Karen Moore v. Department of Veterans Affairs ( 2022 )


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  •                            UNITED STATES OF AMERICA
    MERIT SYSTEMS PROTECTION BOARD
    KAREN MOORE,                                    DOCKET NUMBER
    Appellant,                  DA-1221-13-0213-B-1
    v.
    DEPARTMENT OF VETERANS                          DATE: April 12, 2022
    AFFAIRS,
    Agency.
    THIS FINAL ORDER IS NONPRECEDENTIAL 1
    Rosemary Dettling, Esquire, Washington, D.C., for the appellant.
    Brandi M. Powell, New Orleans, Louisiana, for the agency.
    BEFORE
    Raymond A. Limon, Vice Chair
    Tristan L. Leavitt, Member
    FINAL ORDER
    ¶1         The appellant has filed a petition for review of the remand initial decision,
    which directed the agency to provide her with appropriate relief in this individual
    right of action (IRA) appeal. Generally, we grant petitions such as this one only
    in the following circumstances: the initial decision contains erroneous findings
    1
    A nonprecedential order is one that the Board has determined does not add
    significantly to the body of MSPB case law. Parties may cite nonprecedential orders,
    but such orders have no precedential value; the Board and administrative judges are not
    required to follow or distinguish them in any future decisions. In contrast, a
    precedential decision issued as an Opinion and Order has been identified by the Board
    as significantly contributing to the Board’s case law. See 
    5 C.F.R. § 1201.117
    (c).
    2
    of material fact; the initial decision is based on an erroneous interpretation of
    statute or regulation or the erroneous application of the law to the facts of the
    case; the administrative judge’s rulings during either the course of the appeal or
    the initial decision were not consistent with required procedures or involved an
    abuse of discretion, and the resulting error affected the outcome of the case; or
    new and material evidence or legal argument is available that, despite the
    petitioner’s due diligence, was not available when the record closed. Title 5 of
    the Code of Federal Regulations, section 1201.115 ( 
    5 C.F.R. § 1201.115
    ). After
    fully considering the filings in this appeal, we conclude that the petitioner has not
    established any basis under section 1201.115 for granting the petition for review.
    Therefore, we DENY the petition for review and AFFIRM the remand initial
    decision, which is now the Board’s final decision. 
    5 C.F.R. § 1201.113
    (b).
    DISCUSSION OF ARGUMENTS ON REVIEW
    ¶2         The appellant was a Medical Support Assistant with the Primary
    Care‑Compensation and Pension Unit (PCCPU) of the agency’s Medical Center
    in   Shreveport,    Louisiana.    Moore    v.   Department   of   Veterans   Affairs,
    MSPB Docket No. DA-1221-13-0213-W-1, Initial Appeal File (IAF), Tab 4,
    Subtabs 4a, 4e.     In April 2012, she sent an email to the agency’s Employee
    Relations office alleging harassment by her supervisor. IAF, Tab 7 at 12-14. In
    April 2012, she also sent a letter to the agency’s Office of the Inspector General
    alleging the same and claiming that management had not taken remedial action.
    
