Zie Kone v. Department of the Navy ( 2015 )


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  •                           UNITED STATES OF AMERICA
    MERIT SYSTEMS PROTECTION BOARD
    ZIE KONE,                                       DOCKET NUMBERS
    Appellant,                  PH-0752-13-0217-I-3
    PH-0752-13-0413-I-2
    v.
    DEPARTMENT OF THE NAVY,
    Agency.                             DATE: February 27, 2015
    THIS FINAL ORDER IS NONPRECEDENTIAL 1
    Phillip G. Steck, Albany, New York, for the appellant.
    Richard Dale, Esquire, Newport, Rhode Island, for the agency.
    BEFORE
    Susan Tsui Grundmann, Chairman
    Anne M. Wagner, Vice Chairman
    Mark A. Robbins, Member
    FINAL ORDER
    ¶1         The appellant has filed a petition for review and the agency has filed a
    cross-petition for review of the initial decision, which affirmed both the
    appellant’s 30-day suspension for absence without leave (AWOL) and lack of
    candor and his removal on a single sustained charge of disrespectful conduct. For
    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    A nonprecedential order is one that the Board has determined does not add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 Parties may cite nonprecedential orders,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
    the reasons discussed below, we GRANT the petition for review, DENY the
    cross-petition for review, and MODIFY the initial decision in order to REVERSE
    the 30-day suspension and to substitute a 30-day suspension for the removal.
    Except as expressly MODIFIED by this Final Order, the initial decision is the
    Board’s final decision in these appeals.
    DISCUSSION OF ARGUMENTS ON REVIEW
    ¶2        This consolidated appeal concerns two separate adverse actions taken
    against the appellant, a Senior Research Scientist in the Advanced Concepts
    Division of the Sensors and SONAR Department of the Naval Undersea Warfare
    Center in Newport, Rhode Island. In the first action, the agency proposed to
    suspend the appellant for 30 days based on charges of: (1) AWOL and failure to
    follow proper procedures for requesting leave on three specified dates; and
    (2) lack of candor regarding the appellant’s whereabouts on one of those dates.
    MSPB Docket No. PH-0752-13-0217-I-1, Initial Appeal File (0217-I-1 IAF),
    Tab 4 at 43-47. The agency sustained two of the three specifications of AWOL
    under the first charge, declined to sustain the second charge, and sustained the
    penalty. 
    Id. at 28-31
    . In the second action, the agency removed the appellant on
    three sustained charges: (1) two specifications of AWOL; (2) four specifications
    of providing false/misleading information; and (3) a single specification of
    disrespectful conduct towards his supervisor. MSPB Docket No. PH-0752-13-
    0413-I-1, Initial Appeal File, Tab 1 at 10-21.
    ¶3        In a single initial decision, the administrative judge sustained both of the
    agency’s actions. MSPB Docket No. PH-0752-13-0413-I-2, Initial Appeal File,
    Tab 2, Initial Decision (ID). Regarding the 30-day suspension, the administrative
    judge found that the agency proved only one of the two remaining specifications
    of AWOL and failure to follow proper procedures for requesting leave, involving
    the appellant’s absence on September 5, 2012, but she sustained the charge based
    on that single specification. ID at 4-7. Regarding the appellant’s removal, the
    3
    administrative judge declined to sustain either of the AWOL and providing
    false/misleading   information   charges,   but   she   sustained   the   charge   of
    disrespectful conduct. ID at 7-12. Regarding both actions, the administrative
    judge determined that the agency had not violated the appellant’s rights under the
    Family and Medical Leave Act of 1993 (FMLA) because she found that the
    agency had not imposed on him requirements for taking FMLA leave that were
    more onerous than those required by the FMLA. ID at 12-13. The administrative
    judge rejected the appellant’s affirmative defense of retaliation for engaging in
    protected equal employment opportunity (EEO) activity, finding that his
    misconduct outweighed any motive that the agency officials, who she found were
    aware of the appellant’s EEO activity, might have had to retaliate against him for
    engaging in that activity. ID at 16-18. The administrative judge also found that
    the appellant’s general assertion that the agency violated its own regulations
    concerning core hours, credit hours, and leave requirements was insufficient to
    establish his affirmative defense of harmful procedural error.        ID at 18-19.
    Regarding the sustained misconduct, the administrative judge found that the
    agency established nexus between both actions and the efficiency of the service.
