WPC  77WPC >?8 vA ?@ @ ? O ?M)o?mH"= <$^oZB7>o  (   (Untitled)'3,, , ,   UB ) 3    *     +     ,     /0ghjklmnopqrstuvwxyz{|}~<2 * f:\inf41\forms\ad287-2.wpf c:\temp\ad287-2.wpf >?8 f eh Terminal 1 ! ZS  d      Terminal eb Arial " ! <S  d    Arial ev Times New Roman  ! <S  d    Times New Roman ex Helvetica-Narrow " ! (5 S  d    Helvetica-Narrow eb Roman  ! 2L   d    Roman eh Helve-WP " ! <S  d     Helve-WP ej Wingdings  ! S  d     Wingdings eX  ! <S  d     eh MS Serif  ! <S  d     MS Serif ed Modern 2 ! x."  d    Modern ej Bodoni-WP  ! <S  d     Bodoni-WP er MS Sans Serif " ! FS  d    MS Sans Serif ed System " ! Z@   d    System en LinePrinter 1 ! ZS  d      LinePrinter er CG Times (WN)  ! <S  d    CG Times (WN) ef Courier 1 ! ZS  d     Courier en Univers ATT " ! FS  d     Univers ATT ep Times CG ATT  ! <S  d     Times CG ATT ep Arial Narrow " ! (5 S  d     Arial Narrow en Courier New 1 ! PL5    d      Courier New ez WP IconicSymbolsA  ! x."  d    WP IconicSymbolsA ?{Ad A{?@z jX c:\inf41\database\ AD287-2.DBFhistory   i'CaseNo  ,   h CASENO, i'AGENCY  +   h AGENCY+ i1NAME_OF_EMPLOYEE  P   h  NAME_OF_E2P i3SOCIAL_SECURITY_NO     h  SOCIAL_SE3 i/POSITION_TITLE  +   h  POSITION_4+ i/PAY_PLANSERIES  $   h  PAY_PLANS5$ i:ORGANIZATION_AND_LOCATION  0   h  ORGANIZAT60 i*From_date     h FROM_DATE i(to_date     h TO_DATE i0ACCOUNTING_CODE  (   h  ACCOUNTIN9( i5SALARY_CHECK_ADDRESS      h  SALARY_C10  i7OTHER_Specify_address:      h  OTHER_SP11  i)Address1  _   h ADDRESS1_ i&addr2  _   h ADDR2_ i&addr3  _   h ADDR3_ i3LIST_AWARDS_OR_QSI      h  LIST_AWA15  i)citation      h CITATION  iAEMPLOYEE_SUGGESTION_OR_INVENTION      h  EMPLOYEE17  i*ExtEffort      h EXTEFFORT  i+SPOT_AWARD      h  SPOT_AWARD  i/TIME_OFF_AWARD      h  TIME_OFF20  i&OTHER      h OTHER  i)Keepsake      h KEEPSAKE  i,Gainsharing      h  GAINSHAR23  i.NO_OF_PERSONS     h  NO_OF_PE24 i,TOTAL_AWARD     h  TOTAL_AW25 i,MeasBenefit      h  MEASBENE26  i=ESTIMATED_FIRST_YEAR_SAVINGS     h  ESTIMATE27 i/NonMeasBenefit      h  NONMEASB28  i-BenefitValue     h  BENEFITV29 i,Application     h  APPLICAT30 i2PERFORMANCE_AWARD      h  PERFORMA31  i6QUALITY_STEP_INCREASE  !    h  QUALITY_32  i7DATE_OF_LAST_PROMOTION "    h  DATE_OF_33 iADATE_OF_LAST_WITHIN_GRADE_INCREA #    h  DATE_OF_34 i:AMOUNT_OF_RECOMMENDED_FOR $    h  AMOUNT_O35 i,RecommIndvl % *   h  RECOMMIN36* i/DATE_REC_INDVL &    h  DATE_REC37 i&TITLE ' ?   h TITLE? i3REVIEWING_OFFICIAL ( -   h  REVIEWIN39- i/DATE_REV_OFFIC )    h  DATE_REV40 i0TITLE_REV_OFFIC * ?   h  TITLE_RE41? i0ApprvdSignTitle  +    h  APPRVDSI42  i0DATE_APPR_OFFIC ,    h  DATE_APP43 i/AGENCY_CODEPOI - *   h  AGENCY_C44* i/DATE_EFFECTIVE .    h  DATE_EFF45 i$TO: /    h TO_46 i+NEW_SALARY 0    h  NEW_SALARY i%RATE 1    h RATE i:PAY_RATE_DETERMINANT_CODE 2    h  PAY_RATE49 i3PERSONNEL_OFFICIAL  3    h  PERSONNE50  i/DATE_PROCESSED 4    h  DATE_PRO51 i&route 5 A   h ROUTEA ?6@d @}? O>$  It is the policy of the Department to ensure that consideration for awards is made without regard to race, color, national origin, religion, sex, age, marital   status, disability or other nonmerit factors. M !"