Exhibit








Exhibit 10.19


Your 20XX Long-Term Incentive Award
 Performance. Results. Rewards.


Name:    
Grant Date:    


	
	
	About This Statement

	This personalized statement shows your 20XX Award under the United Technologies Corporation Long-Term Incentive Plan, as amended (the “LTIP”).  The Award shown in this statement is subject to the terms and conditions of the LTIP.


As an __ executive, you receive your Long-Term Incentive Plan award value in three parts:
■  «SAR_»% in Stock Appreciation Rights (“SARs”)
■  «RSU_»% in Restricted Stock Units (“RSUs”)
■  «PSU_»% in Performance Share Units (“PSUs”)

	Your 20XX Long-Term Incentive Plan Award

	How the Award Is Distributed:




	
						
	Type
	Number of Units
	Grant Price
	Estimated Present Value
	Vesting Date
	Expiration Date

	SARs
	 
	 
	 
	 
	 

	RSUs1
	 
	 
	 
	 
	 

	PSUs2
	 
	 
	 
	 
	 

	 
	Total Estimated Present Value:
	 
	 
	 




1-RSUs include any RSUs received as a result of an LTI Choice election.  20XX LTIP RSUs will earn dividends reinvested as additional RSUs during the vesting period.
2-PSU vesting occurs following approval of the performance score by the Committee on Compensation & Executive Development of the UTC Board of Directors in early 20XX.
	
	
	Performance Targets: ■ Three-year Earnings Per Share (“EPS”) Compound Annual Growth Rate (“CAGR”)3
                                      ■ Three-year quarterly average Return on Invested Capital (“ROIC”)3
                                      ■ Relative three-year cumulative Total Shareholder Return (“TSR”) vs. the S&P 500 Index




	
								
	PSU Performance Metrics4
	Weighting
	UTC Achievement
	PSU Vesting

	Threshold
	Target
	Maximum
	Threshold
	Target
	Maximum

	EPS Growth
	 
	 
	 
	 
	 
	 
	 

	ROIC
	 
	 
	 
	 
	 
	 
	 

	Relative TSR
	 
	 
	 
	 
	 
	 
	 




3-Diluted EPS and ROIC are based on continuing operations adjusted for restructuring, nonrecurring and other significant defined non-operational items when necessary to preserve the validity of measured performance.  Refer to the PSU Schedule of Terms for details on how Diluted EPS and ROIC are calculated.
4-Measurement Period: January 1, 20XX through December 31, 20XX.
	
	
	How to Accept Your Award

	You will receive an email from UBS in early March 20XX alerting you that your Award has posted to your UBS account. You must acknowledge and accept the terms and conditions of your Award electronically via UBS One Source.  You can access the UBS One Source site from any computer (using your UBS Participant ID and PIN) at http://www.ubs.com/onesource/utx. 


First time Award recipients will receive their UBS Participant ID from UTC’s Stock Plan Administrator and their temporary password from UBS.


If you do not accept your Award on-line at UBS One Source by June 1, 20XX, your Award will be forfeited.

	The award shown in this statement is nontransferable and is subject to the terms and conditions of the United Technologies Corporation Long-Term Incentive Plan, as amended.  I acknowledge this statement of award, the 2017 Schedule of Terms and the LTIP.  I understand that I am accepting this award subject to the 2017 Schedule of Terms and the LTIP.  In accepting this award, I accept responsibility for any tax liabilities associated with this award at the time of grant, lapse, exercise and/or sale.  I authorize the Company, its Affiliates and its third party administrators to collect, use, process, transfer, and hold my personal data, in electronic or other form, as required for the implementation, administration and management of this award and the LTIP within or outside the country in which I reside or work.