Court Opinion

ID: 9400387
Source: CourtListenerOpinion
Date Created: 2023-06-08 06:00:16.13863+00
Date Added: 2024-06-11T17:19:44.794571
License: Public Domain

UNITED STATES OF AMERICA
                        MERIT SYSTEMS PROTECTION BOARD

     CLARENCE J. RODEN,                              DOCKET NUMBER
                   Appellant,                        SF-0752-18-0661-I-1

                  v.

     DEPARTMENT OF HOMELAND                          DATE: June 7, 2023
       SECURITY,
                 Agency.

             THIS FINAL ORDER IS NONPRECEDENTIAL 1

           Clarence J. Roden, Gainesville, Georgia, pro se.

           Nicholas R. Hankey, Washington, D.C., for the agency.

                                           BEFORE

                               Cathy A. Harris, Vice Chairman
                                Raymond A. Limon, Member

                                       FINAL ORDER

¶1         The agency has filed a petition for review of the initial decision, which
     reversed the appellant’s indefinite suspension. Generally, we grant petitions such
     as this one only in the following circumstances:        the initial decision contains
     erroneous findings of material fact; the initial dec ision is based on an erroneous

     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        A nonprecedential order is one that the Board has determined does not add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 Parties may cite nonprecedential orders,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

     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.          Except as expressly
     MODIFIED to reverse the indefinite suspension for failure to prove the charge
     rather than for a due process violation, we AFFIRM the initial decision.

                     DISCUSSION OF ARGUMENTS ON REVIEW
¶2         The appellant was employed as a physical security specialist with the
     Federal Protective Service.    Initial Appeal File (IAF), Tab 9 at 19.      He was
     arrested in March 2013 for brandishing a weapon in a motor vehicle, a felony
     under California law. Upon learning of the arrest, the agency initially placed the
     appellant on administrative leave, then returned him to work performing
     administrative duties. Id. at 69-72.
¶3         The State of California filed a felony criminal complaint against the
     appellant on October 7, 2013. Id. at 63. The appellant was arraigned the same
     day and pled not guilty. Id. at 58. The court scheduled a preliminary hearing for
     November 12, 2013. Id.
¶4         By letter dated October 9, 2013, the agency proposed to indefinitely
     suspend the appellant based on the pending criminal charges.            IAF, Tab 9
     at 52-53. In proposing the indefinite suspension, the agency cited the criminal
     complaint filed against the appellant 2 days earlier. The agency also indicated
     that the court had found probable cause to believe that the appellant had
                                                                                            3

     committed the charged offense during the proceedings on October 7, 2013. Id.
     The appellant replied to the proposed indefinite suspension both orally and in
     writing. Id. at 38-51. By letter dated October 31, 2013, the agenc y issued a
     decision suspending the appellant indefinitely pending the outcome of the
     criminal case against him and any subsequent agency investigation and adverse
     action. Id. at 20-30.
¶5         The appellant filed an equal employment opportunity complaint challeng ing
     his suspension.    IAF, Tab 7 at 15-21.      In April 2018, the Equal Employment
     Opportunity Commission returned the appellant’s mixed-case complaint to the
     agency for issuance of a Final Agency Decision.           IAF, Tab 6 at 54 -56.      The
     appellant filed this appeal on July 16, 2018. IAF, Tab 3.
¶6         After holding the appellant’s requested hearing, the administrative judge
     issued an initial decision reversing the appellant’s indefinite suspension. IAF,
     Tab 41, Initial Decision (ID).        He found that the agency had violat ed the
     appellant’s due process rights by considering aggravating factors relating to its
     penalty determination without giving the appellant notice of and an opportunity to
     respond to those factors. ID at 4-6. The administrative judge found that the
     appellant failed to prove his affirmative defenses of discrimination based on race
     or uniformed service. ID at 6-13.
¶7         The agency has petitioned for review of the initial decision. Petition for
     Review (PFR) File, Tab 3. On review, the agency argues that the ad ministrative
     judge erred in finding a due process violation.         The appellant did not file a
     response to the petition for review. 2

