment (Limited Duty), is effective October 1, 2007. The purpose of this form is to do the following:

• Promote the timely offer of available limited duty job assignments to injured employees.
• Facilitate service-wide standardization of the method of documenting limited duty job offers.
• Promote and document regulatory compliance with the Federal Employees’ Compensation Act (FECA) requirement of timely issuance of limited duty job offers.
• Clarify the precise nature of the limited duty work being offered to an injured employee, including a description of the duties to be performed, specific physical requirements, and special demands of the workload or unusual working conditions.
• Identify the organization offering the position and the location of the job.
• Document the date on which the job will be available.

The form has been formatted for ease of use, and it can be completed online.

PS Form 2499 is available on the Postal Service™ PolicyNet Web site:

• Go to http://blue.usps.gov.
• Under “Essential Links” in the left-hand column, click on Forms.

(The direct URL for the Forms Web site is http://blue.usps.gov/formmgmt/forms.htm.)

As soon as printed forms are available, ordering infor­mation will be provided in a future Postal Bulletin article.

— Health and Resource Management,
Employee Resource Management, 10-25-07