    Id. at 6-11
    . Effective June 2012, the agency reassigned her from the PCCPU to
    the Primary Care-Red Team within her Shreveport duty station without a change
    in job title, pay or benefits. IAF, Tab 4, Subtab 4e.
    ¶3         Subsequently, the appellant applied and was selected for the Office
    Automation Assistant position with the agency’s Medical Center in Dallas, Texas,
    and relocated there.    IAF, Tab 4, Subtab 4g. Shortly thereafter, she filed the
    instant appeal alleging that her reassignment within the Shreveport duty station
    3
    was in retaliation for whistleblowing activity. IAF, Tab 1 at 4 -6, 11-12. The
    administrative judge denied corrective action. IAF, Tab 21 at 1, 6 -8. On review,
    the Board reversed, awarded corrective action, and remanded the case for further
    development as to the appropriate scope of relief.              Moore v. Department of
    Veterans Affairs, MSPB Docket No. DA-1221-13-0213-W-1, Remand Order,
    ¶¶ 13-14 (Mar. 10, 2015); Petition for Review File, Tab 14, ¶¶ 13-14.
    ¶4            On remand, the administrative judge directed the appellant to clarify the
    relief    she    was   seeking.     Moore      v.   Department    of   Veterans   Affairs,
    MSPB Docket No. DA-1221-13-0213-B-1, Remand File (RF), Tab 10 at 1. In
    response, the appellant stated that she sought: (1) attorney fees; (2) “back pay for
    the promotion, bonuses, and step increases she would have received if she was
    not unlawfully transferred”; (3) reinstatement to her PCCPU position “with step
    increases,      bonuses,   and    promotions    received   by    her   co-workers”;   (4)
    “consequential and/or compensatory damages in the amount of $150,000.00”; (5)
    costs of her relocation from Shreveport to Dallas; (6) unspecified medical costs;
    and (7) interest on all of the above. RF, Tab 11 at 4-5. The administrative judge
    then issued the remand initial decision, directing the agency to provide the
    appellant with such relief that would place her as nearly as possible in the same
    situation as she would have been in had the agency not retaliated against her, pay
    her back pay, with interest, and adjust her benefits with appropriate credits and
    deductions. RF, Tab 13, Remand Initial Decision (RID) at 3. The administrative
    judge also advised the appellant that she could seek attorney fees and
    consequential damages in addendum proceedings. RID at 3 n.*, 8 -11.
    ¶5            The appellant has timely petitioned for review.           Re mand Petition for
    Review File, Tab 1. While the appellant does not challenge the administrative
    judge’s determination as to the merits of her appeal or his guidance that her
    request for attorney fees should be adjudicated in an addendum proceeding, the
    appellant asserts that the administrative judge erred in not addressing her request
    4
    for damages in the remand initial decision issued in the proceeding on the merits.
    
    Id. at 7-8
    . We disagree.
    ¶6         Under 
    5 C.F.R. § 1201.202
    (e)(1), “[a] proceeding on the merits is a
    proceeding to decide an appeal of an agency action ,” that is, to determine whether
    the appellant should be restored to the status quo ante. Gilbert v. Department of
    the Interior, 
    101 M.S.P.R. 238
    , ¶ 5 (2006). Status quo ante relief requires, in
    most instances, restoring the appellant to the position she occupied prior to the
    removal action or placing her in a position that is substantially equivalent. Gorny
    v. Department of the Interior, 
    115 M.S.P.R. 520
    , ¶ 6 (2011); see Gilbert,
    
    101 M.S.P.R. 238
    , ¶ 5 (explaining that an appellant who prevails in an IRA
    appeal is entitled to cancellation of the retaliatory personnel action , reinstatement
    to his former position or a substantially equivalent position, back pay, interest on
    back pay, and other employment benefits he would have received had the action
    not occurred).
    ¶7         In addition, an appellant who prevails on an allegation of reprisal for
    whistleblowing is entitled to relief that exceeds status quo ante relief, including
    consequential damages. Samble v. Department of Defense, 
    98 M.S.P.R. 502
    , ¶ 15
    (2005). Consequential damages are medical costs, travel expenses and analogous
    reasonable and foreseeable out-of-pocket expenses or monetary losses that are
    causally connected to the whistleblowing reprisal at issue. Bohac v. Department
    of Agriculture, 
    239 F.3d 1334
    , 1341-42 (Fed. Cir. 2001); King v. Department of
    the Air Force, 
    119 M.S.P.R. 663
    , ¶ 28 (2013). While a “request for consequential
    . . . damages must be made during the proceeding on the merits,” 
    5 C.F.R. § 1201.204
    (a)(1), a distinct and separate addendum proceeding is commenced to
    adjudicate such a request upon a prevailing appellant’s filing of a motion to that
    5
    effect, Chambers v. Department of the Interior, 
    116 M.S.P.R. 17
    , 58 (2011);
    
    5 C.F.R. § 1201.204
    (d)(1)-(e)(1). 2
    ¶8          Such a motion, however, cannot be filed, and no addendum proceeding may
    commence, until the issuance of the final decision in a proceeding on the merits.
    
