Effective November 1, 2017, the Postal Service™ revised PS Form 3971, Request for or Notification of Absence, with the following changes:
n Added the new Hatch Act information:
“LWOP — Union Official (Required Certification)
By signing this form, I certify that this request is not for the purpose of engaging in partisan political activity as defined by the Hatch Act and its implementing regulations.”
n Updated the Privacy Act statement:
“Your information will be used to administer leave. Collection is authorized by 39 USC 401, 404, 1001, 1003, and 1005; and 29 USC 2601 et seq. Providing the information is voluntary, but if not provided, we may not process your request. Your information may be disclosed as follows: in relevant legal proceedings; to law enforcement when the USPS or requesting agency becomes aware of a violation of law; to a congressional office at your request; to entities under contract with USPS and/or authorized to perform audits; to labor organizations as required by law; to government agencies regarding personnel matters; to the EEOC; and to the MSPB or Office of Special Counsel. For more information regarding our privacy policies, visit usps.com/privacypolicy.”
Use only the revised version (October 2017) of PS Form 3971; all previous versions of PS Form 3971 are obsolete and you must recycle them. Revised PS Form 3971 is now available from the Material Distribution Center (MDC) in Topeka, KS. You can order the revised PS Form 3971 through the MDC eBuy2 catalog.
Note: For some military sites without eBuy2 access, you can order through the Touch Tone Order Entry (TTOE) system by calling 800-273-1509.
Use the following information to order PS Form 3971:
PSIN: PS 3971
PSN: 7530-02-000-9136
Unit of Issue: PD
(Each pad has 100 forms)
Minimum Order Quantity: 5 pads
Quick Pick Number: 227
Price: $0.6380
Edition Date: 10/17
Revised PS Form 3971 is now available on the Postal Service PolicyNet website:
n Go to blue.usps.gov.
n In the left-hand column under “Essential Links,” click PolicyNet.
n Click Forms.
The direct URL for the PolicyNet website is blue.usps.gov/cpim.
— Payroll, Controller, 12-7-17
