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The USPS Resignation Form serves as a critical document for employees who choose to resign or transfer from their positions within the U.S. Postal Service. This form captures essential information such as the employee's identification number, name, effective date of resignation, and reason for leaving. Employees are required to complete items 1 through 10, which include providing a mailing address and contact information. Notably, the form allows individuals to specify their reasons for resigning, ranging from personal health issues to career changes, ensuring that the USPS can document the circumstances surrounding each resignation. Furthermore, the form includes a privacy statement, clarifying how the collected information may be used and shared, including potential disclosures to law enforcement or other governmental entities. It is important for employees to understand that resignations are binding once submitted, and there are specific instructions for withdrawing a resignation if necessary. The form must be submitted to a designated supervisor or manager, emphasizing the structured process in place for managing employee transitions. Understanding these aspects can help employees navigate their resignation or transfer more effectively.

Sample - Usps Resignation Form

Resignation/Transfer from the Postal Service

Privacy Act Statement: Your information will be used to finalize the record of your employment with the Postal Service. Collection is authorized by 39 U.S.C. 401, 410, 1001, 1005, and 1206.

Providing the information is voluntary. We may disclose your information as follows: in relevant legal proceedings; to law enforcement when the U.S. Postal Service® (USPS®) or requesting agency becomes aware of a violation of law; to a congressional office at your request; to entities or individuals under contract with USPS; to entities authorized to perform audits; to labor organizations as required by law; to federal, state, local or foreign government agencies regarding personnel matters; to the Equal Employment Opportunity Commission; and to the Merit Systems Protection Board or Office of Special Counsel. For additional information regarding our privacy policies, visit www.usps.com/privacypolicy.

Instructions: Complete items 1-10 and submit this form to your immediate supervisor, manager, or other official designated to

receive resignations. Do not complete this form if you are retiring.

A. EMPLOYEE INFORMATION

1. Employee Identification Number

2.Printed Name (Last, First, Middle Initial)

3. Effective Date of Resignation/Transfer (MM/DD/YYYY)

4.Mailing Address (House/Apt. No., Street, City, State and ZIP + 4®)

5. Telephone Number

6. Installation or Station

7. Tour

8.Reason for Action (check one)

Resignation. A resignation is the formal act of giving up or quitting your employment with the U.S. Postal Service. Resignations are accepted and binding once submitted. Check the appropriate box indicating the reason for your resignation. (If you wish to withdraw a resignation that you submitted, see instructions at the bottom of the page.)

Job offer in private industry (621)

Commute too long (640)

Pursuing self-employment (641)

Job was not in line with career plans (632)

Pursuing farming (642)

Skills not utilized (633)

Pursuing full-time education (617)

Lack of job security (627)

Did not get along with fellow workers (645)

Did not get along with supervisor (646)

Health reasons-self (622)

Change of domicile does not work with family (647)

No promotion opportunities (628)

Health reasons-family (634)

Not accepting directed reassignment (648)

Household responsibilities (644)

Marriage plans (635)

Following spouses to new duty station (619)

Work hours not compatible (639)

Relocating (652)

Insufficient benefits (630)

Not enough recognition (631)

Work is too hard (636)

Insufficient pay (629)

Other (specify on page 2)

Separation/Transfer. A separation/transfer is the formal act of voluntarily ending employment with the U.S. Postal Service in order to transfer to another federal agency without a break in service. Complete 8a-d with the information for the agency to which you are transferring and its Human Resources (HR) office. Use reverse for additional remarks.

8a. Agency’s Name

8b. Agency’s HR Representative’s Name

8c. Agency’s HR Office’s Mailing Address

9. Employee Signature

8d. Agency’s HR Office’s Telephone Number

10. Date Submitted (MM/DD/YYYY)

B. SUPERVISOR/MANAGER INFORMATION

1. Supervisor/Manager (Print Name)

2. Signature

3. Telephone Number

4.Date (MM/DD/YYYY)

To withdraw a submitted resignation: You must submit a written request to the Human Resources Shared Service Center (HRSSC) by mail, email, or fax, no later than close of business on the effective date of the submitted resignation. Send mailed withdrawals to HRSSC, ATTN SEPARATIONS, PO BOX 970520, GREENSBORO NC 27497-0520, emailed withdrawals to the HRSSC Separations (Career) email account at [email protected], or faxed withdrawals to 1-651-994-3521. Mailed withdrawals must be postmarked no later than close of business on the effective date of the submitted resignation.