    5 C.F.R. §§ 1201.202
    (e)(2), 1201.204(e)(1). Generally, the final decision in the
    proceeding on the merits may be an initial decision issued by an administrative
    judge that becomes final when the Board denies all petitions for review or
    because of a mere passage of time if no party petitions for review or requests to
    vacate the initial decision to accept a settlement. 
    5 C.F.R. § 1201.113
    (a)-(b).
    ¶9          Here, the administrative judge (1) directed the agency to restore the
    appellant to the status quo ante in the remand initial decision issued in the
    proceeding on the merits, and (2) advised the appellant that she could seek
    attorney fees and consequential damages by commencing addendum proceedings.
    RID at 3 n.*, 8-11.     Had the appellant not filed her petition for review, the
    remand initial decision would have become the Board’s final decision upon the
    passage of 35 days after its issuance, given that the agency elected not to seek
    review. 
    5 C.F.R. § 1201.113
    (a). However, because the appellant filed a petition
    for review, the remand initial decision cannot become final until the petition for
    review is adjudicated.      
    5 C.F.R. § 1201.113
    (a)-(b).        Thus, any addendum
    proceeding as to the appellant’s request for damages is premature.            
    5 C.F.R. § 1201.202
    (e)(2).
    ¶10         In light of prematurity of any addendum proceeding, the administrative
    judge properly declined to adjudicate the appellant’s request for consequential
    damages until the proceeding on the merits became final.            Accordingly, we
    2
    Consistent with section 1201.204(d)(1), it has been the Board’s practice to bifurcate
    prevailing appellants’ requests for consequential damages for adjudication in addendum
    proceedings. See, e.g., Johnston v. Department of the Treasury, 
    100 M.S.P.R. 78
    , ¶¶ 1,
    12 (2005); Pastor v. Department of Veterans Affairs, 
    94 M.S.P.R. 353
    , ¶ 2 (2003);
    Carson v. Department of Energy, 
    92 M.S.P.R. 440
    , ¶¶ 1, 14-15 (2002), aff’d,
    
