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Form OSLA

This document is a form for United Nations staff to either opt out of or resume participation in the voluntary supplemental funding mechanism for the Office of Staff Legal Assistance. It requires the staff member's name, index number, and signature, along with a date. The decision will take effect from the next payroll cycle following the submission of the form.

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21 views1 page

Form OSLA

This document is a form for United Nations staff to either opt out of or resume participation in the voluntary supplemental funding mechanism for the Office of Staff Legal Assistance. It requires the staff member's name, index number, and signature, along with a date. The decision will take effect from the next payroll cycle following the submission of the form.

Uploaded by

social media
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ST/IC/2014/9

United Nations Nations Unies

Annex II
Opt-out/Resume participation in the voluntary supplemental
funding mechanism for the Office of Staff Legal Assistance

To
The Executive Officer/local human resources officer
Dept./Office/Mission
Duty station

From
Name
Index no.
Dept./Office/Mission
Duty station
Mark only one (1) box below:

I wish to opt out:

I hereby convey my decision to opt out of participation in the voluntary supplemental funding
mechanism and monthly payroll deduction for the supplemental funding of the Office of Staff Legal
Assistance, with effect from the next payroll cycle following the date of signature of this form.

I understand that I may opt back in to the said mechanism in accordance with th e provisions of
information circular ST/IC/2014/9.

Or:

I have previously opted out and wish to resume participation:

I hereby convey my decision to resume participation in the voluntary supplemental funding


mechanism and monthly payroll deduction for the supplemental funding of the Office of Staff Legal
Assistance, with effect from the next payroll cycle following the date of signature of this form.

___________________________________ _________________________
Signature Date

P.36 (2-14)-E

14-25041 1/1

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