This form contains 45 fields organized into 23 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Approving Official Date
Approving Official Date Date
Enter the date the approving official signed the recommendation.
Cash-In-Your Account/On-The-Spot Award
CASH-IN-YOUR ACCOUNT/ON-THE-SPOT AWARD Checkbox
Check this box if the recognition is a cash-in-your account or on-the-spot award, which must be issued in increments of $50, not to exceed $500 for a single award, and a cumulative amount not exceeding $1,000 for the fiscal year.
Cash-In-Your Account/On-The-Spot Award Amount Number
Enter the amount for the Cash-In-Your Account/On-The-Spot Award.
Chair's Organizational Award
Chair's Organizational Award Checkbox
Check this box if the award is a Chair's Organizational Award and is for use by the OCHCO Awards Program Manager only.
Chair's Organizational Award Amount Number
Enter the monetary amount for the Chair's Organizational Award.
Chairperson, Office Recognition and Awards Committee Date
Chairperson, Office Recognition and Awards Committee Date Date
Enter the date the Chairperson of the Office Recognition and Awards Committee provided their approval or action.
Employee Information
Employee's Official Name Text
Provide the employee's official full name.
Employee Common ID Text
Provide the employee's common identification number.
Employee's Office
Employee's Office Text
Provide the name of the employee's office.
General
Print form Button
8. RECOMMENDING OFFICIAL (Required, if other than immediate supervisor) Signature
9. NOMINATING OFFICIAL (Immediate Supervisor, required) Signature
10. REVIEWING OFFICIAL (If required) Signature
11. APPROVING OFFICIAL (Required) Signature
12. CHAIRPERSON, OFFICE RECOGNITION AND AWARDS COMMITTEE (If required) Signature
13. OFFICE OF THE CHIEF HUMAN CAPITAL OFFICER REPRESENTATIVE Signature
Intangible Benefit
INTANGIBLE BENEFIT (CHECK ONE BOX ON EACH LINE.) CheckBox
Small/Moderate Checkbox
Check this box if the intangible benefit's impact or significance is small or moderate.
Limited Checkbox
Check this box if the intangible benefit's reach or application is limited.
Moderate/Substantial Checkbox
Check this box if the intangible benefit's impact or significance is moderate or substantial.
Broad Checkbox
Check this box if the intangible benefit's reach or application is broad.
Substantial/Exceptional Checkbox
Check this box if the intangible benefit's impact or significance is substantial or exceptional.
General Checkbox
Check this box if the intangible benefit's reach or application is general.
Narrative
Narrative Text
Provide the narrative details for the recognition recommendation.
Nominating Official Date
Nominating Official Date Date
Enter the date the nominating official completed their section.
Office of the Chief Human Capital Officer Representative Date
OCHCO Representative Date Date
Provide the date for the Office of the Chief Human Capital Officer Representative.
Office Recommending Recognition
Office Recommending Recognition Text
Provide the name of the office recommending recognition.
Office Specific Award
Office Specific Award Checkbox
Check this box if the award is an Office Specific Award and prior approval has been received from the OCHCO Awards Program Manager.
Office Specific Award Amount Number
Enter the amount for the Office Specific Award.
Performance/Rating-Based Award
Performance/Rating-Based Award Checkbox
Check this box if the award is performance or rating-based and requires the attachment of the previous year's performance appraisal.
Performance Rating-Based Award Amount Number
Enter the amount of the performance/rating-based award.
Period of Recognition
Period of Recognition Text
Provide the start and end dates or a descriptive period for which this recognition is being given.
Quality Step Increase (QSI)
Quality Step Increase (QSI) Checkbox
Check this box if the recognition is a Quality Step Increase, and refer to the Awards Policy for details.
Recommending Official Date
Recommending Official Date Date
Enter the date when the recommending official provided their signature.
Reviewing Official Date
Reviewing Official Date Date
Enter the date the reviewing official completed their review.
Special Act/Achievement Award
Special Act/Achievement Award Checkbox
Check this box if the award is a Special Act/Achievement Award, which can be for any amount from $200 to $3,000.
Special Act/Achievement Award Amount Number
Provide the monetary amount for the Special Act/Achievement Award.
Suggestion Award
Suggestion Award Amount Number
Enter the dollar amount for the suggestion award.
Suggestion Award Checkbox
Check this box if the recognition is a suggestion award, referring to the Awards Policy for details.
Tangible Benefit
Tangible Benefit Checkbox
Check this box if the recognition involves a tangible benefit.
Tangible Benefit Amount Number
Please enter the estimated first-year tangible benefit amount.
Time-Off Award
Time-Off Award Checkbox
Check this box if the recognition is a Time-Off Award, which must be no less than 4 hours, not to exceed 40 hours for a single award, and cumulative hours cannot exceed 80 hours for the fiscal year.
Time-Off Award Hours Text
Enter the number of hours for the time-off award.
Type of Award
Individual Type of Award Checkbox
Check this box if the recognition is recommended for an individual.
Group Type of Award Checkbox
Check this box if the recognition is recommended for a group.