#      Z                      <  &     n' U.S. DEPARTMENT OF AGRICULTURE 2 !"#                            <  &&&     ( RECOMMENDATION & APPROVAL OF AWARDS 2 !"#                            <  &&&&    T$   NOTE: For group awards, attach list of group members. Show data in Items 2 - 9, and award amount for each payee. M !"#      d                      <  &    I  n 1. AGENCY AGENCY!"-./56789:;>?@ABCG                         < #     $     ' +  Y@$.,! *  < && = &&     h  n CASE NO. (Personnel Use Only) CaseNo!"-./566789:;>?@ABCG                         < #      $      ' ,  Y@$.,! *  <  =       n 2. NAME OF EMPLOYEE (Last, first, middle initial) NAME_OF_EMPLOYEE!"-./567489:4;>?@ABCG                         < #    d $     ' P  Y@$.,! *  < && = &&     pr  n 3. SOCIAL SECURITY NO. SOCIAL_SECURITY_NO!"-./56789:;>?@ABCG                         < #    d $     ' --  Y@$.,! *  < && = &&     Y r  n 4. POSITION TITLE POSITION_TITLE!"-./56789:;>?@ABCG                         < #    d $     ' +  Y@$.,! *  < && = &&     er  n 5. PAY PLAN-SERIES/GRADE/STEP PAY_PLANSERIES!"-./566789:;>?@ABCG                         < #    d $     ' $  Y@$.,! *  < && = &&     o  n 6. ORGANIZATION AND LOCATION ORGANIZATION_AND_LOCATION!"-./56 789:;>?@ABCG                         < #    d $     ' 0  Y@$.,! *  < && = &&        n 7. PERIOD COVERED FOR AWARD (mm, dd, yy)   !"#      d                      <  &&    D n From: From_date!"-./56 7 89:;>?@ABCG                         < #    d $     '   Y@$.,! *  < 0&& = &&     @(d n To:, to_date! "-./5+6 7 89:;>?@ABCG                         < #    d $     '   Y@$.,! *  < && = &&         n 9. IF AWARD APPROVED, MAIL CHECK TO:   !"#      d                      <  &&&    8Z  n SALARY CHECK ADDRESS   SALARY_CHECK_ADDRESS #$% & '()+,-.      d                      <   !  * <&&& 1 && 2     3     #8"  n OTHER (Specify address):   OTHER_Specify_address: #$% &'()+,-.      d                      <   !  * <&&& 1 && 2     3     M   n (ADDRESS) Address1! "-./56 7489:4;>?@ABCG                         < #    d $     ' _  Y@$.,! *  < && = &&     > "  l addr2 addr2!"- ./567489:;>?@ABCG                         < #    d $     ' _  Y@$.,! *  < &&&& = &&     +   addr3!"- ./567489:;>?@ABCG                         < #    d $     ' _  Y@$.,! *  < &&&& = &&     [  n 8. ACCOUNTING CODE ACCOUNTING_CODE! "- ./566 789:;>?@ABCG                         < #    d $     ' (  Y@$.,! *  < &&& = &&      T$X n 10. LIST AWARDS OR QSI'S IN THE PAST 52 WEEKS (Specify type of award, amount received, and effective date.)T$ LIST_AWARDS_OR_QSI!"- ./567M89:M;>?@ABCG                         < #    d $     '    Y@$.,!^ *  < &&& = &&     T$ n 11. CITATION: SUMMARIZE EMPLOYEE'S CONTRIBUTION IN 25 WORDS OR LESS. (This language will appear on the employee's certificate.) T$ ^citation!"