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PS Form 2240, Pay, Leave, or Other Hours Adjustment Request

PS Form 2240, Pay, Leave, or Other Hours Adjustment Request

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PS Form 2240, April 2001 Employee’s Signature and Date Adjustment Clerk’s Signature and Date Approving Officer’s Signature and Date Return to: (Issuing office complete this information)

  Other, Leave, Hour, Adjustment, Or other hours adjustment

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