PS Form 2574, May 2019 PSN 7530-01-000-9707 (Page 1 of 2)

C. ADDITIONAL REMARKS

PS Form 2574, May 2019 PSN 7530-01-000-9707 (Page 2 of 2)

File Specs

Fact Name Description
Privacy Act Statement Your personal information is used to finalize your employment record with the USPS. This collection is authorized by specific U.S. laws, including 39 U.S.C. 401, 410, 1001, 1005, and 1206.
Submission Instructions Complete items 1-10 on the form and submit it to your designated supervisor or manager. This form should not be used for retirement purposes.
Reasons for Resignation Multiple reasons can be selected for resigning, such as job offers, health issues, or personal circumstances. Each reason is categorized for clarity.
Withdrawal Process If you wish to withdraw your resignation, a written request must be sent to the Human Resources Shared Service Center by the end of the effective date.
State-Specific Forms While the USPS resignation form is standardized, specific state laws may apply regarding employment and resignation processes. Always check local regulations for compliance.

Usps Resignation - Usage Guidelines

Filling out the USPS Resignation form is a straightforward process that requires attention to detail. After submitting the form, your resignation will be processed, and you will receive confirmation from your supervisor or the designated official. It is important to ensure that all information is accurate to avoid any delays.

  1. Locate the USPS Resignation form (PS Form 2574).
  2. Complete the following employee information:
    • Employee Identification Number
    • Printed Name (Last, First, Middle Initial)
    • Effective Date of Resignation/Transfer (MM/DD/YYYY)
    • Mailing Address (House/Apt. No., Street, City, State and ZIP + 4®)
    • Telephone Number
    • Installation or Station
    • Tour
  3. Indicate the reason for your resignation by checking the appropriate box. If applicable, specify your reason on page 2.
  4. If transferring to another agency, fill out the additional agency information:
    • Agency’s Name
    • Agency’s HR Representative’s Name
    • Agency’s HR Office’s Mailing Address
    • Agency’s HR Office’s Telephone Number
  5. Sign and date the form in the Employee Signature and Date Submitted sections.
  6. Submit the completed form to your immediate supervisor, manager, or designated official.

If you need to withdraw your resignation after submitting the form, you must send a written request to the Human Resources Shared Service Center (HRSSC) by mail, email, or fax by the close of business on the effective date of your resignation.

Your Questions, Answered

What is the purpose of the USPS Resignation form?

The USPS Resignation form is used to formally resign or transfer from your employment with the U.S. Postal Service. It helps finalize your employment record and ensures that your resignation is documented correctly. This form must be submitted to your immediate supervisor or manager.

What information do I need to provide on the form?

You will need to fill out items 1-10, including your Employee Identification Number, printed name, effective date of resignation or transfer, mailing address, telephone number, installation or station, and tour. You must also indicate the reason for your resignation by checking the appropriate box.

Can I withdraw my resignation after submitting the form?

Yes, you can withdraw your resignation by submitting a written request to the Human Resources Shared Service Center (HRSSC). This request must be made by mail, email, or fax and must be received no later than close of business on the effective date of your resignation.

How do I submit the withdrawal request?

You can send your withdrawal request by mailing it to HRSSC, ATTN SEPARATIONS, PO BOX 970520, GREENSBORO NC 27497-0520. Alternatively, you can email it to [email protected] or fax it to 1-651-994-3521. Ensure that mailed requests are postmarked by the effective date of your resignation.

What if I am retiring instead of resigning?

If you are retiring, do not complete the resignation form. There are separate procedures for retirement, and you should follow those specific guidelines instead.

What happens to my information after I submit the form?

Your information will be used to finalize your employment record with the Postal Service. It may be disclosed in certain legal proceedings, to law enforcement, or to other authorized entities as required by law. For more details, refer to the USPS privacy policy.

