Court Opinion

ID: 9373454
Source: CourtListenerOpinion
Date Created: 2023-02-22 16:05:09.709283+00
Date Added: 2024-06-11T17:16:41.606342
License: Public Domain

UNITED STATES OF AMERICA
                        MERIT SYSTEMS PROTECTION BOARD

     SHERI SMITH,                                    DOCKET NUMBER
                         Appellant,                  DC-0752-16-0330-I-2

                  v.

     DEPARTMENT OF THE ARMY,                         DATE: August 30, 2022
                 Agency.

             THIS FINAL ORDER IS NONPRECEDENTIAL 1

           Christopher D. Vaughn, Esquire, Decatur, Georgia, for the appellant.

           Erika McPherson, Redstone Arsenal, Alabama, for the agency.

           Kelly Lack, Rock Island, Illinois, for the agency.

           Todd A. Messinger, Shaw Air Force Base, South Carolina, for the agency.

                                           BEFORE

                               Cathy A. Harris, Vice Chairman
                                Raymond A. Limon, Member
                                 Tristan L. Leavitt, Member

                                       FINAL ORDER

¶1         The agency has filed a petition for review, and the appellant has filed a
     cross petition for review of the initial decision, which sustained only some of the

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        A nonprecedential order is one that the Board has determined does not add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 Parties may cite nonprecedential orders,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

     agency’s charges and underlying specifications; found that the appellant failed to
     establish her affirmative defenses of race, sex, and age discrimination; found that
     the appellant proved her affirmative defense of whistleblower retaliation; and
     mitigated the removal penalty to a 45-day suspension. For the reasons discussed
     below, we DENY the agency’s petition for review and GRANT the appellant’s
     cross petition for review. Except as expressly MODIFIED by this Final Order to
     not sustain specification 4 of charge 6, find that—in light of our finding of
     whistleblower retaliation—no disciplinary action taken against the appellant can
     be sustained, and clarify the basis for finding that the agency did not prove by
     clear and convincing evidence that it would have removed the appellant absent
     her protected whistleblower disclosure and activity, we AFFIRM the initial
     decision. The removal is NOT SUSTAINED.

                                         BACKGROUND
¶2         The appellant was employed as a Lead Contract Specialist.               Smith v.
     Department of the Army, MSPB Docket No. DC-0752-16-0330-I-1, Initial Appeal
     File (IAF), Tab 12 at 25.         On November 19, 2015, the agency proposed the
     appellant’s removal based on the following charges: (1) insubordination with two
     underlying specifications; (2) failure to observe written regulations, orders, rules,
     or   procedures   and   failure    to   follow   instructions   with   two   underlying
     specifications; (3) submission of inaccurate information on a time card with five
     underlying specifications; (4) failure to follow established leave procedures with
     five underlying specifications; (5) misrepresentation for personal gain with two
     underlying specifications; and (6) conduct unbecoming a Federal employee with
     seven underlying specifications.        Id. at 264-74.   The appellant responded in
     writing and also provided a supplemental written response. Id. at 54-75, 77-95.
     The deciding official did not sustain specification 2 of charge 2, specification 4 of
     charge 3, or specifications 1 and 4 of charge 4. Id. at 31. However, he sustained
                                                                                           3

     the remaining charges and specifications and imposed the removal , effective
     January 22, 2016. Id. at 31-34.
¶3          The appellant filed the instant appeal and requested a hearing. IAF, Tab 1.
     Upon the appellant’s request, the appeal was dismissed without prejudice. IAF,
     Tab 25. After the appeal was refiled, the appellant requested a decision based on
     the written record, and the administrative judge granted her request.          Smith v.
     Department of the Army, MSPB Docket No. DC-0752-16-0330-I-2, Appeal File
     (I-2 AF), Tabs 1, 6-7.       The administrative judge issued an initial decision
     mitigating the appellant’s removal to a 45-day suspension. I-2 AF, Tab 21, Initial
     Decision (I-2 ID). He found that the agency had not proven the following charges
     and    specifications:     (1) specification   1   of   charge   1,   insubordination;
     (2) specification 1 of charge 2, failure to observe written regulations, orders,
     rules, or procedures, failure to follow instructions , and thus the charge as a
     whole; (4) specifications 2-3, and 5 of charge 4, failure to follow established
     leave procedures, and thus the charge as a whole; (5) specifications 1-2 of
     charge 5, misrepresentation for personal gain, and thus the charge as a whole; and
     (6) specifications 3 and 7 of charge 6, conduct unbecoming a Federal employee.
     I-2 ID at 5-9, 12-20, 24-25, 28.       He also found that the appellant failed to
     establish her affirmative defenses of race, sex, and age discrimination but that she
     established her affirmative defense of retaliation for her protected whistleblower
     disclosure activity. I-2 ID at 30-38. Nevertheless, he mitigated the penalty to a
     45-day suspension. I-2 ID at 29-30.
¶4          The agency has filed a petition for review, the appellant has filed a cross
     petition for review and response, and the agency has filed a response to the
     appellant’s cross petition for review. Petition for Review (PFR) File, Tabs 1, 4,
     8. 2

