Common Contracts
1 similar Intergovernmental Personnel Act (Ipa) Assignment Agreement contracts
Intergovernmental Personnel Act (IPA) Assignment AgreementIntergovernmental Personnel Act (Ipa) Assignment Agreement • June 7th, 2012
INSTRUCTIONS: This agreement constitutes the written record of the obligations and responsibilities of the parties to a temporary assignment arranged under the provisions of Title IV of the Intergovernmental Personnel Act (IPA) of 1970 (5U.S.C. 3371-3376). Copies of the completed and signed agreement should be retained by each signatory. Procedural questions on completing the assignment agreement form or on other aspects relating to the IPA program should be addressed to: DeLisia Carpenter, dcarpenter@usaid.gov. PART 1 – NATURE OF ASSIGNMENT AGREEMENT 1. Check all that apply: New Agreement Modification of Existing Agreement Extension of Existing Agreement PART 2 – INFORMATION ON PARTICIPATING EMPLOYEE 2. Name (Last, First, Middle) 3. Social Security Number 4. Home Address (Street, City, State, ZIP Code) 5A. Has assignee ever served on a previous IPA assignment?Yes (complete 5B) No (omit 5B) 5B. Dates of previous IPA assignment(s):From: To: (MM/YYYY) NOTE: If four continuous years are s
