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

Enter the date on which the approving official signed or authorized this recommendation.

Check this box when you are recommending a cash-in-your-account or on-the-spot monetary award for the employee (issued in $50 increments; not to exceed $500 for a single award and $1,000 cumulative for the fiscal year).

Enter the dollar amount to be awarded for the Cash-In-Your Account/On-The-Spot award (must be issued in $50 increments and cumulative fiscal-year total cannot exceed $1,000). Fill only if 'Cash-In-Your Account/On-The-Spot Award' is 'Yes'.

Check this box when recommending the Chair's Organizational Award (to be used by the OCHCO Awards Program Manager) to indicate this specific award is being requested and to enable entry of the award amount.

Enter the dollar amount requested for the Chair's Organizational Award to be used by the OCHCO Awards Program Manager. Fill only if 'CHAIR'S ORGANIZATIONAL AWARD' is 'Yes'.

Enter the date the Chairperson of the Office Recognition and Awards Committee signed or approved this recommendation.

Enter the date the Office of the Chief Human Capital Officer representative signed or dated this form.

Enter the employee's full official name exactly as it appears on personnel records.

Enter the employee's common identification code or number assigned by the agency.

Enter the name of the employee's office, division, or organizational unit.

Enter the timeframe or date range for the recognition (for example, the start and end dates or a descriptive period).

Enter the name of the office or unit recommending the recognition, if applicable.

Check this box to indicate the estimated first-year benefit is intangible (not tangible); you must also select one option from each of the two columns below.

Check this when the intangible benefit's magnitude is small to moderate (select one option from the left column to indicate degree of impact).

Check this when the intangible benefit's scope or reach is limited (select one option from the right column to indicate breadth of effect).

Check this when the intangible benefit's magnitude is moderate to substantial (select one option from the left column to indicate degree of impact).

Check this when the intangible benefit's scope or reach is broad (select one option from the right column to indicate breadth of effect).

Check this when the intangible benefit's magnitude is substantial to exceptional (select one option from the left column to indicate degree of impact).

Check this when the intangible benefit's scope is general (wide applicability) (select one option from the right column to indicate breadth of effect).

Enter the detailed narrative describing the employee's accomplishments and justification for the recognition, including specific actions, dates or period of performance, measurable results or impact, and any supporting details needed to evaluate the award.

Enter the date when the nominating (immediate supervisor) official signed or dated the form.

Check this box when you are recommending an office-specific monetary award (enter the amount) and have obtained prior approval from the OCHCO Awards Program Manager as required.

Enter the dollar amount approved for the Office Specific Award (amount previously approved by the OCHCO Awards Program Manager). Fill only if 'Office Specific Award' is 'Yes'.

Check this box when recommending a performance- or rating-based monetary award for the employee (enter the dollar amount and attach the previous year's performance appraisal).

Enter the dollar amount requested for the performance/rating-based award. Fill only if 'PERFORMANCE/RATING-BASED AWARD' is 'Yes'.

Check this box when you are recommending a Quality Step Increase (QSI) for the employee in accordance with the Awards Policy.

The date the recommending official signs or submits the recommendation for this award.

Enter the date the reviewing official signed or approved the recommendation.

Check this box when you are recommending a Special Act/Achievement monetary award (any amount from $200 to $3,000) for the employee.

Enter the dollar amount being requested for the Special Act/Achievement Award (any amount from $200 to $3,000). Fill only if 'SPECIAL ACT/ACHIEVEMENT AWARD' is 'Yes'.

Enter the monetary amount requested for the suggestion award. Fill only if 'Suggestion Award' is 'Yes'.

Check this box when you are recommending a Suggestion Award for the employee (per the Awards Policy) and will specify the award amount on the adjacent line.

Check this box when the estimated first-year benefit is a tangible, measurable benefit (enter the dollar amount in the space provided) rather than an intangible benefit.

Enter the estimated first-year tangible monetary benefit amount associated with this recognition award. Fill only if 'Tangible Benefit' is 'Yes'.

Check this box when recommending a time-off award for the employee (minimum 4 hours, NTE 40 hours for a single award; cumulative hours cannot exceed 80 hours for the fiscal year).

Enter the number of hours requested for the time-off award (minimum 4 hours, not to exceed 40 hours for a single award and cumulative cannot exceed 80 hours for the fiscal year). Fill only if 'TIME-OFF AWARD' is 'Yes'.

Check this box when the recommendation is for an individual employee to receive the award.

Check this box when the recommendation is for a group or team to receive the award.