- ./567M89:M;>?@ABCG                         < #    d $     '    Y@$.,! *  < && = &&     V  d    (   <    T$  COMPLETE THE APPROPRIATE AWARD SECTION M !"#      d                      <  &&    "x n 12. TYPE OF RECOGNITION RECOMMENDED (check one) J !"#      d                      <  &&&    @`"   * Attach a description of the contribution or patent notification being recognized and the resulting benefits to the Government.   ** Attach a description if the contribution exceeds the moderate benefits. I !"#                            <  &&&    E8^ n  EMPLOYEE SUGGESTION OR  n INVENTION *    EMPLOYEE_SUGGESTION_OR_INVENTION#$% &'()+,-.      d                      <   !  * &&T 1  2     3     |(   EXTRA EFFORT AWARD   !"#      d                      <  &&&&     d^ n  EXTRA EFFORT  n AWARD *    ExtEffort#$%&' ()+,-.      d                      <   !  * &&T 1  2     3      ^ n  SPOT AWARD    SPOT_AWARD#$%(&' ()+,-.      d                      <   !  * &&&& 1  2     3     ^ n  TIME OFF AWARD **   x xTIME_OFF_AWARD#$%7&' ()+,-.      d                      <   !  * &&&& 1  2     3     t"^ n  OTHER *    OTHER#$%I&'()+,-.      d                      <   !  * &&&& 1  2     3     e2 n NO. OF  n PERSONS NO_OF_PERSONS!"-./56 789:;>?@ABCG                         < #    d $     '    A$.,! *  < \& = &&&&    2 n TOTAL AWARD (Give  n dollar  n amount / hours,  n or value of item) TOTAL_AWARD!"-./56 7 89: ;>?@ABCG                         < #    d $    Z '   Y@$.,! *  < \&& = &&&&    g2X n 13.   !"#      d                      <  &&&    ??Mg2X n 14.   !"#      d                      <  &&&    \ 2( n 15.  n TOTAL DOLLAR  n AMOUNT/HOURS  n BASED ON:  n (Check  n approp.  n box)    !"#      n                      <  &&&&    Y2X '  !"#      d                      <  &&&&    YX  '# !"#      d                      <  &&&&     n MEASURABLE  n BENEFITS SCALE   MeasBenefit#!$%(& ' ()+,-.      d                      <   !  * &&&& 1  2     3     t2 X n ESTIMATED FIRST YEAR SAVINGS ,ESTIMATED_FIRST_YEAR_SAVINGS!"-"./566 789:;>?@ABCG                         < #    d $     ' (   $.,! *  < &&&& = &&&     n NONMEASURABLE  n BENEFITS SCALE   NonMeasBenefit##$%(&#' ()+,-.      d                      <   !  * &&&& 1  2     3     YX n VALUE OF BENEFITS ,BenefitValue!"-$./566#7 89: ;>?@ABCG                         < #    d $     '    $.,! *  < &&&& = &&&&    P,X n APPLICATION Application!"-%./5B6#789:;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&&&     V2, &      <     Vd +   (   <    e|,,^, n $ 8! !"#      d                      <  &&&&     V,, -      <     V, .      <    8^ n  KEEPSAKE AWARD    Keepsake#0$% &'()+,-.      d                      <   !  * &&&& 1  2     3     ^ n  GAINSHARING AWARD    Gainsharing#1$%(&'()+,-.      d                      <   !  * &&&& 1  2     3     2  PERFORMANCE   BONUS AWARD &  !"#                            <  &&&&    "x3 n 16. TYPE OF RECOGNITION RECOMMENDED (check one) &J !"