    64 F. App’x 234
     (Fed. Cir. 2003).
    6
    discern no basis to disturb the remand initial decision and deny the petition for
    review.
    ORDER
    ¶11         We ORDER the agency to provide the appellant with relief such that she is
    placed as nearly as possible in the same situation as she would have been in had
    the agency not reassigned her in retaliation for whistleblowing.         See Kerr v.
    National Endowment for the Arts, 
    726 F.2d 730
     (Fed. Cir. 1984). The agency
    must complete this action no later than 20 days after the date of this decision.
    ¶12         We also ORDER the agency to pay the appellant the correct amount of back
    pay, interest on back pay, and other benefits under the Office of Personnel
    Management’s regulations, no later than 60 calendar days after the date of this
    decision. We ORDER the appellant to cooperate in good faith in the agency’s
    efforts to calculate the amount of back pay, interest, and benefits due, and to
    provide all necessary information the agency requests to help it carry out the
    Board’s Order. If there is a dispute about the amount of back pay, interest due,
    and/or other benefits, we ORDER the agency to pay the appellant the un disputed
    amount no later than 60 calendar days after the date of this decision.
    ¶13         We further ORDER the agency to tell the appellant promptly in writing
    when it believes it has fully carried out the Board’s Order and of the actions it has
    taken to carry out the Board’s Order. The appellant, if not notified, should ask
    the agency about its progress. See 
    5 C.F.R. § 1201.181
    (b).
    ¶14         No later than 30 days after the agency tells the appellant that it has fully
    carried out the Board’s Order, the appellant may file a petition for enforcement
    with the office that issued the initial decision on this appeal if the appellant
    believes that the agency did not fully carry out the Board’s Order. The petition
    should contain specific reasons why the appellant believes that the agency has not
    fully carried out the Board’s Order, and should include the dates and results of
    any communications with the agency. 
    5 C.F.R. § 1201.182
    (a).
    7
    ¶15        For agencies whose payroll is administered by either the National Finance
    Center of the Department of Agriculture (NFC) or the Defense Finance and
    Accounting Service (DFAS), two lists of the information and docum entation
    necessary to process payments and adjustments resulting from a Board decision
    are attached. The agency is ORDERED to timely provide DFAS or NFC with all
    documentation necessary to process payments and adjustments resulting from the
    Board’s decision in accordance with the attached lists so that payment can be
    made within the 60‑day period set forth above.
    NOTICE TO THE APPELLANT REGARDING
    YOUR RIGHT TO REQUEST
    ATTORNEY FEES AND COSTS
    You may be entitled to be paid by the agency for your reasonable attorney
    fees and costs. To be paid, you must meet the requirements set forth at title 5 of
    the United States Code (5 U.S.C.), sections 7701(g), 1221(g), or 1214(g). The
    regulations may be found at 
    5 C.F.R. §§ 1201.201
    , 1201.202, and 1201.203. If
    you believe you meet these requirements, you must file a motion for attorney fees
    and costs WITHIN 60 CALENDAR DAYS OF THE DATE OF THIS DECISION.
    You must file your motion for attorney fees and costs with the office that issued
    the initial decision on your appeal.
    NOTICE TO THE APPELLANT
    REGARDING YOUR RIGHT TO REQUEST
    CONSEQUENTIAL DAMAGES
    You may be entitled to be paid by the agency for your consequential
    damages, including medical costs incurred, travel expenses, and any other
    reasonable and foreseeable consequential damages. To be paid, you must meet
    the requirements set out at 
    5 U.S.C. §§ 1214
    (g) or 1221(g). The regulations may
    be found at 
    5 C.F.R. §§ 1201.201
    , 1201.202, and 1201.204. If you believe you