What reasons can I select for my resignation?

The form includes various reasons for resignation, such as job offers in private industry, health reasons, lack of job security, and pursuing education. You can also specify other reasons in the remarks section if none of the listed options apply to you.

Who needs to sign the form?

Your immediate supervisor or manager must sign the form after you submit it. Their signature confirms the receipt of your resignation and finalizes the process on their end.

What is the effective date of my resignation?

The effective date of your resignation is the date you indicate on the form. It is important to ensure this date aligns with your personal plans and any required notice periods.

Common mistakes

  1. Incomplete Employee Information: Failing to fill out all required fields, such as the Employee Identification Number or Effective Date of Resignation, can lead to processing delays.

  2. Incorrect Effective Date: Entering the wrong date can result in confusion regarding the last day of employment, affecting final pay and benefits.

  3. Missing Signature: Not signing the form can render the resignation invalid. The employee's signature is crucial for official record-keeping.

  4. Choosing the Wrong Reason for Resignation: Selecting an inaccurate reason may complicate future employment opportunities or benefits eligibility.

  5. Not Submitting to the Correct Official: Handing the form to the wrong supervisor or manager can delay the resignation process and create administrative issues.

  6. Ignoring Withdrawal Procedures: If an employee wishes to withdraw their resignation, failing to follow the proper procedures can lead to a permanent separation from the USPS.

  7. Neglecting to Review Privacy Policies: Not understanding how personal information will be used or disclosed can lead to privacy concerns post-resignation.

Documents used along the form

When resigning from the U.S. Postal Service, several additional forms and documents may be necessary to ensure a smooth transition. Each of these documents serves a specific purpose in the resignation process, helping to clarify the employee's intentions and facilitate any required administrative actions.

  • PS Form 2574 - Request for Withdrawal of Resignation: This form is used by employees who wish to retract their resignation. It must be submitted to the Human Resources Shared Service Center before the effective resignation date.
  • PS Form 50 - Notification of Personnel Action: This document officially records the resignation or transfer. It is used to update the employee's personnel file and may be required for future employment verification.
  • Exit Interview Questionnaire: Some postal facilities conduct exit interviews to gather feedback from resigning employees. This questionnaire helps the organization understand employee experiences and areas for improvement.
  • Final Paycheck Authorization: Employees may need to complete a form to authorize the release of their final paycheck. This ensures that all earnings and accrued leave are processed correctly.
  • Health Benefits Continuation Form: This document outlines options for continuing health benefits after leaving the Postal Service. It is crucial for employees to understand their rights and options regarding health insurance coverage.
  • Retirement Benefits Election Form: For employees who are eligible for retirement, this form allows them to choose how they would like their retirement benefits to be distributed. It is essential for planning financial security post-employment.

Completing these forms accurately and submitting them in a timely manner can help ensure that the resignation process is handled efficiently. Each document plays a role in protecting both the employee's rights and the organization's interests.

Similar forms

The USPS Resignation Form shares similarities with the Employee Exit Interview Form. Both documents serve to collect information from employees who are leaving an organization. The Employee Exit Interview Form typically includes questions about the employee's reasons for leaving, work environment, and overall job satisfaction. This information can be used by the organization to identify areas for improvement and enhance employee retention strategies. Like the USPS Resignation Form, the Exit Interview Form is often submitted to a supervisor or human resources representative.

Another document comparable to the USPS Resignation Form is the Employment Verification Form. This form is utilized when an employee is transitioning out of a position, whether through resignation or termination. It collects essential details such as the employee's position, duration of employment, and reasons for leaving. Both forms aim to ensure a clear record of employment and facilitate the process of verifying an employee’s work history for future employers.

The IRS Form W-4 also bears resemblance to the USPS Resignation Form, albeit in a different context. While the USPS Resignation Form is focused on the end of employment, the W-4 is used to determine tax withholding for employees. Both documents require personal information and must be completed accurately to ensure compliance with regulations. The completion of either form signifies an important administrative step in managing an employee's status with an organization.