    ID at 14-15. Lastly, the administrative judge found that the 30-day suspension
    and removal were both “reasonable penalties based on the seriousness of the
    AWOL offense and the appellant’s disrespectful conduct.” ID at 19-21.
    ¶4        The appellant filed a timely petition for review, the agency filed a
    cross-petition for review, and the parties both responded to each other’s
    submission. Petition for Review (PFR) File, Tabs 1, 3, 5. As described in the
    following analysis, we reverse the 30-day suspension because the record reflects
    that the appellant requested leave for his September 5, 2012 absence within a
    reasonable period of time appropriate to the circumstances involved, in keeping
    with the pertinent regulation, 
    5 C.F.R. § 630.1208
    (d), as well as with his
    supervisor’s recent past practice. Regarding the removal action, we agree with
    the administrative judge that the agency established only the disrespectful
    4
    conduct charge, but we MODIFY the initial decision to substitute a 30-day
    suspension because the Board has consistently held that removal is not an
    appropriate penalty for a single, first instance of such misconduct.
    The suspension action
    ¶5        The appellant argues in his petition for review that the agency approved him
    for intermittent FMLA leave, specifically covering the dates that the agency
    charged him with AWOL, including the only specified date for which the
    administrative judge sustained the agency’s AWOL charge, September 5, 2012.
    PFR File, Tab 1 at 18; see MSPB Docket No. PH-0752-13-0217-I-2, Initial
    Appeal File (0217-I-2 IAF), Tab 24 at 31-34, 73. The appellant testified that he
    left the office that morning due to debilitating stomach cramps, making it to his
    car with the help of some of his colleagues and then driving far enough to get off
    post, where he parked until his cramping subsided.        Hearing Transcript (HT)
    at 584-89. He further testified that he then drove the short distance remaining to
    his home, where he went straight into a dark room he uses when he has a strong
    migraine and collapsed. 
    Id. at 589
    .
    ¶6        The appellant argues in his petition for review that he subsequently
    provided notice of his need to use his intermittent FMLA leave on an emergency
    basis in a reasonable amount of time appropriate to the circumstances. PFR File
    at 18-19. The agency maintains on review that the appellant was AWOL because
    he failed to request and receive leave approval before departing the office on
    September 5, as required by the agency’s leave instruction.       PFR File, Tab 3
    at 11-14; see 0217-I-2 IAF, Tab 17 at 33. On this point, the agency maintains
    that, because the appellant was able to drive himself home and to call his
    daughter, he was therefore able to give notice before he left the office that
    morning and, because he did not do so, he was AWOL. MSPB Docket No. PH-
    0752-13-0217-I-3, Initial Appeal File (0217-I-3 IAF), Tab 3 at 20-21, 24.
    5
    ¶7         Regarding this specification, the administrative judge found that the
    appellant left the office at 8:30 a.m. on September 5, and did not return that day.
    ID at 5. Citing the testimony of the appellant’s supervisor, the administrative
    judge further found that the appellant had personally reported to his supervisor on
    September 7, that he left the office early on September 5, due to immediate health
    issues. 2 ID at 5; HT at 157. Additionally, the documentary record indicates that
    the appellant requested leave for September 5, via the agency’s time and
    attendance system, but his supervisor denied the request on September 7, because
    the appellant sought to use advance credit hours. 3 0217-I-2 IAF, Tab 24 at 25.
    Thus, the record reflects that the appellant requested leave for his September 5
    absence within 2 days.       Nevertheless, the administrative judge sustained the
    specification, finding that the appellant was absent on September 5, and that he
    failed to properly request leave in accordance with the agency’s leave requesting
    instruction for this absence. ID at 6.
    ¶8         When, as here, an employee’s need for FMLA leave is unforeseeable, and
    leave cannot be requested in advance, the pertinent regulation requires the
    employee to “provide notice within a reasonable period of time appropriate to the
    circumstances involved.” See 
    5 C.F.R. § 630.1207
    (d). Although an agency may
    2
    The appellant may even have reported his September 5 absence the next day. The
    administrative judge found that the appellant reported his September 5 departure to his
    supervisor’s secretary when he called her on September 6, to say that he would not be
    coming in that day, but the testimony cited by the administrative judge actually
    contradicts that finding, compare ID at 5, with HT at 157. Nevertheless, it is clear that
    the appellant reported his September 5 departure, at the very least, within 2 days. See
    HT at 157; see also 0217-I-3 IAF, Tab 3 at 15; PFR File, Tab 3 at 15.