     2
       The appellant has filed an additional pleading, which the Acting Clerk of the Board
     rejected, in which she attempted to respond to the agency’s April 3, 2017 pleading.
     PFR File, Tabs 9-10. The agency has filed a petition for review, the appellant has filed
                                                                                            4

                      DISCUSSION OF ARGUMENTS ON REVIEW
     We modify the initial decision to the extent that it sustained specification 4 of
     charge 6 but otherwise affirm the decision to sustain only certain charges and
     underlying specifications.
¶5         The agency asserts that the administrative judge should have sustained
     charge 1, specification 1, insubordination. PFR File, Ta b 1 at 20-27. In this
     specification, the agency asserted that, on October 22, 2015, the appellant would
     not relocate her office from the second floor to the first floor at the direction of
     her “supervisory chain.” IAF, Tab 12 at 264. As the administrative judge stated,
     insubordination is the willful and intentional refusal to obey an authorized order
     of a superior officer that the officer is entitled to have obeyed. I-2 ID at 5; see
     Parbs v. U.S. Postal Service, 107 M.S.P.R. 559, ¶ 13 (2007), aff’d, 301 F. App’x
     923 (Fed. Cir. 2008). When the agency’s evidence is equally worthy of belief as
     that of the appellant’s regarding any charge or specification, the agency has failed
     to meet its burden.    Cook v. Department of the Army, 105 M.S.P.R. 178, ¶ 19
     (2007).
¶6         We have considered the agency’s arguments, including that the appellant
     was originally directed to move her office, the statements that the agency
     submitted that she may not have moved her office on the specified date, and the
     agency’s attempts to impeach the appellant and her first-level supervisor. PFR
     File, Tab 1 at 20-27. We note, however, that the language of the specification
     specifically mentions the appellant’s “supervisory chain,” which includes her
     first-level supervisor, who stated that the appellant followed her instructions to
     relocate to the first floor. I-2 AF, Tab 11 at 65-66. Because there is a dispute as
     to whether the appellant was actually insubordinate and failed to follow the

     a cross petition for review/response to the petition for review, and the agency has filed
     a response to the cross petition for review. PFR File, Tabs 1, 4, 8. The Board’s
     regulations do not provide for additional pleadings other than these, and thus, the
     Acting Clerk of the Board properly rejected the appellant’s pleading. 5 C.F.R.
     § 1201.114.
                                                                                             5

     instructions of her supervisors, we agree with the administrative judge that the
     agency has not proven this charge by preponderant evidence.
¶7         The agency next asserts that the administrative judge should have sustained
     charge 2, specification 1, failure to follow instructions, which asserted that the
     appellant failed to accept one of the designated offices on the first floor. PFR
     File, Tab 1 at 27-28. Similar to the previous charge, the appellant’s first-level
     supervisor disputed whether the appellant failed to follow her instructions and
     was actually insubordinate. I-2 AF, Tab 11 at 65-66. Accordingly, as with the
     prior charge, we agree that the agency failed to prove the charge by preponderant
     evidence.
¶8         The agency challenges the administrative judge’s failure to sustain the three
     remaining specifications of charge 4, 3 failure to follow established leave
     procedures by failing to properly request leave and failing to submit the proper
     leave forms. PFR File, Tab 1 at 28-29. In charge 4, the agency asserted that the
     appellant failed to follow agency policy to properly request leave via its time and
     attendance system, thus failing to complete a Form 71 (“Request for Leave or
     Approved Absences”), which would have been generated by the system. IAF,
     Tab 12 at 265-66.      An agency may not discipline an employee for failure to
     follow leave procedures unless she is clearly on notice of the applicable
     requirements and that discipline for continued noncompliance is likely . Allen v.
     U.S. Postal Service, 88 M.S.P.R. 491, ¶ 10 (2001).           Pursuant to the agency’s
     standard operating procedures, an employee who is requesting unplanned sick
     leave must do so by notifying her supervisor. IAF, Tab 12 at 450-51. The policy
     states that the employee should complete Form 71 “upon return to work.” Id.
     The agency’s 2015 memorandum regarding the usage of the agency’s time and
     attendance program states that, when an employee is sick, she is responsible for
     requesting leave from her supervisor.        Id. at 443.    The appellant’s first-level
     3
      As previously noted, the deciding official did not sustain two of the five specifications
     underlying charge 4.
                                                                                         6