     2
       The deadline to respond to the petition for review or file a cross petition for review
     was June 22, 2019. PFR File, Tab 4. The appellant filed a request for an extension of
     time on August 7, 2019, more than a month after the filing deadline. PFR File, Tab 6.
     The Office of the Clerk of the Board rejected the extension request as untimely. PFR
     File, Tab 7. The appellant subsequently requested leave to file an additional pleading.
     PFR File, Tab 8. The appellant’s request fails to describe the nature of and need for the
     additional pleading, and therefore it is DENIED. See 5 C.F.R. § 1201.114(a)(5).
                                                                                       4

¶8        Among the limited circumstances in which the Board and its reviewing
     court have approved the use of indefinite suspensions is w hen the agency has
     reasonable cause to believe an employee has committed a crime for which a
     sentence of imprisonment could be imposed.             Gonzalez v. Department of
     Homeland Security, 114 M.S.P.R. 318, ¶ 13 (2010).          The Board has defined
     “reasonable cause” as “probable cause,” or “[a]n apparent state of facts found to
     exist upon reasonable inquiry (that is such inquiry as the given ca se renders
     convenient and proper) which would induce in a reasonably intelligent and
     prudent man to believe, in a criminal case, that the accused person had committed
     the crime charged. . . .” Martin v. Department of the Treasury, 12 M.S.P.R. 12,
     18 (1982) (quoting Black’s Law Dictionary, Revised 4th Ed., 1968, at 1365), aff’d
     in part, rev’d in part sub nom. Brown v. Department of Justice, 715 F.2d 662
     (D.C. Cir. 1983), and aff’d sub nom. Otherson v. Department of Justice, 728 F.2d
     1513 (D.C. Cir. 1984); apparent inconsistency between Martin and another Board
     decision recognized in Dunnington v. Department of Justice, 956 F.2d 1151, 1155
     (Fed. Cir. 1992); Martin modified by Barresi v. U.S. Postal Service, 65 M.S.P.R.
     656, 663 n.5 (1994). Applying this standard, the Board in Martin determined that
     an indictment is sufficient to establish reasonable cause, whereas an investigation
     alone is insufficient to establish reasonable cause.    Martin, 12 M.S.P.R. at 19.
     The Board further determined that an arrest accompanied by certain other
     circumstances could suffice. It cited as one example of such circumstances the
     employee being held for further legal action by a magistrate. Id.
¶9        In proposing and effecting the appellant’s suspension, the agency indicated
     that a judicial officer had found probable cause to detain the appellant on the
     felony charge initiated against him on October 7, 2013. IAF, Tab 9 at 21, 53.
     However, the record does not support the agency’s characterization of the
     proceedings on that date. According to the criminal docket records submitted by
     the agency, the appellant appeared in court on October 7, 2013, pled not guilty to
                                                                                       5

      the felony charge against him, and was ordered to appear for a preliminary
      hearing the following month. Id. at 58.
¶10        Under California criminal law, the state can initiate a felony prosecution
      through an indictment or an information. Cal. Penal Code § 737. When seeking a
      criminal information, the state first files a criminal complaint, Cal. Penal Code
      § 738, as it did here, IAF, Tab 9 at 63. There is then a preliminary examination
      of the case against the defendant to determine whether he should be held to
      answer the charges. Cal. Penal Code § 738. On preliminary examination, the
      magistrate must determine whether there is sufficient cause to believe the
      defendant is guilty. Cal. Penal Code § 872(a). If sufficient cause is found, the
      district attorney may then formally charge the defendant. Cal. Penal Code § 739.
      Thus, because the appellant had not yet had his preliminary hearing, there wa s no
      independent finding of probable cause at the time the agency proposed the
      indefinite suspension.
¶11        The Board has held under similar circumstances that the filing of a criminal
      complaint is not itself sufficient to establish reasonable cause to believe an
      employee committed a crime.      In Phillips v. Department of Veterans Affairs,
      58 M.S.P.R. 12, 14-15 (1993), aff’d, 17 F.3d 1443 (Fed. Cir. 1994) (Table), the
      Board held that an agency could not base an indefinite suspension on the mere
      filing of a felony criminal complaint where the appellant had not yet been granted
      a preliminary hearing, which was a prerequisite to the filing of a criminal
      information.   Although Phillips arose under Missouri law, the procedure for
      felony prosecution by information appears to be functionally identical to the
      California procedures at issue here. We therefore hold that the filing of a felony
      criminal complaint alone was not sufficient to establish reasonable cause to
      believe the appellant had committed a crime.
¶12        In Hernandez v. Department of the Navy, 120 M.S.P.R. 14, ¶¶ 10-16 (2013),
      the Board held that a misdemeanor criminal complaint under California law is
      sufficient to establish reasonable cause. The Board distinguished Phillips on the
                                                                                             6

