Basic Information



  • Click here to download the form

    • Part A pertains to and is to be completed by the Leave Donor, aside from Box 10 which asks for information about the recipient.
      • Here is the information for that section:
        • Brandi Garrett US Department of State SA-2 Washington, DC 20520
    • Part B is to be completed by the employing agency of the Leave Donor. Use the information about the recipient (Brandi Garrett) below, and send to her HR Rep:
      • Swati Limaye via fax 202-485-7132 or email