U.S. Equal Employment Opportunity Commission (EEOC) Form 453, Recommendation for Recognition Instructions
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.
|