Es 935 maryland 2021-2026

1. Click ‘Get Form’ to open the ES-935 in the editor.
2. In Box 2, enter your name in the format Last Name, First Name, Middle Initial (e.g., Public, John Q).
3. In Box 3, input your social security number using digits only. If you have multiple numbers, use the one associated with your Federal employment.
4. For Box 6, complete the Federal Agency as shown on your Form SF-8 or SF-50. If you lack these forms, you cannot claim credit using ES-935.
5. Fill in Box 7 with your DUTY STATION details including city, county, and state as found on Form SF-50.
6. In Box 8, enter your employment dates in MM-DD-YY format. If applicable, include multiple periods of employment.
7. Complete Line(s) 11 if you received Terminal Annual leave; provide gross amount, payment date, and hours compensated.
8. On Line 13, briefly describe why you are no longer employed by the agency.
9. Sign and date the form where indicated. Ensure to attach copies of your SF-8 or SF-50 and any relevant wage evidence before submission.

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