Part 7, Chapter 8: Manual Exhibit 7-8-A
Sample Service Agreement
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Employee Name
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Date
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1. Required Service Period With Organization
_____Years _____Months
(6 months to 4 years)
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2. Commencement Date of Service Period
Termination Date of Service Period
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3. Probationary or Training Period Required Before Payment?
_____ Yes _____No
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4. Payment of Incentive
$_____ _____%
Method of Payment
- Lump sum
- Installments by pay period
- Installments by service period (describe)
- Combination of the above
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5. Conditions for Terminating Service Agreement
(Check all that apply)
- Demotion of Separation for Cause_____
- Rating of Record less than Fully Successful_______
- Failure to Fulfill Terms of Service Agreement_____
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6. Conditions Under Which Employee Must Repay Incentive (Describe)
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7. Conditions Under Which Organization May Terminate the Service Agreement for Failure to Complete Service Period
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8. Conditions Under Which Organization Will Pay an Additional Incentive Payment for Partially Completed Service if a Service Agreement is Terminated.
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9. Other Terms or Conditions Resulting in the Termination of the Service Agreement
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10. Criteria for Repayment of an Incentive for Failure to Complete the Specified Length of Service (see Section 575.1 - 60(C)
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