    3
    The appellant’s supervisor instructed him to resubmit his leave request for
    September 5. 0217-I-2 IAF, Tab 24 at 25. The appellant did so, but the resubmitted
    request, which bears the same leave request form number, 507455, instead grants leave
    for September 6. 
    Id. at 28
    . Nevertheless, as discussed below, because the agency’s
    leave instruction provides that an employee may use leave without pay (LWOP) instead
    of credit hours for an FMLA-qualifying absence, the type of leave requested was not
    relevant to whether the appellant’s request should have been approved. See 0217-I-2
    IAF, Tab 17 at 50-51.
    6
    apply its own procedures to leave requests under the FMLA it may not apply a
    more restrictive policy than that provided under the FMLA and may not deny the
    employee leave for failure to follow agency procedures. 
    5 U.S.C. § 6383
    ; Burge
    v. Department of the Air Force, 
    82 M.S.P.R. 75
    , 85, (1999); 
    5 C.F.R. § 1206
    (e).
    ¶9          In this matter, regarding the appellant’s September 5 absence, not only has
    the agency applied a more restrictive notice policy than the “reasonable period of
    time appropriate to the circumstances involved” standard set forth in 
    5 C.F.R. § 630.1207
    (d), it also has applied a more stringent standard than it had applied in
    a similar episode involving the appellant just a few weeks earlier. Specifically,
    the appellant’s supervisor testified that, in August, the appellant had left the
    office early under similar circumstances after calling his daughter to bring him
    home, and, although he acknowledged that the appellant “didn’t notify [him] for a
    couple days later,” because the appellant “notified [him] when he could” the
    supervisor testified “[t]hat was fine.”   HT at 157.    Moreover, the reason the
    appellant’s supervisor rejected the appellant’s timely leave request—because the
    appellant apparently sought to use credit hours that had not yet been credited to
    his account—is an inappropriate basis to deny the request. The agency’s leave
    instruction specifically provides that an employee on FMLA leave may use
    LWOP as a matter of right.      See 0217-I-2 IAF, Tab 17 at 50-51. Thus, the
    appellant, at his option, could use LWOP in lieu of the credit hours he requested
    for the September 5 absence, making the	type of leave requested irrelevant to the
    analysis.   Accordingly, because we do not sustain the only remaining
    specification of AWOL, we REVERSE the appellant’s 30-day suspension.
    The removal action
    ¶10         Save for the reasonableness of the penalty, we agree with the administrative
    judge’s analysis of this action. ID at 7-12. As noted above, the administrative
    judge declined to sustain the interrelated AWOL and providing false/misleading
    information charges, which involved the appellant’s absences on November 1 and
    7
    2, 2012, but she sustained the disrespectful conduct charge.            ID at 7-12.
    Regarding the AWOL and false information charges, the administrative judge
    found that the appellant provided consistent, transparent, and direct testimony
    without contradiction as to his whereabouts on November 1, and considering the
    totality of the circumstances, she found that the appellant requested leave and
    should not have been considered AWOL for that date.          ID at 9.    Concerning
    November 2, the administrative judge found that “the agency failed to present any
    evidence via testimony or timecards regarding the appellant’s AWOL.” ID at 9.
    Thus, the administrative judge found that the agency failed to prove the AWOL
    charge by preponderant evidence.      ID at 9.   Regarding the false information
    charge, again citing the appellant’s straightforward testimony, and finding the
    testimony of the appellant’s supervisor “vague and scattered,” the administrative
    judge found that the agency failed to establish by preponderant evidence that the
    appellant intentionally provided false information on his timecard and she
    therefore did not sustain the charge of providing false/misleading information.
    ID at 9-11.
    ¶11        In its cross-petition for review, the agency argues that, contrary to the
    administrative judge’s finding, the record does not reflect that the appellant
    requested leave in advance for his short absence on November 1. PFR File, Tab 3
    at 9. The appellant testified that he worked almost 9 hours on November 1, well
    in excess of a full day, and that he left the base around 3:30 p.m. to retrieve some
    books he needed for an office presentation that evening, which, because of the
    amount of time he had worked that day, would therefore be covered by credit
    hours earned and taken that day. HT at 447-49, 599-602, 605, 612. Although the
    chronology is unclear, the record nevertheless reflects that the appellant did
    request leave for this absence but that his supervisor denied the request because
    the appellant selected LWOP instead of requesting to use credit hours for the
    absence. 0217-I-2 IAF, Tab 24 at 75; HT at 449. Most importantly though, in the
    remarks section of that denial, the appellant’s supervisor specifically told the
    8
    appellant that he did not believe that the appellant would even need to take leave
    if he both worked at least 8 hours that day and was present during core hours,
    which the supervisor specified as between 9:00 a.m. to 11:00 a.m. and 1:00 p.m.
