Fillable Printable OPM Form 1351-C
Fillable Printable OPM Form 1351-C
OPM Form 1351-C
WORK YEARS AND PERSONNEL COSTS REPORT
LEAVE EARNED AND USED
LEAVE YEAR
OPM Form 1351-C (Rev. 11/97)
1. Agency Name 2. Agency Code
Type of
Leave
Leave Used Number of Leave Days:
Credited
For
Retirement
Number of
Days
Value
(Thousands)
Earned
Carried Over
End of Year
Forfeited
End of Year
1. Total Annual (1) (1) XX
1a. Annual Lump-Sum
Payments (separately)
(2) (2) XX XX XX XX
2. Sick XX
3. Holidays XX XX XX XX
4. Time-Off Awards XX XX XX XX
5. Other Leave for
Employees Covered by
5 U.S.C. 6301 XX XX XX XX
6. Other Leave
3
for
Employees not Covered
by 5 U.S.C. 6301
1
Includes lump-sum payments for annual leave paid to separating employees.
2
Lump-sum payments shown separately.
3
Leave granted to employees not covered by chapter 63 of title 5, U.S. Code, regardless of type of leave. Specify categories of employees for whom this type of leave is reported.
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