DEPARTMENT OF COMMERCE
UNIT________________ (IF TEMPORARY)
In return for an advance of pay in the amount specified below, I agree to accept
repayment conditions as follows:
1. I understand that this advance shall be recovered by Department of Commerce
procedures for payroll deduction.
2. I understand that the total amount of this advance of pay is $_____________and that
the Department of Commerce shall deduct $____________ for each pay check in a
period no longer than ______________ pay periods beginning on
3. I understand that I may prepay all or part of the balance of this advance of pay to the
Department of Commerce at any time before repayment is due.
4. I understand that if I transfer to another agency or if my employment with the
Department of Commerce is terminated for any reason, the unpaid balance of this
advance of pay is due to the Department of Commerce and must be paid in lump sum.
5. I understand that if I transfer to another agency and do not repay the Department of
Commerce in lump sum before my last official day of duty, the unpaid balance of this
advance of pay will be recovered by salary offset.
6. I understand that if my employment with the Department of Commerce is terminated
for any reason and I have not repaid any remainder of this advance in lump sum, the
balance will be re