    to 3:00 p.m. 0217-I-2 IAF, Tab 24 at 75. As noted above, the record reflects that
    the appellant worked more than 8 hours and that he was present during the
    designated core hours on November 1. Thus, we agree with the administrative
    judge that the agency failed to establish that the appellant was AWOL on
    November 1.
    ¶12         Regarding the appellant’s absence on November 2, the agency maintains
    that the appellant was absent after 12:00 noon and that his absence was not
    authorized in advance. PFR File, Tab 3 at 7-8. The appellant testified that he left
    the office at noon with the anticipation of taking his medicine at home, as was his
    usual practice, but he did not return to the office at 1:00 p.m. that day because he
    had a bad reaction to his medicine which essentially rendered him unable to
    contact his supervisor for the rest of the day. HT at 605-06, 610. Moreover, the
    record reflects that the appellant requested leave for this episode on the next
    business day, Monday, November 5, 2012. 0217-I-2 IAF, Tab 24 at 70-71; HT
    at 611.   Thus, just as with the September 5, 2012 absence analyzed in the
    suspension action above, the appellant’s need for FMLA-covered leave in this
    instance was not foreseeable, and we find that the appellant requested leave
    within a reasonable period of time appropriate to the circumstances involved and
    therefore was not AWOL. See 
    5 C.F.R. § 630.1207
    (d). Furthermore, we agree
    with the administrative judge that the appellant’s straightforward explanation of
    the circumstances involved here precludes a finding that he supplied false or
    misleading information with regard to this episode. ID at 10-11.
    ¶13         Regarding the third charge, we agree with the administrative judge that the
    appellant’s November 27, 2012 email to his supervisor was indeed disrespectful.
    ID at 11-12; 0217-I-2 IAF, Tab 21 at 69.        In the email, which the appellant
    testified that he sent because it was the only way he knew to get the attention of
    9
    the higher-ups that he copied on it, HT at 472, he essentially accused his
    supervisor of racism in pursuing his removal and asserted that, in doing so, the
    supervisor was “starting to make a fool” of himself and others, including the
    several members of the agency’s “Upper Management” whom the appellant
    copied on the message, 0217-I-2 IAF, Tab 21 at 69. In his petition for review, the
    appellant explains that he sent the email at issue in response to what he perceived
    as a “badgering” email from his supervisor and that, at the time, he felt
    discriminated against on the basis of race and felt justified in challenging him on
    that basis. PFR File, Tab 1 at 15. The appellant also challenges the penalty,
    arguing that the agency identified no authority supporting removal in a situation
    like this, where the only sustained charge is disrespectful conduct towards a
    supervisor and the record establishes a tense relationship between the parties.
    PFR File, Tab 5 at 6.
    ¶14         Although, as the administrative judge acknowledged, the appellant and his
    supervisor clearly had a contentious relationship, ID at 9, the appellant’s
    frustration does not excuse his conduct. Nevertheless, as noted above, Board law
    is consistent in finding that removal is not appropriate for a single, first instance
    of such misconduct.       E.g., O’Neill v. Department of Housing & Urban
    Development, 
    220 F.3d 1354
    , 1364 (Fed. Cir. 2000) (noting the Board’s
    consistent view that “insolent disrespect toward supervisors so seriously
    undermines the capacity of management to maintain employee efficiency and
    discipline that no agency should be expected to exercise forbearance for such
    conduct more than once”) (quoting Redfearn v. Department of Labor, 
    58 M.S.P.R. 307
    , 316 (1993); see, e.g., Suggs v. Department of Veterans Affairs, 
    113 M.S.P.R. 671
    , ¶ 15 (2010) (a 30-day suspension is the maximum reasonable penalty for
    single sustained specification of disrespectful conduct), aff’d 415 F. App’x 240
    (Fed. Cir. 2011).
    10
    ORDER
    ¶15         We ORDER the agency to restore the appellant effective May 3, 2013, and
    to substitute a 30-day suspension for the removal.           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.