#      d                      <  &&&    !"^4  * Attach a copy of employee's latest performance rating of record. Also, attach a justification statement, if required. +J !"#      d                      <  &&&    !8, n  PERFORMANCE BONUS  n AWARD *  x xPERFORMANCE_AWARD #5$% &''()+,-.      d                      <   !  * &&< 1  2     3      , n  QUALITY STEP INCREASE *   x xQUALITY_STEP_INCREASE!#6$%&''()+,-.      d                      <   !  * &&&& 1  2     3     lZ# & n 17. DATE OF LAST PROMOTION ,DATE_OF_LAST_PROMOTION!""-7./56-789:;>?@ABCG                         < #    d $     ' "  Y@$.,! *  < &&& = &&&&    D@HASVALUE (Date_of_last_promotion) and #UPDATONLY  -  DATE_OF_LAST_PROMOTION  ~      I@datevalue (@datetext (Date_of_last_promotion, "%2-%1-%5")) -  DATE_OF_LAST_PROMOTION   %2-%1-%5  "  #  F@VALUE (@DATETEXT (Date_of_last_promotion,"%5"))<=29 -  DATE_OF_LAST_PROMOTION   %5  "  x         @SETVALUE (Date_of_last_promotion, @DATEVALUE (@CONCAT (@DATETEXT (Date_of_last_promotion,"%2-%1"),"-20",@DATETEXT (Date_of_last_promotion,"%5"))),TRUE) /  DATE_OF_LAST_PROMOTION -  DATE_OF_LAST_PROMOTION   %2-%1  "   -20 -  DATE_OF_LAST_PROMOTION   %5  "      #       \ Z#0 & n 18. DATE OF LAST WITHIN GRADE INCREASE0 ,DATE_OF_LAST_WITHIN_GRADE_INCREA!#"-8./56-789:;>?@ABCG                         < #    d $     ' .  Y@$.,! *  < &&& = &&&&    N@HASVALUE (Date_of_last_within_grade_increa) and #UPDATONLY  7  DATE_OF_LAST_WITHIN_GRADE_INCREA  ~      S@datevalue (@datetext (Date_of_last_within_grade_increa, "%2-%1-%5")) 7  DATE_OF_LAST_WITHIN_GRADE_INCREA   %2-%1-%5  "  #  P@VALUE (@DATETEXT (Date_of_last_within_grade_increa,"%5"))<=29 7  DATE_OF_LAST_WITHIN_GRADE_INCREA   %5  "  x         @SETVALUE (Date_of_last_within_grade_increa, @DATEVALUE (@CONCAT (@DATETEXT (Date_of_last_within_grade_increa,"%2-%1"),"-20",@DATETEXT (Date_of_last_within_grade_increa,"%5"))),TRUE) 9  DATE_OF_LAST_WITHIN_GRADE_INCREA 7  DATE_OF_LAST_WITHIN_GRADE_INCREA   %2-%1  "   -20 7  DATE_OF_LAST_WITHIN_GRADE_INCREA   %5  "      #       Z# & n AMOUNT RECOMMENDED FOR  n PERFORMANCE BONUS AWARD ^AMOUNT_OF_RECOMMENDED_FOR!$"-9./566-789:;>?@ABCG                         < #    d $     ' (   $.,! *  < h = &&&    r$:  Certification: I certify, by my signature in the Recommendation & Approval section below, that the   employee's position description and the performance standards for the positions were thoroughly reviewed   prior to submission of this recommendation; that the employee's performance is outstanding; and that the   performance is characteristic and is expected to continue in the future.  (3 !"#      d                      <  &&&    %T$;  RECOMMENDATION AND APPROVAL 0M !"#                            <  &&    gZ#&< n 19. 6- !"#      d                      <  &&&    e"$,^= n $ 9. !"#      d                      <  &&&    rH&|  n 20. RECOMMENDING INDIVIDUAL (Signature)| RecommIndvl!%"-?./561789:;>?