Federal Employee Time-in-Grade Waiver Request Form
Use this form to request a waiver of time-in-grade requirements and provide the qualifications, justification, and supporting information needed for review.
Applicant Information
Applicant Full Name
*
First Name
Middle Name
Last Name
Work Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Agency / Department
*
Current Position Title
*
Series / Grade
Duty Station / Office Location
*
Supervisor Name
*
First Name
Middle Name
Last Name
Supervisor Email
example@example.com
Waiver Request Details
Position Applied For
*
Requested Grade or Target Position
*
Type of Waiver Requested
*
Please Select
Time-in-Grade Waiver
Related Waiver for Promotion Eligibility
Other
Current Time-in-Grade
Amount Short of Requirement (Months)
*
Date Eligible Without Waiver
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Explanation of Waiver Need and Qualification Basis
*
Qualification and Supporting Basis
Highest completed education level
*
Please Select
High school diploma
Associate degree
Bachelor's degree
Master's degree
Doctorate
Professional degree
Other
Relevant training or certifications
Federal HR training
Leadership development
Job-specific technical training
Project management certification
Security clearance training
Other
Specialized experience relevant to the requested waiver
*
Prior federal or public service history supporting eligibility
Notable accomplishments supporting the request
Upload supporting documents
Upload a File
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Supervisor or Recommending Official Review
Supervisor or Recommending Official Name
*
First Name
Middle Name
Last Name
Title
*
Office
*
Recommendation
*
Approve
Do Not Approve
Justification and Remarks
*
Acknowledgment and Submission
Applicant Signature
Certification Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
Submit Request
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