Settlement Agreement (Page 2 of 5) in pdf

Settlement Agreement Page 2

OAL DKT. NO. CSV ___________________

____________________________________________________________________

The parties have agreed to the following:

For Suspensions, Complete the Following:

To date, Appellant has been suspended for a total of __________ days based

upon the above charges.

The total number of days of back pay, if any, to be paid by the Appointing

Authority to the Appellant is as follows: ______________________________________.

Any other days from the time of last suspension day until return to work shall be

treated as follows: ________________________________

__________.

For Removals, Complete the Following:

To date, Appellant has served a total of ___________ days without pay based

upon the above charges.

The total number of days of back pay, if any, to be paid by the Appointing

Authority to the Appellant is as follows: _

___________________________________.

Any other days from the time of last suspension day until return to work shall be

treated as follows: _________

_____________________________________.

(Strike if not applicable) The Appellant agrees to a

_____ resignation in good standing

_____ general resignation

which shall be effective _____________ [date]. Any days from the effective date of

removal to the effective date of resignation shall be treated as follows:

Settlement Agreement Page 2