@ABCG                         < #    d $     ' *  Y@$.,! *  < &&& = &&     N\ H&( n DATE( DATE_REC_INDVL!&"-@./5617 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&     <@HASVALUE (Date_rec_indvl) and #UPDATONLY  %  DATE_REC_INDVL  ~      A@datevalue (@datetext (Date_rec_indvl, "%2-%1-%5")) %  DATE_REC_INDVL   %2-%1-%5  "  #  >@VALUE (@DATETEXT (Date_rec_indvl,"%5"))<=29 %  DATE_REC_INDVL   %5  "  x         @SETVALUE (Date_rec_indvl, @DATEVALUE (@CONCAT (@DATETEXT (Date_rec_indvl,"%2-%1"),"-20",@DATETEXT (Date_rec_indvl,"%5"))),TRUE) '  DATE_REC_INDVL %  DATE_REC_INDVL   %2-%1  "   -20 %  DATE_REC_INDVL   %5  "      #       E<( n TITLE: TITLE!'"-A./5637#89:;>?@ABCG                         < #    d $     ' ?  Y@$.,! *  < &&  = &&     tH& n 21. REVIEWING OFFICIAL (Signature) REVIEWING_OFFICIAL!("-B./5'61789:;>?@ABCG                         < #    d $     ' -  Y@$.,! *  < &&& = &&     O<( n TITLE: TITLE_REV_OFFIC!*"-C./5'637*89:;>?@ABCG                         < #    d $     ' ?  Y@$.,! *  < &&  = &&     ??mHN H& n DATE DATE_REV_OFFIC!)"-D./5E617 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&     <@HASVALUE (Date_rev_offic) and #UPDATONLY  %  DATE_REV_OFFIC  ~      A@datevalue (@datetext (Date_rev_offic, "%2-%1-%5")) %  DATE_REV_OFFIC   %2-%1-%5  "  #  >@VALUE (@DATETEXT (Date_rev_offic,"%5"))<=29 %  DATE_REV_OFFIC   %5  "  x         @SETVALUE (Date_rev_offic, @DATEVALUE (@CONCAT (@DATETEXT (Date_rev_offic,"%2-%1"),"-20",@DATETEXT (Date_rev_offic,"%5"))),TRUE) '  DATE_REV_OFFIC %  DATE_REV_OFFIC   %2-%1  "   -20 %  DATE_REV_OFFIC   %5  "      #       y)X n 22. APPROVING OFFICIAL (Signature & Title) ApprvdSignTitle!+"-E./5647A89:A;>?@ABCG                         < #    d $     '  ?  Y@$.,!v *  < && = &&     O )X n DATE DATE_APPR_OFFIC!,"-G./5E647 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&&    =@HASVALUE (Date_appr_offic) and #UPDATONLY  &  DATE_APPR_OFFIC  ~      B@datevalue (@datetext (Date_appr_offic, "%2-%1-%5")) &  DATE_APPR_OFFIC   %2-%1-%5  "  #  ?@VALUE (@DATETEXT (Date_appr_offic,"%5"))<=29 &  DATE_APPR_OFFIC   %5  "  x         @SETVALUE (Date_appr_offic, @DATEVALUE (@CONCAT (@DATETEXT (Date_appr_offic,"%2-%1"),"-20",@DATETEXT (Date_appr_offic,"%5"))),TRUE) (  DATE_APPR_OFFIC &  DATE_APPR_OFFIC   %2-%1  "   -20 &  DATE_APPR_OFFIC   %5  "      #       |\+T$H   PERSONNEL USE ONLY 7M !"#      d                      <  &&     o,8X n 23. AGENCY  n  CODE/POI8 ^AGENCY_CODEPOI!-"-I./5697 89: ;>?@ABCG                         < #    d $     ' *  Y@$.,! *  < &&& = &&     p,X n 27. DATE  n  EFFECTIVE ^DATE_EFFECTIVE!."-L./5 697 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&     <@HASVALUE (Date_effective) and #UPDATONLY  %  DATE_EFFECTIVE  ~      A@datevalue (@datetext (Date_effective, "%2-%1-%5")) %  DATE_EFFECTIVE   %2-%1-%5  "  #  >@VALUE (@DATETEXT (Date_effective,"%5"))<=29 %  DATE_EFFECTIVE   %5  "  x         @SETVALUE (Date_effective, @DATEVALUE (@CONCAT (@DATETEXT (Date_effective,"%2-%1"),"-20",@DATETEXT (Date_effective,"%5"))),TRUE) '  DATE_EFFECTIVE %  DATE_EFFECTIVE   %2-%1  "   -20 %  DATE_EFFECTIVE   %5  "      #        ,XM n QUALITY  n STEP  n INCREASE: 9 !"