You can complete this form two ways:  You may print this out and hand it in to a respective Area Vice President or:  Download this form, type or fill it in and then hand it in to a respective Area Vice President

Request for Waivers of Time-in-Title or Location

This form must be completed for consideration of Time-in-Title or Time-in-Location waivers.   

Waiver Request for: 

  ____________________________________________________________                                                                Employee Name/Social Security Number

Waiver for: ____      Time-in-Title  ____            Time-in-Location ____

 Satisfactory Performance/Attendance:          ____Yes               ____No

 Employee’s Current Title/Location:  _________________________________________________

 Current Time-in-Title Requirement/Time Accrued Toward:

  ______________________________________________________________________________

 Reason for Recommending Waiver, Including Desired Title and Location (Be specific; add additional sheet if necessary.)

 Submitted and Concurred by:

Fax this request to Mark Petersen on 303 793-7440

                        (Telephone Number 303 793-7412)

Approved by

____________________________________              _____________________________________

 opeiu8; afl-cio                                                                         rev. 03-18-97

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