      supervisor stated that she gave the appellant permission for her absence during
      the relevant time period. I-2 AF, Tab 11 at 67-68. The agency policy indicated
      that this was all that the appellant was required to do on the dates when she was
      sick. Accordingly, we agree with the administrative judge that this charge cannot
      be sustained because the appellant was not on notice that she could be disciplined
      after having received leave approval from her first-level supervisor.
¶9          The agency also asserts that it proved charge 5, specification 1,
      misrepresentation for personal gain.       PFR File, Tab 1 at 29 -30.        In this
      specification, the agency asserted that the appellant misrepresented to her
      supervisor that the Workers’ Compensation Specialist told her she could claim
      regular duty hours for her absence on September 28, 2015, due to an injury during
      work hours despite the fact that she had never been provided this guidance. IAF,
      Tab 12 at 266, 368. To prove a charge of falsification, the agency must prove, by
      preponderant evidence that, inter alia, the employee intended to defraud the
      agency for her own private material gain.        Boo v. Department of Homeland
      Security, 122 M.S.P.R. 100, ¶ 12 (2014).
¶10         We agree with the agency that the appellant knew that she was incorrectly
      recording her time because the Workers’ Compensation Specialist credibly stated
      that she told the appellant that, before claiming leave due to a work-related
      injury, she was required to file a workers’ compensation claim for her injury.
      IAF, Tab 12 at 349.      The appellant did not file a claim for her injury until
      October 15, 2015. Id. at 363-65. However, we find the appellant was credible
      when she stated that the claim was eventually approved for her ankle injury and
      the agency has not provided evidence to dispute this. I-2 AF, Tab 11 at 53. Thus,
      although the appellant may have known that she was improperly recording her
      time, it is possible that this constituted a mere failure to follow agency procedures
      as opposed to an attempt to acquire payment to which she was not entitled and
      eventually received. Accordingly, we agree with the administrative judge that the
      agency failed to prove this specification.          See Raco v. Social Security
                                                                                         7

      Administration, 117 M.S.P.R. 1, ¶ 7 (2011) (stating that, although the agency
      asserted that the appellant falsified her time when she departed prior to her
      recorded sign-out time, it did not prove the necessary intent for a falsification
      charge and, regardless, it had only charged her with conduct unbecoming a
      Federal employee).
¶11         Next, the agency alleges that the administrative judge should have sustained
      specification 2 of the misrepresentation charge. PFR File, Tab 1 at 30-31. This
      charge stated, “[i]n an official e-mail to [the Workers’ Compensation Specialist]
      regarding your Workers’ Compensation claim, you misrepresented your condition
      and the circumstances surrounding your arrival to work on September 28, 2015.”
      IAF, Tab 12 at 266. The appellant sent an email to the Workers’ Compensation
      Specialist in which she stated that she had to wait in a vehicle for over an hour in
      100-degree weather and that, by the time she received help, she was ill.          Id.
      at 353. The appellant’s first-level supervisor’s statement was consistent with the
      appellant’s statement in the email and indicated that the air conditioning in the
      agency car in which the appellant had been sitting was not working, as was
      common with many agency cars.           I-2 AF, Tab 11 at 69.         The Logistics
      Management Specialist’s statement reflects that the appellant exaggerat ed the
      amount of time she had to wait and that the air conditioning was working in her
      vehicle upon his arrival. IAF, Tab 12 at 411. The administrative judge found
      that the agency did not prove this specification because he credited the statements
      of the appellant’s first-level supervisor and the appellant as to the events detailed
      in the email and thus found that the agency did not prove its charge by
      preponderant evidence. I-2 ID at 20.
¶12         On review, the agency asserts that the administrative judge should have
      made credibility determinations as to why he believed the version of events
      presented by the appellant and her first-level supervisor over that of the Workers’
      Compensation Specialist and the Logistics Management Specialist.          PFR File,
      Tab 1 at 30-31. However, the Workers’ Compensation Specialist did not witness
                                                                                     8

