Office of Personnel Management
STATEMENT OF PRIOR SERVICE - WORKSHEET
Name (Last, First, Middle Initial) Social Security Number Date of Birth (Month, Day, Year)
ADDITIONAL INSTRUCTIONS: Enter the appointment and separation dates in columns (A) and (B) below, using the numerical equivalent of the month.
See Chapter 6 of The Guide to Processing Personnel Actions for instructions on computing service computation dates (SCDs).
PART I - CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES
CREDITABLE SERVICE-
NAME OF AGENCY/ORGANIZATION
(List only periods that are creditable
for leave purposes)
Year Month Day
(B)
SEPARATION DATE
NONCREDITABLE SERVICE
(Explain noncreditable time listed in
Column (A), such as "lost time" during
military service)
Entrance on Duty Date
Total noncreditable service
Total of appointment dates (A)
Total of separation dates (B)
SCD - Leave (A) - (B)
PARIT II - CREDITIBLE SERVICE AND SERVICE COMPUTATION FOR REDUCTION-IN-FORCE (RIF) PURPOSES
Complete only in cases where the amount of service that is creidtable for RIF purposes differs from the amount creditable for leave purposes.
CREDITABLE SERVICE-
NAME OF AGENCY/ORGANIZATION
(B)
SEPARATION DATE
(A)
APPOINTMENT DATE
Total noncreditable service
Total of appointment dates (A)
Total of separation dates (B)
SCD - RIF (Service Date) (A) - (B)
REMARKS
Name of Person Computing SCD(s) Date SCD(s) Computed
Year Month Day
Year Month Day
Year Month Day
The Guide to Processing Personnel Actions Standard Form 144A
Rev. July 2008
Previous editions not usable.
SCD - Leave (from Part I)
Additional service creditable for RIF only
NONCREDITABLE SERVICE
(Explain noncreditable time listed in
Column (A), such as "lost time" during
military service)
(A)
APPOINTMENT DATE