    meet these requirements, you must file a motion for consequential damages
    WITHIN 60 CALENDAR DAYS OF THE DATE OF THIS DECISION.                        You
    8
    must file your motion with the office that issued the initial decision on your
    appeal.
    NOTICE TO THE PARTIES
    A copy of the decision will be referred to the Special Counsel “to
    investigate and take appropriate action under [5 U.S.C.] section 1215,” based on
    the determination that “there is reason to believe that a current employee may
    have committed a prohibited personnel practice” under 
    5 U.S.C. § 2302
    (b)(8) or
    section 2302(b)(9)(A)(i), (B), (C), or (D). 
    5 U.S.C. § 1221
    (f)(3). Please note that
    while any Special Counsel investigation related to this decision is pending, “no
    disciplinary action shall be taken against any employee for any alleged prohibited
    activity under investigation or for any related activity without the approval of the
    Special Counsel.” 
    5 U.S.C. § 1214
    (f).
    NOTICE OF APPEAL RIGHTS 3
    You may obtain review of this final decision. 
    5 U.S.C. § 7703
    (a)(1). By
    statute, the nature of your claims determines the time limit for seeking such
    review and the appropriate forum with which to file.              
    5 U.S.C. § 7703
    (b).
    Although we offer the following summary of available appeal rights, the Merit
    Systems Protection Board does not provide legal advice on which option is most
    appropriate for your situation and the rights described below do not represent a
    statement of how courts will rule regarding which cases fall within their
    jurisdiction.   If you wish to seek review of this final decision, you should
    immediately review the law applicable to your claims and carefully follow all
    filing time limits and requirements. Failure to file within the applicable time
    limit may result in the dismissal of your case by your chosen forum.
    3
    Since the issuance of the initial decision in this matter, the Board may have updated
    the notice of review rights included in final decisions. As indicated in the notice, the
    Board cannot advise which option is most appropriate in any matter.
    9
    Please read carefully each of the three main possible choic es of review
    below to decide which one applies to your particular case. If you have questions
    about whether a particular forum is the appropriate one to review your case, you
    should contact that forum for more information.
    (1) Judicial review in general. As a general rule, an appellant seeking
    judicial review of a final Board order must file a petition for review with the U.S.
    Court of Appeals for the Federal Circuit, which must be received by the court
    within 60 calendar days of the date of issuance of this decision.                 
    5 U.S.C. § 7703
    (b)(1)(A).
    If you submit a petition for review to the U.S. Court of Appeals for the
    Federal   Circuit,   you   must   submit    your   petition    to   the   court    at   the
    following address:
    U.S. Court of Appeals
    for the Federal Circuit
    717 Madison Place, N.W.
    Washington, D.C. 20439
    Additional information about the U.S. Court of Appeals for the Federal
    Circuit is available at the court’s website, www.cafc.uscourts.gov. Of partic ular
    relevance is the court’s “Guide for Pro Se Petitioners and Appellants,” which is
    contained within the court’s Rules of Practice, and Forms 5, 6, 10, and 11.
    If you are interested in securing pro bono representation for an appeal to
    the U.S. Court of Appeals for the Federal Circuit, you may visit our website at
    http://www.mspb.gov/probono for information regarding pro bono representation
    for Merit Systems Protection Board appellants before the Federal Circuit. The
    Board neither endorses the services provided by any attorney nor warrants that
    any attorney will accept representation in a given case.
    (2) Judicial   or    EEOC    review     of   cases      involving   a   claim      of
    discrimination. This option applies to you only if you have claimed that you
