PS Form 650 - Request for ELM 650 Mediation 2025

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4.9 out of 5

41 votes

The document is a request form for mediation under the ELM 650 process, intended for employees of the USPS who have received disciplinary actions. It includes sections for appellant information, issuing management details, type of discipline, representative information, and a request for mediation. The form emphasizes that requesting mediation does not waive appeal rights and outlines the necessary steps and timelines for submission. Additionally, it contains privacy statements regarding the handling of personal information and medical documentation.

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Versions	Form popularity	Fillable & printable
2015	4.9 Satisfied (41 Votes)
2014	4.3 Satisfied (30 Votes)

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