Common Contracts
1 similar Length of Agreement contracts
ContractLength of Agreement • September 2nd, 2004
DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health Service Commissioned CorpsOPTOMETRIST RETENTION SPECIAL PAY (ORSP) AGREEMENT(Privacy Act Statement on Page 2) Date Received in CB 1 IDENTIFICATION a. NAME (Last, First, Middle Initial) b. SOCIAL SECURITY NUMBER c. PHS SERIAL NUMBER d. ORGANIZATION e. DUTY PHONE NUMBER f. E-MAIL ADDRESS 2 LENGTH OF AGREEMENT REQUESTED (Check appropriate box) I AGREE TO REMAIN ON ACTIVE DUTY IN THE COMMISSIONED CORPS OF THE PUBLIC HEALTH 12 MONTHS payable in the amount of $6,000.SERVICE (Corps) WITH AN OPTOMETRIST RETENTION SPECIAL PAY (ORSP) OBLIGATION FOR: If I have completed more than 36 months of active-duty in the Corps, I may elect to enter into a 24 MONTHS payable in the amount of $7,000 per year.multiyear ORSP agreement for either a 24- or 36-month period payable as follows: 36 MONTHS payable in the amount of $8,000 per year. 3 CONDITIONS OF AGREEMENT In consideration of payment of the ORSP for which I qualify under 37 U.S.C. 302a(b); Subchapte