    10
    were affected by an action that is appealable to the Board and that such action
    was based, in whole or in part, on unlawful discrimination. If so, you may obtain
    judicial review of this decision—including a disposition of your discrimination
    claims—by filing a civil action with an appropriate U.S. district court (not the
    U.S. Court of Appeals for the Federal Circuit), within 30 calendar days after you
    receive this decision.     
    5 U.S.C. § 7703
    (b)(2); see Perry v. Merit Systems
    Protection Board, 
    582 U.S. ____
     , 
    137 S. Ct. 1975 (2017)
    .          If you have a
    representative in this case, and your representative re ceives this decision before
    you do, then you must file with the district court no later than 30 calendar days
    after your representative receives this decision. If the action involves a claim of
    discrimination based on race, color, religion, sex, national origin, or a disabling
    condition, you may be entitled to representation by a court ‑appointed lawyer and
    to waiver of any requirement of prepayment of fees, costs, or other security. See
    42 U.S.C. § 2000e-5(f) and 29 U.S.C. § 794a.
    Contact information for U.S. district courts can be found at their respective
    websites, which can be accessed through the link below:
    http://www.uscourts.gov/Court_Locator/CourtWebsites.aspx.
    Alternatively, you may request review by the Equal Employment
    Opportunity Commission (EEOC) of your discrimination claims only, excluding
    all other issues. 
    5 U.S.C. § 7702
    (b)(1). You must file any such request with the
    EEOC’s Office of Federal Operations within 30 calendar days after you receive
    this decision. 
    5 U.S.C. § 7702
    (b)(1). If you have a representative in this case,
    and your representative receives this decision before you do, then you must file
    with the EEOC no later than 30 calendar days after your representative receives
    this decision.
    If you submit a request for review to the EEOC by regular U.S. mail, the
    address of the EEOC is:
    11
    Office of Federal Operations
    Equal Employment Opportunity Commission
    P.O. Box 77960
    Washington, D.C. 20013
    If you submit a request for review to the EEOC via commercial delivery or
    by a method requiring a signature, it must be addressed to:
    Office of Federal Operations
    Equal Employment Opportunity Commission
    131 M Street, N.E.
    Suite 5SW12G
    Washington, D.C. 20507
    (3) Judicial     review   pursuant     to   the   Whistleblower       Protection
    Enhancement Act of 2012. This option applies to you only if you have raised
    claims of reprisal for whistleblowing disclosures under 
    5 U.S.C. § 2302
    (b)(8) or
    other protected activities listed in 
    5 U.S.C. § 2302
    (b)(9)(A)(i), (B), (C), or (D).
    If so, and your judicial petition for review “raises no challenge to the Boar d’s
    disposition of allegations of a prohibited personnel practice described in section
    2302(b) other than practices described in section 2302(b)(8), or 2302(b)(9)(A)(i),
    (B), (C), or (D),” then you may file a petition for judicial review either with the
    U.S. Court of Appeals for the Federal Circuit or any court of appeals of
    competent jurisdiction. 4   The court of appeals must receive your petition for
    review within 60 days of the date of issuance of this decision.               
    5 U.S.C. § 7703
    (b)(1)(B).
    4
    The original statutory provision that provided for judicial review of certain
    whistleblower claims by any court of appeals of competent jurisdiction expired on
    December 27, 2017. The All Circuit Review Act, signed into law by the President on
    July 7, 2018, permanently allows appellants to file petitions for judicial review of
    MSPB decisions in certain whistleblower reprisal cases with the U.S. Court of Appeals
    for the Federal Circuit or any other circuit court of appeals of competent jurisdiction.
    The All Circuit Review Act is retroactive to November 26, 2017. Pub. L. No. 115 -195,
    
