Legend and suggested codes
A marker for the last day of each month, H for holidays, and suggested codes such as A annual leave, S sick leave, W absent without leave, L leave without pay, CE and CU compensation time earned and used, and OT overtime.
OF873A
Annual Attendance Record (Clients) (Part-Time Employees) - 2026
- Agency
- GSA
- Revision
- Rev. 1/2026
- Fillable fields
- 1215
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
Optional Form 873A (OF 873A): Annual Attendance Record (Part-Time Employees) - 2026
Optional Form 873A (OF 873A), Annual Attendance Record (Clients) (Part-Time Employees) - 2026, is a two-page yearly record of a part-time employee's pay and leave. The PDF names no issuing agency. GSA hosts it in its forms library. The footer reads OPTIONAL FORM 873A (REV. 1/2026) and says the previous edition is not usable.
The form says it is for timekeepers to use in recording daily and bi-weekly pay and leave activity, and that it is a record of what should be recorded into the official payroll system. Its leave earned table works from hours worked: annual leave of 1 hour per 20, 13 or 10 hours worked by leave category, and 1 hour of sick leave for each 20 worked, regardless of category.
The front has a day by day grid for the 2026 pay periods with hours worked and leave balances, and the back has columns for other leave and premium pay. It is marked CUI When Filled In. You can fill it out free in your browser on this page and download the result without an account.
What's on OF 873A
Leave earned table
Annual leave per pay period of 1 hour per 20, 13 or 10 hours worked for categories 4, 6 and 8. The form says 1 hour of sick leave is earned for each 20 worked, regardless of category.
Pay period grid
One row per pay period, from code 3 (1/11 to 1/24) through code 27 (12/13 to 12/26) and code 1 (12/27 to 1/9), with a box for each day from Sunday to Saturday over two weeks.
Annual and sick leave columns
For each leave type: carryover leave hours and work hours, total hours worked, hours applied to leave earned, balance of hours worked, earned and used this pay period, used to date and balance.
Employee block
Address, name, telephone number, leave category code, block number, service computation date and the entered on or transmittal date.
Back: other types of leave
A grid by pay period for other leave and premium pay. The form lists examples such as Shared (Donated), Restored, Award, Family Friendly, Military and Compensatory Leave, Credit Hours, Sunday Premium and Night Differential.
How to complete OF 873A
- 1
Fill in the employee block
Enter the employee's name, address, telephone number, leave category code, block number, service computation date, and the entered on or transmittal date.
- 2
Enter carryover balances
Record the annual and sick leave carryover in leave hours and work hours at the top of the leave columns.
- 3
Record each day
Mark each day in the pay period grid with the codes in the legend, such as A for annual leave or S for sick leave. Holidays are printed as H.
- 4
Record hours worked and leave
For each pay period, enter total hours worked, hours applied to leave earned and the balance of hours worked, then leave earned and used, used to date and the balance.
- 5
Use the untitled columns
The form says the untitled columns may be used to maintain usage and balances for other leave and premium pay categories that apply to the employee.
- 6
Check against payroll reports
The form says the Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report should agree with the data on this form.
Why fill Form OF873A on indox
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- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Records and handling
Where it goes
The PDF gives no filing address. The form says it is a record of what should be recorded into the official payroll system.
Controlled information
Both pages are marked CUI When Filled In.
Pay periods covered
The grid lists pay periods 3 through 27 and pay period 1, from 1/11 to 1/9, with 2026 holidays printed as H.
Edition
The footer reads OPTIONAL FORM 873A (REV. 1/2026) and PREVIOUS EDITION IS NOT USABLE. GSA's page lists 01/2026 as the current revision date.
Related forms
Who uses OF 873A?
The form describes its own purpose in the paragraph on the back.
Official sources and the blank
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Questions about Form OF873A
Who issues OF 873A?
The PDF names no issuing agency. GSA hosts it in its forms library.
Who fills out OF 873A?
The form says it is for timekeepers to use in recording daily and bi-weekly pay and leave activity. Its title names part-time employees.
How is leave earned on OF 873A?
The leave earned table lists annual leave of 1 hour per 20 worked for category 4, 1 hour per 13 worked for category 6 and 1 hour per 10 worked for category 8. It says 1 hour of sick leave is earned for each 20 worked, regardless of category.
How does OF 873A track hours worked?
The annual and sick leave sections each have columns for total hours worked, hours applied to leave earned and the balance of hours worked, next to leave earned, used and balance.
Is OF 873A the official payroll record?
The form says it is a record of what should be recorded into the official payroll system, while the Earnings and Leave Statement and other reports reflect what is in that system.
Can an older edition be used?
The footer says PREVIOUS EDITION IS NOT USABLE. This edition covers the 2026 pay periods.