      the relevant events on September 28, 2015, and thus was not in the best position
      to determine whether the appellant was misrepresenting the facts in her email.
      Further, the evidence is inconclusive regarding which version of events to
      believe.     Accordingly, we find that the agency’s argument does not provide a
      basis for disturbing the administrative judge’s finding that the agency failed to
      meet its burden by preponderant evidence.
¶13         The agency also challenges the administrative judge ’s failure to sustain
      specification 3 of charge 6, conduct unbecoming a Federal employee, asserting
      that the appellant sent an email knowing that the allegations contained therein
      were false. PFR File, Tab 1 at 31-32. In this specification, the agency asserted
      that the appellant sent a derogatory email that was “an emotional attempt” to
      suggest that senior leaders of her organization were mistreating her. IAF, Tab 12
      at 267-68. The administrative judge found, among other things, that the agency
      failed to prove that this email was “an emotional attempt” by the appellant , and
      we find no reason to disturb this finding. I-2 ID at 24-25.
¶14         The agency also argues that the administrative judge should have sustained
      charge 6, specification 7, which is based upon the appellant’s emails to the
      Secretary of the Department of Veterans Affairs (VA) regarding her second-level
      supervisor. PFR File, Tab 1 at 12-16; IAF, Tab 12 at 269. As discussed below,
      we agree with the administrative judge that this specification is grounded in the
      appellant’s protected disclosure.    I-2 ID at 28.     Accordingly, it cannot be
      sustained.    See Chambers v. Department of the Interior, 602 F.3d 1370, 1380
      (Fed. Cir. 2010). 4
¶15         The appellant challenges the administrative judge’s decision to sustain
      charge 1, specification 2, insubordination, which is based upon her failure to
      attend a meeting with her second-level supervisor. PFR File, Tab 4 at 11; IAF,

      4
        Chambers was decided prior to the enactment of the Whistleblower Protection
      Enhancement of Act 2012, Pub. L. No. 112-199, 126 Stat. 1465. However, subsequent
      changes in the law do not affect the relevant holding.
                                                                                        9

      Tab 12 at 264. She asserts that she did not refuse to attend but instead requested
      that another individual be present with her during the meeting because of her
      discomfort.    PFR File, Tab 4 at 11.     The appellant emailed her second-level
      supervisor, stating that she would not meet with him unless another individual
      was present. IAF, Tab 12 at 397. We find that this constituted her refusal to
      attend the meeting and her mere assertion that she was uncomfortable did not
      excuse her refusal. Thus, we affirm the administrative judge’s finding sustaining
      this specification.
¶16         The appellant also argues that the administrative judge improperly sustained
      charge 3—submitting inaccurate information on her time and attendance
      records—because her first-level supervisor allowed her to vary her schedule in
      certain respects. PFR File, Tab 4 at 11-13; IAF, Tab 265. As the administrative
      judge stated, regardless of the appellant’s first-level supervisor’s permission, the
      appellant’s time and attendance records did not reflect the hours that she had
      worked.    I-2 ID at 10-12.    Accordingly, we affirm the administrative judge’s
      finding sustaining this charge.
¶17         The appellant next asserts that the administrative judge improperly
      sustained charge 6, specifications 1-2 and 4-6 of the conduct unbecoming charge.
      PFR File, Tab 1 at 14-16.         In specification 1, the agency asserted that the
      appellant did not provide accurate information to her healthcare provider to
      obtain a Non-Availability statement to return home. IAF, Tab 12 at 267. The
      appellant sent an email to a major from the medical clinic requesting a
      Non-Availability Letter because her “agency is sending [her] home,” but her
      second-level supervisor stated that, at no point did he state that he was sending
      her home. Id. at 267, 287, 292. The appellant generally asserts that she was not
      seeking the document, as implied by the specification. PFR File, Tab 4 at 14.
      However, we find this argument is not reflected in the record and does not
      provide a basis for disturbing the initial decision.
                                                                                      10

¶18        Specifications 2, 5, and 6 each describe portions of emails that the appellant
      sent to agency officials that the agency asserts are unbecoming in that they were
      somehow untruthful, inaccurate, disruptive, or offensive . IAF, Tab 12 at 267-69.
      The administrative judge sustained these specifications as unbecoming, and,
      based upon our review of the text of the emails, we agree with the administrative
      judge’s well-reasoned analysis and findings. I-2 ID at 23-28; IAF, Tab 12 at 268,
      328-29, 425-26.
¶19        Regarding specification 4, we agree with the appellant that this charge
      cannot be sustained. PFR File, Tab 4 at 15. In this specification, the ag ency
      asserted that the appellant provided inaccurate statements in an email that were
      disruptive to the agency and its mission and offensive to her second-level
      supervisor. IAF, Tab 12 at 268. Specifically, the agency asserted that, in an
      email to a commanding general dated November 5, 2015, the appellant alleged
      that her second-level supervisor was causing issues with her and her first-level
      supervisor, manipulating doctors to understate her medical condition, violating
      her Health Insurance Portability and Accountability Act of 1996 (HIPAA) rights,
      making slanderous remarks about her, and deliberately delaying her trip home.
      Id. The agency stated that the appellant’s HIPAA and Privacy Act rights were not
      violated because the information requested, obtained, and shared with those with
      a “need to know” pertained to an injury for which she had filed a workers’
      compensation claim. Id.
¶20        We modify the initial decision and find that this specification cannot be
      sustained because it is based in part upon a protected disclosure to a commanding
      general. As discussed below, we find that the appellant reasonably believed that
      the agency was violating her HIPAA and Privacy Act rights.              Here, the
      specification specifically charges the appellant with disclosing what she believed
      was a HIPAA and the Privacy Act violation. Accordingly, we do not sustain the
      specification. Chambers, 602 F.3d at 1380. Based on the above, we find that the
      agency has proven only charges 1, 3, and 6.
                                                                                     11