    132 Stat. 1510
    .
    12
    If you submit a petition for judicial review to the U.S. Court of Appeals for
    the Federal Circuit, you must submit your petition to the court at the
    following address:
    U.S. Court of Appeals
    for the Federal Circuit
    717 Madison Place, N.W.
    Washington, D.C. 20439
    Additional information about the U.S. Court of Appeals for the Federal
    Circuit is available at the court’s website, www.cafc.uscourts.gov. Of particular
    relevance is the court’s “Guide for Pro Se Petitioners and Appellants,” which is
    contained within the court’s Rules of Practice, and Forms 5, 6, 10, and 11.
    If you are interested in securing pro bono representation for an appeal to
    the U.S. Court of Appeals for the Federal Circuit, you may visit ou r website at
    http://www.mspb.gov/probono for information regarding pro bono representation
    for Merit Systems Protection Board appellants before the Federal Circuit. The
    Board neither endorses the services provided by any attorney nor warrants that
    any attorney will accept representation in a given case.
    Contact information for the courts of appeals can be found at their
    respective websites, which can be accessed through the link below:
    http://www.uscourts.gov/Court_Locator/CourtWebsites.aspx.
    FOR THE BOARD:                            /s/ for
    Jennifer Everling
    Acting Clerk of the Board
    Washington, D.C.
    13
    DEFENSE FINANCE AND ACCOUNTING SERVICE
    Civilian Pay Operations
    DFAS BACK PAY CHECKLIST
    The following documentation is required by DFAS Civilian Pay to compute and pay back pay
    pursuant to 
    5 CFR § 550.805
    . Human resources/local payroll offices should use the following
    checklist to ensure a request for payment of back pay is complete. Missing documentation may
    substantially delay the processing of a back pay award. More information may be found at:
    https://wss.apan.org/public/DFASPayroll/Back%20Pay%20Process/Forms/AllItems.aspx.
    NOTE: Attorneys’ fees or other non-wage payments (such as damages) are paid by
    vendor pay, not DFAS Civilian Pay.
    ☐ 1) Submit a “SETTLEMENT INQUIRY - Submission” Remedy Ticket. Please identify the
    specific dates of the back pay period within the ticket comments.
    Attach the following documentation to the Remedy Ticket, or provide a statement in the ticket
    comments as to why the documentation is not applicable:
    ☐ 2) Settlement agreement, administrative determination, arbitrator award, or order.
    ☐ 3) Signed and completed “Employee Statement Relative to Back Pay”.
    ☐ 4) All required SF50s (new, corrected, or canceled). ***Do not process online SF50s
    until notified to do so by DFAS Civilian Pay.***
    ☐ 5) Certified timecards/corrected timecards. ***Do not process online timecards until
    notified to do so by DFAS Civilian Pay.***
    ☐ 6) All relevant benefit election forms (e.g. TSP, FEHB, etc.).
    ☐ 7) Outside earnings documentation. Include record of all amounts earned by the employee
    in a job undertaken during the back pay period to replace federal employment.
    Documentation includes W-2 or 1099 statements, payroll documents/records, etc. Also,
    include record of any unemployment earning statements, workers’ compensation,
    CSRS/FERS retirement annuity payments, refunds of CSRS/FERS employee premiums,
    or severance pay received by the employee upon separation.
    Lump Sum Leave Payment Debts: When a separation is later reversed, there is no authority
    under 
    5 U.S.C. § 5551
     for the reinstated employee to keep the lump sum annual leave payment
    they may have received. The payroll office must collect the debt from the back pay award. The
    annual leave will be restored to the employee. Annual leave that exceeds the annual leave
    ceiling will be restored to a separate leave account pursuant to 
    5 CFR § 550.805
    (g).
    NATIONAL FINANCE CENTER CHECKLIST FOR BACK PAY CASES
    Below is the information/documentation required by National Finance Center to process
    payments/adjustments agreed on in Back Pay Cases (settlements, restorations) or as ordered by
    the Merit Systems Protection Board, EEOC, and courts.
    1. Initiate and submit AD-343 (Payroll/Action Request) with clear and concise information
    describing what to do in accordance with decision.
    2. The following information must be included on AD-343 for Restoration:
    a.   Employee name and social security number.
    b.   Detailed explanation of request.
    c.   Valid agency accounting.
    d.   Authorized signature (Table 63).
    e.   If interest is to be included.
    f.   Check mailing address.
    g.   Indicate if case is prior to conversion. Computations must be attached.
    h.   Indicate the amount of Severance and Lump Sum Annual Leave Payment to be
    collected (if applicable).
    Attachments to AD-343
    1. Provide pay entitlement to include Overtime, Night Differential, Shift Premium, Sunday
    Premium, etc. with number of hours and dates for each entitlement (if applicable).
    2. Copies of SF-50s (Personnel Actions) or list of salary adjustments/changes and amounts.
    3. Outside earnings documentation statement from agency.
    4. If employee received retirement annuity or unemployment, provide amount and address to
    return monies.
    5. Provide forms for FEGLI, FEHBA, or TSP deductions. (if applicable)
    6. If employee was unable to work during any or part of the period involved, certification of the
    type of leave to be charged and number of hours.
    7. If employee retires at end of Restoration Period, provide hours of Lump Sum Annual Leave
    to be paid.
    NOTE: If prior to conversion, agency must attach Computation Worksheet by Pay Period and
    required data in 1‑7 above.
    The following information must be included on AD-343 for Settlement Cases: (Lump Sum
    Payment, Correction to Promotion, Wage Grade Increase, FLSA, etc.)
    a. Must provide same data as in 2, a-g above.
    b. Prior to conversion computation must be provided.
    c. Lump Sum amount of Settlement, and if taxable or non-taxable.
    If you have any questions or require clarification on the above, please contact NFC’s
    Payroll/Personnel Operations at 504-255-4630.
    

Document Info

Docket Number: DA-1221-13-0213-B-1

Filed Date: 4/12/2022

Precedential Status: Non-Precedential

Modified Date: 2/22/2023