Similar to the USPS Resignation Form, the Leave of Absence Request Form is another document that employees may submit to their supervisors. This form is used when an employee needs to take time off from work for various reasons, such as medical issues or personal matters. Both forms require the employee to provide specific information, including the reason for their request and relevant dates. Each document plays a critical role in managing employee records and ensuring proper communication with management.

The Performance Improvement Plan (PIP) is also comparable to the USPS Resignation Form in that it is often a precursor to an employee's departure from an organization. A PIP outlines the areas in which an employee is not meeting performance expectations and provides a structured plan for improvement. While the USPS Resignation Form signifies the end of employment, both documents address employment issues that may lead to an employee's decision to leave.

Lastly, the Employee Transfer Request Form is similar to the USPS Resignation Form in that it is used when an employee is seeking to change their position within the organization. This form requires the employee to provide details about their current role and the desired position. Both forms are crucial for maintaining accurate employment records and ensuring that transitions, whether voluntary or involuntary, are handled appropriately by the organization.

Dos and Don'ts

When filling out the USPS Resignation form, it is essential to follow certain guidelines to ensure the process goes smoothly. Here is a list of things to do and avoid:

  • Do provide your Employee Identification Number accurately.
  • Do include your full printed name as requested.
  • Do specify the effective date of your resignation clearly.
  • Do check the appropriate reason for your resignation.
  • Do submit the form to your immediate supervisor or designated official.
  • Do sign and date the form before submission.
  • Do keep a copy of the completed form for your records.
  • Don't complete the form if you are retiring.
  • Don't leave any required fields blank.
  • Don't provide false information or misrepresent your reason for resignation.
  • Don't forget to check for any additional remarks you may want to add.
  • Don't submit the form without your supervisor's signature.
  • Don't miss the deadline for submitting the resignation form.
  • Don't forget to withdraw your resignation in writing if you change your mind.

Misconceptions

Here are six common misconceptions about the USPS Resignation form, along with clarifications for each:

  • Misconception 1: The resignation form is mandatory for all employees leaving the USPS.
  • This is not true. The form is only required if you are resigning or transferring. If you are retiring, a different process applies.

  • Misconception 2: You can submit the resignation form to anyone in the USPS.
  • Actually, the form must be submitted to your immediate supervisor, manager, or another designated official. This ensures proper processing of your resignation.

  • Misconception 3: Once you submit the resignation form, you cannot change your mind.
  • This is incorrect. You can withdraw your resignation by submitting a written request to the Human Resources Shared Service Center before the effective date of your resignation.

  • Misconception 4: Providing information on the form is mandatory.
  • While completing the form is necessary, providing personal information is voluntary. However, it is essential for finalizing your employment record.

  • Misconception 5: The reasons for resignation must be detailed and explained.
  • In fact, you only need to check a box indicating your reason for resignation. Detailed explanations are not required unless you choose to provide them.

  • Misconception 6: The resignation form is confidential and will not be shared.
  • While the USPS takes privacy seriously, certain information may be disclosed in specific situations, such as legal proceedings or audits, as outlined in the Privacy Act Statement.

Key takeaways

When filling out and using the USPS Resignation form, keep these key points in mind:

  • Complete all required fields: Fill out items 1-10 accurately, including your employee identification number and effective date of resignation.
  • Choose the right reason for resignation: Indicate the reason for your resignation by checking the appropriate box. This helps USPS understand your situation.
  • Submit to the correct person: Hand the completed form to your immediate supervisor, manager, or another designated official.
  • Privacy matters: Your personal information will be used to finalize your employment record and may be disclosed under certain conditions, as outlined in the Privacy Act Statement.
  • Do not use this form for retirement: If you are retiring, follow the specific procedures for retirement instead of using the resignation form.
  • Withdrawals are possible: If you change your mind, you can withdraw your resignation by submitting a written request to the Human Resources Shared Service Center by the end of the effective date.
  • Be mindful of deadlines: Ensure that any withdrawal requests are postmarked or submitted by the close of business on the effective date of your resignation.
  • Keep a copy: Always retain a copy of the completed form for your records before submitting it.