    ¶16         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 undisputed
    amount no later than 60 calendar days after the date of this decision.
    ¶17         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
    took 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).
    ¶18         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).
    ¶19         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 documentation
    necessary to process payments and adjustments resulting from a Board decision
    11
    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 out 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
    WITHIN 60 CALENDAR DAYS OF THE DATE OF THIS DECISION.                          You
    must file your attorney fees motion with the office that issued the initial decision
    on your appeal.
    NOTICE TO THE APPELLANT REGARDING
    YOUR FURTHER REVIEW RIGHTS
    The initial decision, as supplemented by this Final Order, constitutes the
    Board's final decision in this matter. 
    5 C.F.R. § 1201.113
    . You have the right to
    request further review of this final decision.
    Discrimination Claims: Administrative Review
    You may request review of this final decision on your discrimination
    claims by the Equal Employment Opportunity Commission (EEOC). See Title 5
    of the United States Code, section 7702(b)(1) (
    5 U.S.C. § 7702
    (b)(1)). If you
    submit your request by regular U.S. mail, the address of the EEOC is:
    Office of Federal Operations
    Equal Employment Opportunity Commission
    P.O. Box 77960
    Washington, D.C. 20013
    12
    If you submit your request 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, NE
    Suite 5SW12G
    Washington, D.C. 20507
    You should send your request to EEOC no later than 30 calendar days after
    your receipt of this order. If you have a representative in this case, and your
    representative receives this order before you do, then you must file with EEOC no
    later than 30 calendar days after receipt by your representative. If you choose to
    file, be very careful to file on time.
    Discrimination and Other Claims: Judicial Action
    If you do not request EEOC to review this final decision on your
    discrimination claims, you may file a civil action against the agency on both your
    discrimination claims and your other claims in an appropriate United States
    district court. See 
    5 U.S.C. § 7703
    (b)(2). You must file your civil action with
    the district court no later than 30 calendar days after your receipt of this order. If
    you have a representative in this case, and your representative receives this order
    before you do, then you must file with the district court no later than 30 calendar
    days after receipt by your representative. If you choose to file, be very careful to
    file on time. 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
    13
    prepayment of fees, costs, or other security.   See 42 U.S.C. § 2000e-5(f) and
    29 U.S.C. § 794a.
    FOR THE BOARD:                         ______________________________
    William D. Spencer
    Clerk of the Board
    Washington, D.C.
    DFAS CHECKLIST
    INFORMATION REQUIRED BY DFAS IN
    ORDER TO PROCESS PAYMENTS AGREED
    UPON IN SETTLEMENT CASES OR AS
    ORDERED BY THE MERIT SYSTEMS
    PROTECTION BOARD
    AS CHECKLIST: INFORMATION REQUIRED BY IN ORDER TO PROCESS PAYMENTS AGREED UPON IN SETTLEMENT
    CASES
    CIVILIAN PERSONNEL OFFICE MUST NOTIFY CIVILIAN PAYROLL
    OFFICE VIA COMMAND LETTER WITH THE FOLLOWING:
    1. Statement if Unemployment Benefits are to be deducted, with dollar amount, address
    and POC to send.
    2. Statement that employee was counseled concerning Health Benefits and TSP and the
    election forms if necessary.
    3. Statement concerning entitlement to overtime, night differential, shift premium,
    Sunday Premium, etc, with number of hours and dates for each entitlement.
    4. If Back Pay Settlement was prior to conversion to DCPS (Defense Civilian Pay
    System), a statement certifying any lump sum payment with number of hours and
    amount paid and/or any severance pay that was paid with dollar amount.
    5. Statement if interest is payable with beginning date of accrual.
    6. Corrected Time and Attendance if applicable.
    ATTACHMENTS TO THE LETTER SHOULD BE AS FOLLOWS:
    1. Copy of Settlement Agreement and/or the MSPB Order.
    2. Corrected or cancelled SF 50's.
    3. Election forms for Health Benefits and/or TSP if applicable.
    4. Statement certified to be accurate by the employee which includes:
    a. Outside earnings with copies of W2's or statement from employer.
    b. Statement that employee was ready, willing and able to work during the period.
    c. Statement of erroneous payments employee received such as; lump sum leave, severance
    pay, VERA/VSIP, retirement annuity payments (if applicable) and if employee withdrew
    Retirement Funds.
    5. 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.
    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-50's (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.