      The appellant proved her affirmative defense of retaliation for her pro tected
      whistleblower disclosure and activity, and thus the removal action must be
      canceled.
¶21        In a removal appeal, an appellant’s claim of whistleblower reprisal is
      treated as an affirmative defense. Ayers v. Department of the Army, 123 M.S.P.R.
      11, ¶ 12 (2015); see 5 U.S.C. § 1221(e)(1). In such an appeal, once the agency
      proves its initial case by a preponderance of the evidence, the appellant must
      show by a preponderance of the evidence that she made a protected whistleblower
      disclosure under 5 U.S.C. § 2302(b)(8) or participated in protected whistleblower
      activity under 5 U.S.C. § 2302(b)(9)(A)(i), (B), (C), or (D), and that the
      disclosure or activity was a contributing factor in the agency’s personnel action.
      5 U.S.C. § 1221(e)(1); Ayers, 123 M.S.P.R. 11, ¶ 12; Alarid v. Department of the
      Army, 122 M.S.P.R. 600, ¶ 12 (2015). If the appellant establishes a prima facie
      case of whistleblower reprisal, then the burden of persuasion shifts to the agency
      to show by clear and convincing evidence that it would have taken the same
      personnel action absent any protected whistleblower disclosures or activity.
      5 U.S.C. § 1221(e)(2); Carr v. Social Security Administration, 185 F.3d 1318,
      1323 (Fed. Cir. 1999); Alarid, 122 M.S.P.R. 600, ¶ 14.

           The appellant’s whistleblower disclosure and activity were a contributing
           factor to the agency’s decision to remove her.
¶22        Here, the appellant asserted that she made two protected whistleblower
      disclosures in the form of two emails to the Secretary of the VA and participated
      in protected activity by disclosing information to the Inspector General. IAF,
      Tab 10 at 5-10.   Her disclosures and activity involved information about her
      second-level supervisor, who had accepted a position at the VA. On October 23,
      2015, the appellant sent the first email anonymously and asserted that her
      second-level supervisor was telling people that he was selected for his position
      because he knew someone “on the inside,” that he had a history of discriminating
      against women and African Americans, and that he had previous and pending
      equal employment opportunity (EEO) complaints filed against him. Id. at 6-7.
                                                                                           12

      The email was forwarded to the Executive Director of Office of Ac quisition
      Operations at the VA, who contacted the appellant’s second-level supervisor. I-2
      AF, Tab 10 at 94. She determined that she would still proceed with selecting the
      appellant’s second-level supervisor for the position at the VA. Id.
¶23         The appellant sent a second email to the Secretary of the VA on
      November 6, 2015, in which she asserted that she believed that her second-level
      supervisor was violating her Privacy Act and HIPAA rights and that she both
      reported his actions to the Inspector General 5 and decided to file an EEO
      complaint regarding the matter.      IAF, Tab 10 at 9.      The Executive Director’s
      office received a copy of this email on November 9, 2015. I -2 AF, Tab 10 at 94.
      This email included the appellant’s name and an unredacted copy of the prior
      email. Id.
¶24         The appellant filed an Inspector General complaint in which she stated that
      an agency employee and her second-level supervisor violated the Privacy Act and
      HIPAA rights by contacting the agency medical clinic to obtain medical
      information about her without her authorization and then misused and
      inappropriately distributed this information. IAF, Tab 12 at 280. She also stated
      that these individuals attempted to manipulate her doctors and understated her
      medical condition such that she would not be approved for emergency travel. Id.
      Additionally, she asserted that her second-level supervisor and others had not
      properly accommodated her ankle injury, tried to force her to work in a storage
      room, and threatened to discipline her when she refused to work in the storage
      room. Id.

