1000 Red River Street
Austin, TX 78701-2698
(800) 223-8778
www.trs.texas.gov
Teacher Retirement System of Texas Page 1 of 1
Certification of Unused State Sick and/or Personal Leave
TRS587(09-16)
Name
TRS Participant ID or
Social Security Number
Employer
The certification below must be completed by the TRS reporting official at the Texas public educational
institution where you are currently employed.
An eligible member of the Teacher Retirement System of Texas (TRS) may establish one year of equivalent
membership service credit for 50 or more days or 400 or more hours of unused state sick and/or personal leave. No
more than 5 days per year may be accumulated toward this requirement; therefore, a member must have at least 10
years of active TRS membership credit for service actually rendered with a TRS-covered employer. This service may
only be purchased at the time a member retires. Payment in full must be received by TRS no later than the member's
effective date of retirement or the last day of the month in which the member's retirement application is filed, whichever
is later. In either case, however, payment must be received within the plan year in which the member retires.
Credit for unused state sick and/or personal leave may be established by depositing with TRS the actuarial present
value, at the time of deposit, of the additional standard retirement annuity benefits that would be attributable to the
conversion of the unused leave into service credit based on rates and tables adopted by the TRS Board of Trustees.
This certification form will not be accepted at TRS more than 30 days prior to the effective date of your
retirement. If you purchase this service credit and subsequently revoke your retirement, your payment will be refunded
to you and the service credit will be removed from your record.
Number of days or hours of accrued unused state* sick and/or personal leave: _____ days/hours
* Count state leave only. Do not count locally granted leave. (circle one)
I certify that the person named on this form has the accrued unused sick and/or personal leave stated above
as of _______________________, 20___ and that no more than 5 days accrued in any school year.
Signature of TRS Reporting Official Title
Printed Name of TRS Reporting Official Date