      grounds that a misdemeanor criminal prosecution does not require a preliminary
      hearing. Id., ¶ 13 (equating a misdemeanor criminal complaint under California
      law to an indictment). Thus, the present case is distinguishable from Hernandez
      because the prosecution in this case required a preliminary determination of
      probable cause before it could proceed further. Cal. Penal Code §§ 738, 739.
¶13         Although the Board in Phillips held that the criminal complaint was
      insufficient to establish reasonable cause, it nevertheless sustained the appellant’s
      indefinite suspension because the agency in that case had sufficient evidence
      beyond the criminal complaint to support its action. Phillips, 58 M.S.P.R. at 15.
      Here, we find that the criminal complaint was the central basis for the agency’s
      action. IAF, Tab 9 at 20 (“The reason for the Proposed Indefinite Suspension is
      that you are the defendant in . . . a criminal case.”). We find that the agency did
      not otherwise cite sufficient evidence to establish reasonable cause to believe the
      appellant committed the crime alleged in the complaint. 3 Thus, we find that the
      agency failed to prove its charge. Because this finding is sufficient to warrant
      reversal of the indefinite suspension, we need not address and VACATE the
      administrative judge’s findings regarding due process.
¶14         The appellant did not file a cross petition for review to challenge the
      administrative judge’s findings that he failed to prove his affirmative defenses of
      discrimination based on race or uniformed service.             We have nevertheless
      reviewed those findings and we see no reason to disturb them. 4

      3
        Our finding as to the agency’s charge does not mean that reasonable cause did not
      exist to believe the appellant committed the crime. Rather, we find only that the agency
      did not cite a sufficient basis to find reasonable cause. See Fargnoli v. Department of
      Commerce, 123 M.S.P.R. 330, ¶ 7 (2016) (The Board is required to review the agency’s
      decision on an adverse action solely on the grounds invoked by the agency; the Board
      may not substitute what it considers to be a more adequate or proper basis .).
      4
        Because we affirm the administrative judge’s finding that the appellant failed to meet
      his initial burden to prove that his race was a motivating factor in the agency’s action,
      we need not resolve the issue of whether the appellant proved that discrimination was a
                                                                                          7

                                            ORDER
¶15         We ORDER the agency to cancel the appellant's indefinite suspension and
      reinstate him and to restore the appellant effective November 1, 2013. 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 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).
¶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).

      “but-for” cause of the agency’s decision. Pridgen v. Office of Management and Budget,
      2022 MSPB 31, ¶¶ 20-22, 40-42.
                                                                                             8

¶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 resu lting 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 ca n 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 OF APPEAL RIGHTS 5
            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 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

      5
        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 indicat ed in the notice, the
      Board cannot advise which option is most appropriate in any matter.
                                                                                        9

summary of available appeal rights, the Merit Systems Protection Board does not
provide legal advice on which option is most appropriat e 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 applica ble 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.
      Please read carefully each of the three main possible choices 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 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.
                                                                                   10

      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
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. 420 (2017). If you have a representative in this case,
and your representative receives 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
                                                                                 11

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:
                            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 Board’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 revi ew either with the
U.S. Court of Appeals for the Federal Circuit or any court of appeals of
competent jurisdiction. 6   The court of appeals must receive your petition for

6
  The original statutory provision that provided for judicial review of certain
whistleblower claims by any court of appeals of competent jurisdiction expired on
                                                                                     12

review within 60 days of the date of issuance of this decision.               5 U.S.C.
§ 7703(b)(1)(B).
      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 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 w arrants that
any attorney will accept representation in a given case.

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.
                                                                       13

      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.
                                 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.