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Initial Claim Form for IRS Members for Resignation Withdrawal Relief

On Oct. 21, an arbitrator sided with NTEU in finding that the IRS violated Articles 9 and 21 of the contract by denying employees’ requests to withdraw their resignations and retirements before they were effective. The arbitrator ordered a process for affected employees to submit claims, through NTEU, for relief.

If you were affected, please complete this survey by Friday, Nov. 20. NTEU will use your answers to identify and present claims to the IRS. Completing the survey does not guarantee that you will receive relief.
1.From Jan. 28, 2025, to the present, did you request to withdraw your resignation/retirement from the IRS?(Required.)
2.On what date did you submit your request?(Required.)
Date:
3.Did you submit your request in writing?(Required.)
4.Do you have documentation of your written request to withdraw your resignation/retirement?(Required.)
If you answered Yes to Question 4, please keep those records. NTEU may ask you to provide them.
5.Did the IRS deny your request?(Required.)
6.On what date did the IRS deny your request? (Required response, date field, MM/DD/YYYY)(Required.)
Date:
7.Do you have documentation of the IRS’s denial of your written request to withdraw your resignation/retirement?(Required.)
If you answered Yes to Question 7, please keep those records. NTEU may ask you to provide them.
8.Did the IRS deny your request because you signed a DRP, VERA, or VSIP agreement?(Required.)
9.If you answered no to Question 8, what reason did the IRS provide for denying your request?
10.On what date was your resignation/retirement from the IRS effective?(Required.)
Date:
11.Following the effective date of your resignation/retirement, have you earned less wages than you would have had you continued to be employed by the IRS?(Required.)
If you answered Yes to Question 11, NTEU may contact you for additional details as we prepare the claim for relief.
12.I certify that the information I have provided is true and accurate to the best of my knowledge, and I authorize NTEU to share it with the IRS for the purpose of pursuing make-whole relief on my behalf under the October 21, 2026, arbitration award.(Required.)
13.Name:
14.POD:
15.Chapter Number:(Required.)
16.Personal Email Address:(Required.)
17.Phone Number: