1
Request for Voluntary Early Retirement Authority (VERA)
Agency:
Covered Component(s):
1. State the reason(s) why the authority is needed. (Describe the situation that will result in an excess of personnel
because of substantial delayering, reorganization, reduction in force, transfer of function, or other workforce
restructuring or reshaping.)
Briefly explain in 250 words or less.
2. Provide the anticipated effective date of the delayering, reorganization, reduction in force,
transfer of function, or other workforce restructuring or reshaping described above in item #1……..
3. Identify the time period dur
ing which the agency plans to offer VERA (end date)…………………….
For the following items, if you are requesting VERA for only a part of your organization, provide the data for that
po
rtion of the organization only. Do not provide numbers for the entire organization.
4. Provide the total number of permanent employees in the agency or covered component(s)…………
5. Provide the total number of permanent employees in the agency or covered component(s)
t
hat are expected to be involuntarily separated, downgraded, transferred, or reassigned
as a result of the situation described above in item #1……………………………………………………..
6. Provide the total number of employees in the agency or covered component(s) who ar
e eligible
for voluntary early retirement. (Do not include employees eligible for optional retirement.)…………..
7. Provide an estimate of the number of employees in the agency or covered component(s)
who are expected to take voluntary early retirement
……………………………............................
8. Select the types of personnel actions that are anticipated to be necessary without VERA (based on the reason(s)
described above in item #1.) (Check all that apply)
Downgrades Attrition to mitigate the need for involuntary actions
Transfers Reassignment of staff to other organizations/functions
Reduction in Force Other
2
Agency:
Agency Contact Information & Signature of Requesting Official (Agency Head or Designee)
Name: Email: Pho
ne:
Requesting
Official’s Name:
Requesting
Official’s Title:
Requesting Official’s Signature
(or att
ach signed cover memo): _______________
_______________________________ Date:
_________________________________________________________________________________________________
OPM Decision (OPM Use Only)
Approved Disappr
oved
VERA
Author
ization #:
to
Approval Period:
to
Appro
ving
Offic
ial’s Name:
Approving
Official’s Title:
Approving Official’s Signature:
___________
________________________________
Date:
_________________________________________________________________________________________________
Please submit to:
Mailing Address: Deputy Associate Director
Talent Acquisition and Workforce Shaping
U.S. Office of Personnel Management
1900 E Street, NW
Room 6500
Washington, DC 20415
Email: employ@opm.gov
FAX: 202-606-4430
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