      5
        The administrative judge stated that the appellant filed a complaint with the VA
      Inspector General. I-2 ID at 37. However, the appellant stated in her email that she
      reported her second-level supervisor’s actions to “our” Inspector General’s office. IAF,
      Tab 10 at 9. Further, the “Inspector General Action Request” is on the agency’s form ,
      and, in her response to the proposal notice, the appellant stated that she filed an
      Inspector General complaint consistent with the agency’s regulations. IAF, Tab 12
      at 64, 280.
                                                                                            13

¶25          It is undisputed that the appellant filed an Inspector General complaint and
      thus engaged in protected activity under 5 U.S.C. § 2302(b)(9)(C). 6 We also find
      that the appellant made a protected whistleblow er disclosure.             A protected
      whistleblower disclosure is a disclosure of information that the appellant
      reasonably believes evidences any violation of any law, rule, or regulation, gross
      mismanagement, a gross waste of funds, an abuse of authority, or a substantial
      and specific danger to public health or safety.           Bradley v. Department of
      Homeland Security, 123 M.S.P.R. 547, ¶ 7 (2016). The test to determine if a
      putative whistleblower has a reasonable belief in the disclosure is an objective
      one:   whether a disinterested observer with knowledge of the essential facts
      known to and readily ascertainable by the employee could reasonably conclud e
      that the actions of the agency evidenced a violation of law, rule, or regulation,
      gross mismanagement, a gross waste of funds, an abuse of authority, or a
      substantial and specific danger to public health or safety. Id. While motive may
      be relevant to determining a reasonable belief, a disclosure is not excluded from
      protection based on an appellant’s motive in making it. Ayers, 123 M.S.P.R. 11,
      ¶¶ 20-21.
¶26          In the appellant’s second email, she stated that her second-level supervisor
      was violating her HIPAA and Privacy Act rights.              IAF, Tab 10 at 9.       On
      October 21, 2015, the following email exchange occurred between the appellant
      and a major from the medical clinic.        IAF, Tab 12 at 332-35.       The appellant
      notified him that she did not authorize anyone, other than her first-level

      6
        During the pendency of this appeal, the National Defense Authorization Act for Fiscal
      Year 2018 (NDAA), Pub. L. No. 115-91, 131 Stat. 1283, was signed into law on
      December 12, 2017. The NDAA expanded the activities protected under 5 U.S.C.
      § 2302(b)(9)(C) to include cooperating or disclosing information to “any . . . component
      responsible for internal investigations or review.” Pub. L. No. 115 -91, § 1097(c)(1)(A),
      131 Stat. at 1618. That expansion does not affect the outcome of this appeal because all
      of the relevant events occurred prior to December 12, 2017. See Edwards v.
      Department of Labor, 2022 MSPB 9, ¶¶ 29-33 (finding that the changes to section
      2302(b)(9)(C) do not apply retroactively).
                                                                                       14

      supervisor, to obtain her medical records, and he responded that her personal
      health information could not be released without her written authorization or a
      court order.   Id. at 334-35.    She responded by asking why her second-level
      supervisor was able to obtain her medical profile and medical limitations in an
      email without her authorization. Id. at 334. The major responded that profiles
      are viewable by the Commander for those within his unit and if requested by “the
      provider” and that physical limitations due to injury are reportable by agency
      regulations.   Id. at 333.   The appellant disputed this, stating that, pursuant to
      agency regulations, only civilian supervisors should have access to her medical
      profile and that, because her second-level supervisor was not a civilian, he should
      not have had the ability to access her profile. Id. The agency asserted that the
      appellant’s rights were not violated because the agency could release her
      information to those individuals who had a “need to know,” such as when the
      information related to a workers’ compensation claim, her medical status within
      and fitness to remain in theater operations, and travel home. Id. at 269.
¶27        We find that it was reasonable for the appellant not to take the agency
      officials at their word in this situation and that she reasonably could have
      concluded that her second-level supervisor improperly obtained her medical
      information without her consent.         See Hupka v. Department of Defense,
      74 M.S.P.R. 406, 410 (1997) (finding that the appellant reasonably believed that
      the agency violated the Privacy Act when it disclosed informa tion about his
      illness and injuries to the Department of Health & Human Services without his
      permission). We have considered the appellant’s potential motive for making the
      disclosure, including animus for her second-level supervisor with whom she did
      not get along, but we still find that her belief regarding her rights was reasonable
                                                                                           15

      in the situation. Thus, we conclude that the appellant reasonably believed that
      she was disclosing a violation of her rights under HIPAA and the Privacy Act. 7
¶28         Next, we find that, because specification 7 of charge 6 is actually grounded
      in the protected whistleblower disclosure and activity, the proposing official and
      deciding official had constructive knowledge of them. 8 IAF, Tab 12 at 269; see
      Parikh v. Department of Veterans Affairs, 116 M.S.P.R. 197, ¶ 35 (2011) (finding
      that the appellant’s disclosures were a contributing factor to his removal when the
      proposing and deciding officials testified that they took the action, in part,
      because of the appellant’s disclosure, which were identified in the notice of
      proposed removal).     Accordingly, we find that the appellant’s disclosure and
      activity were a contributing factor to the appellant ’s removal. Id.

