Request to Donate Annual Leave (OPM 630-A)
Use this form to donate annual leave to one of the employees below.
Leave Recipient Application (OPM 630)
Use this form to apply to become a leave donor recipient, and be eligible to receive annual leave donated from other Federal employees.
By Servicing Human Resources Office
Please send leave donation forms for the following recipients to:
Cedric D. Simon
USGS, Human Resources Office
12201 Sunrise Valley Drive, MS 157
Reston, VA 20192
Telephone: (703) 648-7407
Fax: (703) 648-4113
Recipients:
Douglas L. Berndt, Biological Science Lab Tech, National Wildlife Health Center, WI
Douglas is off due multiple sclerosis and is currently undergoing inpatient rehab to regain use and rebuild
strength. All donations are appreciated.
Angela K. Brennan, Biologist, Michigan Water Science Center
Angela is recovering from child birth. Any leave donation will be very much appreciated.
Eliza Blanton, Document Control Clerk, Reston, VA
Eliza is in need of annual leave donations. Any leave donations will be very much appreciated.
Barbara B. Cardellichio, Secretary/Executive Assistant, Reston, VA
Barbara Cardellichio is a full time care giver of her husband who has an advanced form of bone marrow cancer. She is in need of annual leave donations. Any leave donations will be very much appreciated.
Brian J. Caskey, Aquatic Biologist, Indiana WSC
Brian is receiving treatment for medical issues associated with NF1. Any leave donation will be very much appreciated.
Felipe Dones-Cardona, Contract Specialist, Tampa Bay, FL
Any leave donations will be very much appreciated.
Ashley P. Elliott, Admin Assistant, Sioux Falls, SD
Ashley is the primary care giver for father who has been diagnosed with terminal cancer. Any leave donations will be very much appreciated.
Rosemarie Graves, Staff Assistant, Reston, VA
Rosemarie is having migraine headaches and seizures. Any leave donations will be very much appreciated.
Mica L. Haesecke, Data Steward, NTC OED
Mica is receiving treatment for breast cancer. She is in need of annual leave donations. Any leave donations will be very much appreciated.
Adrinna R. Harley, Human Resources Specialist, Office of Human Resources
Adrinna is having pregnancy related complications. She is in need of annual leave donations. Any leave donation will be very much appreciated.
Thomas Hubbard, Building Operation Specialist, Administration and Enterprise Information
Thomas suffered a stroke. Any leave donations would be greatly appreciated.
Deborah K. Majors, Hydrologist, Indiana WSC
Deborah is recovering from a serious head injury from a traumatic fall. She is in need of annual leave donations. Any leave donations will be very much appreciated.
Christina A. Ragan, Accounting Tech, NGTOC
Christina is the primary caregiver for her husband whose health is declining from MS and heart disease. Any leave donation will be very much appreciated.
Linda J. Scott, Electronic Publishing Specialist, Science Publishing Network
Linda is having surgery to correct a tethered spinal cord that has been causing debilitating neurologic symptoms. Any leave donation will be very much appreciated.
Jerri Smith, Purchasing Agent, Patuxent Wildlife Research Center
Jerri is the primary care taker for her brother who was in an automobile accident and now suffers from multiple injuries. Any leave donations will be very much appreciated.
Bruce A. Wallace, Cartographer, Reston, VA
Bruce is recovering from on going medical issues and is in need of annual leave donations. Any leave donations will be very much appreciated.
Please send leave donation forms for the following recipients to:
Arcelia Herrera
USGS, Human Resources Office
3020 State University Drive East
Modoc Hall, Suite 2001
Sacramento, CA 95819-2632
Telephone: (916) 278-9391
Fax: (916) 278-9413
Recipients:
Susan Bolyard, Arkansas Water Science Center
Susan has debilitating and disabling joint pain. Any donations would be greatly appreciated.
Shannon Canody-Fink, Volcano Science Center
Shannon has a medical emergency and needs time to recover. Donations appreciated
Tonya Collins, Louisiana Water Science Center
Tonya's husband has a medical emergency and needs to be cared for during his recovery. Donations appreciated.
Debbie Curry, California Water Science Center
Debbie is recovering from surgery. Donations appreciated.
Jennifer Harlan, Pacific Southwest Regional Executive's Office
Jennifer has a medical emergency and needs time to recover. Donations appreciated
Kathryn Koczot, California Water Science Center
Kathryn is recovering from a medical emergency. Donations appreciated.
Lisa Lugo, Earthquake Hazards
Lisa is recovering from Heart Surgery and a stroke. Any donations would be greatly appreciated.
Katherine Merriman, Arkansas Water Science Center
Katherine has a medical emergency and needs time to recover. Donations appreciated.
Richard Paprocki, Branch of Acquisition & Grants
Richard is undergoing concurrent Chemotherapy and Radiation Treatment for Cancer. Donations greatly appreciated.
Betty Ruiz-Olivas, Rocky Mountain Geographic Science Center
Betty is being treated for a medical emergency. Donations appreciated.
Robert Taylor, Louisiana Water Science Center
Robert is being treated for a medical emergency. Donations appreciated
