Ps form 2499-2026

1. Click ‘Get Form’ to open the PS Form 2499 in the editor.
2. Begin by filling out Section I - Employee Information. Enter your name, EIN, date of offer, position title, OCC code, pay location, office/work location, OWCP claim number, and date of injury.
3. Move to Section II - Modified Assignment Offer. Here, provide details about your scheduled days off, work hours, assignment title, location, effective date, level/step, and salary. Clearly outline the duties and physical requirements of the modified assignment.
4. In Section III - Agreement and Signatures, ensure that discussions regarding the offer are documented. The supervisor/manager should print their name and sign the form. Indicate whether you accept or refuse the modified assignment offer and provide an explanation if refusing.
5. Finally, review all sections for accuracy before saving or exporting your completed form directly from our platform.

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