           The agency did not prove by clear and convincing evidence that it would
           have removed the appellant absent her protected disclosure and activity.
¶29         In determining whether the agency has shown by clear and convincing
      evidence that it would have taken the same personnel action absent the
      appellant’s protected disclosure and activity, the Board generally will consider
      the following factors: (1) the strength of the agency’s evidence in support of its
      action; (2) the existence and strength of any motive to reta liate on the part of the
      agency’s officials who were involved in the decision; and (3) any evidence that
      the agency takes similar actions against employees who did not make protected
      disclosures or engage in protected activity but who are otherwise similarly

      7
        Because we find that the appellant engaged in protected whistleblower activity under
      5 U.S.C. § 2302(b)(9)(C) and made a protected whistleblower dis closure in the second
      email that were contributing factors to her removal, we need not address whether her
      disclosure in the first email was a contributing factor in her removal.
      8
        The appellant also has established the contributing factor element on the basis of the
      constructive knowledge of the proposing and deciding officials . See Nasuti v.
      Department of State, 120 M.S.P.R. 588, ¶ 7 (2014). Her second-level supervisor and
      the Program Specialist knew about her protected whistleblower disclosure and activity
      and influenced the proposal after their knowledge by providing information that served
      as the basis for the charges and for crafting the charges. IAF, Tab 12 at 287-88,
      345-47; I-2 AF, Tab 10 at 12-13, 25, 92-95.
                                                                                     16

      situated.    See Carr, 185 F.3d at 1323; Elder v. Department of the Air Force,
      124 M.S.P.R. 12, ¶ 42 (2016).     The Board must consider all pertinent record
      evidence in making this determination.      Whitmore v. Department of Labor,
      680 F.3d 1353, 1368 (Fed. Cir. 2012); Elder, 124 M.S.P.R. 12, ¶ 42. The Board
      does not view these factors as discrete elements, each of which the agency must
      prove by clear and convincing evidence, but rather weighs these factors together
      to determine whether the evidence is clear and convincing as a whole . Alarid,
      122 M.S.P.R. 600, ¶ 14.
¶30         Regarding the first Carr factor, we find that the agency had strong reasons
      for removing the appellant but that these reasons are diminished by the number of
      charges that were not sustained. The sustained charges and specifications are
      quite serious.   They include insubordination by failing to attend a meeting as
      directed, inaccurately completing time and attendance records, providing
      misleading information in an effort to get a healthcare provider to obligate the
      Government to pay for her travel expenses home, and sending emails with
      inaccurate and deceitful statements that were disruptive to the agency.       The
      agency has submitted numerous emails, records, and statements from multiple
      agency officials in support of these charges.     However, the large number of
      charges and specifications that were not sustained demonstrates overreach by the
      agency, which diminishes the otherwise strong evidence that the agency has
      presented.    See Ayers, 123 M.S.P.R. 11, ¶ 28.    Additionally, that the conduct
      unbecoming charge was based upon two specifications grounded in protected
      disclosures further detracts from the strength of the agency’s evidence.      See
      Chambers, 602 F.3d at 1380.
¶31         Next, we conclude that the agency had a strong motive to retaliate against
      the appellant. In particular, the appellant’s second-level supervisor had a strong
      motive to retaliate.   The proposal notice expressly states that the appellant’s
      disclosure was “offensive” to him and that the appellant acted in a “deliberate
      manner” to interfere with his employment.         IAF, Tab 12 at 269.      In her
                                                                                        17

      declaration, the Executive Director stated that the appellant’s allegations
      unnecessarily delayed his appointment and “raised concern and generated
      substantial interest within the highest levels of our [a]gency.” I-2 AF, Tab 10
      at 94-95.   The appellant’s second-level supervisor also stated that her actions
      were disruptive to him and to his family. Id. at 24-25. In addition, although the
      content of the appellant’s disclosures ultimately may not have cast the agency or
      its officials in a negative light because the appellant’s actions affected another
      agency, both the deciding and the proposing officials had a possible motive to
      demonstrate to the other agency that they were properly disciplining the appellant
      for her actions. See Ayers, 123 M.S.P.R. 11, ¶ 29 (finding that agency officials
      had a possible motive to retaliate when the appellant’s disclosures reflected on
      their capacity as managers and employees).
¶32        Last, we find that the third Carr factor is not particularly significant in this
      case. Our reviewing court has held that, although an agency does not have an
      affirmative burden to produce evidence concerning each and every Carr factor,
      “the absence of any evidence relating to Carr factor three can effectively remove
      that factor from the analysis,” but that the failure to produce such evidence if it
      exists “may be at the agency’s peril,” and “may well cause the agency to fail to
      prove its case overall.” Whitmore, 680 F.3d at 1374-75. Here, the agency did not
      produce evidence regarding similarly situated individuals who did not make
      whistleblower disclosures or engage in protected activity.            The Program
      Specialist stated that she conducted a broad search for cases similar to the
      appellant’s but could not find any. I-2 AF, Tab 10 at 17.        The appellant has
      submitted an extensive list of employees and the penalties that were imposed on
      them for the single charges of insubordination, attendance-related offenses, false
      statements, and failure to follow instructions, respectively. I-2 AF, Tab 16. We
      have reviewed this list, but because the appellant did not identify which
      employees were whistleblowers, we are unable to determine if this evidence
      supports a finding that the agency took similar actions against employees who are
                                                                                             18