#      n                      <  &&&    Y,X n 25. TO: (Grade & Step) ,TO:!/"-O./5697 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&&    T,TX n 26. NEW SALARYT ,NEW_SALARY!0"-P./5,697 89: ;>?@ABCG                         < #    d $     '    $.,! *  < &&& = &&&    F0,dX n 27. RATEd ,RATE!1"-Q./5:697 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&&    | ,X n PAY RATE DETER-  n MINANT CODE PAY_RATE_DETERMINANT_CODE!2"-R./5E697 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < ,&& = &&&    g ,XS n 28. E9 !"#      d                      <  &&&    | /X n 29. PERSONNEL OFFICIAL (Signature & Title) PERSONNEL_OFFICIAL!3"-T./56<7.89:.;>?@ABCG                         < #    d $     '  A  Y@$.,!^ *  < &&& = &&    X /X n DATE PROCESSED EDATE_PROCESSED!4"-U./5E6<7 89: ;>?@ABCG                         < #    d $     '   Y@$.,! *  < &&& = &&&    <@HASVALUE (Date_processed) and #UPDATONLY  %  DATE_PROCESSED  ~      A@datevalue (@datetext (Date_processed, "%2-%1-%5")) %  DATE_PROCESSED   %2-%1-%5  "  #  >@VALUE (@DATETEXT (Date_processed,"%5"))<=29 %  DATE_PROCESSED   %5  "  x         @SETVALUE (Date_processed, @DATEVALUE (@CONCAT (@DATETEXT (Date_processed,"%2-%1"),"-20",@DATETEXT (Date_processed,"%5"))),TRUE) '  DATE_PROCESSED %  DATE_PROCESSED   %2-%1  "   -20 %  DATE_PROCESSED   %5  "      #       /XV n I certify that the proposed action  n is in compliance with statutory  n and regulatory requirements < !"#      d                      <  &x&&    ~ j1xX  Form AD-287-2 (7/94) E?  !"#      d                      <  &&&     V\ H&^ Y      <     V H&^ Z      <     V ) \      <     V ,, _      <     V /, a      <    j1b d This form was electronically produced by Elite Federal Forms, Inc. ?! !"#      d                      <  &&     V |.d f   (   <     V,, g      <     V,, h      <     V0,, i      <    n j n EMPLOYEE IS BEING RECOGNIZED FOR:  !"#                             <  &    Hl j1  route route!5"-k./56?7(89:;>?@ABCG                         < #      $    d  ' A  Y@$.,! *  <  =     \+^ ( Print Form print  6 l 7  !"#$%                @SETVALUE(ROUTE,"ORIGINAL - Processing Copy",TRUE);@PRINT(); @SETVALUE(ROUTE,"1st COPY - Official Personnel Folder",TRUE);@PRINT(); @SETVALUE(ROUTE,"2nd COPY - Obligation Record",TRUE);@PRINT(); @SETVALUE(ROUTE,"3rd COPY - Employee Copy",TRUE);@PRINT(); @RESETOBJ(ROUTE)   route 1  ORIGINAL - Processing Copy              route <  1st COPY - Official Personnel Folder              route 3  2nd COPY - Obligation Record              route /  3rd COPY - Employee Copy              route    j  h,m ;   !"#                             <      jXh,n ;  $# !"#                             <      j-h,o ;  : !"#                             <      ?= def =c<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=Z {_EZt