Federal Employees' Leave Record Card

Leave Record Card Order Form

Leave Cards are now available in a variety of ways! You can print the forms or order them on-line!

Print the Federal Leave Forms

* You will need the free Acrobat® Reader to view the file.

Order type of card: check and indicate quantity below.

p-84 Qty. (pay period beginning 1/03/10)

p-85 Qty. (pay period beginning 1/10/10)

Please allow 2-4 weeks for your Leave Card(s) to arrive.

For your security, please type the code below into the box. To receive a new code, press "F5".