      similarly situated but not whistleblowers. Thus, we give very little weight to this
      evidence.   We therefore find that Carr factor 3 cannot weigh in favor of the
      agency. See Soto v. Department of Veterans Affairs, 2022 MSPB 6, ¶ 18 (citing
      Smith v. General Services Administration, 930 F.3d 1359, 1367 (Fed. Cir. 2019);
      Siler v. Environmental Protection Agency, 908 F.3d 1291, 1299 (Fed. Cir. 2018)).
¶33         Based on the above, we find that the agency has failed to prove by clear and
      convincing evidence that it would have removed the appellant absent her
      protected whistleblower disclosure and activity.          We find that the agency’s
      motive to retaliate is strong. We accord great weight to the agency’s specific
      mention of the appellant’s disclosures in the proposal notice and that the agency
      specifically described the motive that resulted on the basis of the appellant’s
      disclosures. We also find that the agency’s failure to prove all of its charges is,
      under the circumstances, a sign of overreach. Accordingly, we conclude that the
      agency failed to prove by clear and convincing evidence that it would have
      sustained the appellant’s removal absent her protected disclosure an d activity, and
      we affirm the administrative judge’s finding in this regard .
¶34         Because the appellant proved her claim of whistleblower reprisal, the
      removal penalty must be reversed. 9 See Ayers, 123 M.S.P.R. 11, ¶ 30.

      9
        On review, the agency has submitted evidence that it asserts is material to the issue of
      whether it has proven, by clear and convincing evidence, that it would hav e taken the
      same action absent the appellant’s whistleblower disclosures and activity. PFR File,
      Tab 1 at 17 n.4, Tab 8 at 5-10. This evidence includes the Program Specialist’s
      declaration, dated January 28, 2017, discussing knowledge and motive from the time of
      the appellant’s removal, emails from October and November 2015, another copy of the
      appellant’s complaints to the VA, November 2015 personnel documents regarding the
      appellant’s first-level supervisor, and May 2015 information regarding the appell ant’s
      prior misconduct. PFR File, Tab 1 at 36-38, 40-42, 43-46, 48-51, 53-57, 58-63. We
      have not considered this evidence because it is either not new or the information
      contained in the documents is not new. Grassell v. Department of Transportation,
      40 M.S.P.R. 554, 564 (1989); Avansino v. U.S. Postal Service, 3 M.S.P.R. 211, 214
      (1980). Additionally, the evidence that the agency has submitted attempting to impeach
      the appellant’s first-level supervisor’s credibility is not new because evidence offered
      on review merely to impeach a witness’s credibility generally is not considered new and
      material. Bucci v. Department of Education, 42 M.S.P.R. 47, 55 (1989).
                                                                                        19

                                            ORDER
¶35         We ORDER the agency to cancel the appellant’s removal and to restore her
      effective January 22, 2016.      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.
¶36         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, in terest 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.
¶37         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).
¶38         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 appel lant
      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).
¶39         For agencies whose payroll is administered by either the National Finance
      Center of the Department of Agriculture (NFC) or the Def ense Finance and
      Accounting Service (DFAS), two lists of the information and documentation
      necessary to process payments and adjustments resulting from a Board decision
                                                                               20

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 AND/OR
                    COMPENSATORY 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.
      In addition, the Whistleblower Protection Enhancement Act of 2012
authorized the award of compensatory damages, including interest, reasonable
expert witness fees, and costs. 5 U.S.C. § 1214(g)(2).
      If you believe you meet these requirements, you must file a motion for
consequential damages and/or compensatory damages WITHIN 60 CALENDAR
                                                                                     21

DAYS OF THE DATE OF THIS DECISION. You must file your motion with the
office that issued the initial decision in 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 10
      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
summary of available appeal rights, the Merit Systems Protection Boa rd 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

10
  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.
                                                                                      22

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.
      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.
                                                                                  23

      (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. ____ , 137 S. Ct. 1975 (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
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:
                                                                                     24

                            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 B oard’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. 11   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).

11
   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.
                                                                                25

      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 war rants 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.
                                 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.