finding an employer liable for denial of reasonable accommodation when it failed to engage in the interactive process which caused the denial of an effective accommodation
How later courts described this case
- finding an employer liable for denial of reasonable accommodation when it failed to engage in the interactive process which caused the denial of an effective accommodation
Written by the judges who cited it.
The opinion
UNITED STATES OF AMERICA
MERIT SYSTEMS PROTECTION BOARD
BETTY HALLETT, DOCKET NUMBER
Appellant, SF-0752-16-0233-B-1
v.
DEPARTMENT OF AGRICULTURE, DATE: January 29, 2025
Agency.
THIS FINAL ORDER IS NONPRECEDENTIAL 1
Betty Hallett , Round Rock, Texas, pro se.
Joshua N. Rose and Cliff Lockett , Washington, D.C., for the agency.
BEFORE
Cathy A. Harris, Chairman*
Raymond A. Limon, Vice Chairman
Henry J. Kerner, Member
*The Board members voted on this decision before January 20, 2025.
FINAL ORDER
In a June 9, 2022 Remand Order, the Board did not sustain the agency’s
enforced leave action and remanded this appeal to the administrative judge to
address the appellant’s affirmative defenses. The appellant has now filed a
petition for review of the remand initial decision that, consistent with the Board’s
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A nonprecedential order is one that the Board has determined does not add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 Parties may cite nonprecedential orders,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
remand order, did not sustain the agency’s enforced leave action but denied the
appellant’s affirmative defenses. For the reasons discussed below, we GRANT
the appellant’s petition for review, AFFIRM the initial decision’s finding that the
enforced leave action is NOT SUSTAINED, and REVERSE the initial decision’s
finding that the appellant did not prove her affirmative defenses of disability
discrimination based on a failure to accommodate and equal employment
opportunity (EEO) retaliation.
BACKGROUND
At all times relevant to this appeal, the appellant was employed as a
GS-12 Supervisory Public Health Veterinarian (PHV), assigned to slaughter and
processing plants with the agency’s Food Safety Inspection Service (FSIS).
Hallett v. Department of Agriculture, MSPB Docket No. SF-0752-16-0233-I-1,
Initial Appeal File (IAF), Tab 5 at 7. Beginning in or around 2011, the appellant
began to suffer from tinnitus and associated hearing loss, with her symptoms
increasing when exposed to high-frequency noises, such as those created by the
splitting saws, which were consistently used in large processing plants. IAF,
Tab 12 at 33-37, Tab 49-1, Hearing Recording (HR) (testimony of the appellant).
On November 8, 2011, the appellant requested reasonable accommodation for her
tinnitus and hearing loss, explaining that her tinnitus increased when she was at
her duty station and requesting that she be allowed to stop working by the
splitting saw and work at another duty station. IAF, Tab 12 at 33, 38-39. The
agency denied the appellant’s reasonable accommodation request, claiming that
her impairment did not meet the definition of a disability. Id. at 42.
After the denial of her reasonable accommodation request, the appellant
took proactive steps to minimize her presence in large processing plants and
exposure to high-frequency noises. HR (testimony of the appellant). For
instance, the appellant bought custom earplugs and earmuffs to limit her noise
exposure. Id.; IAF, Tab 12 at 23-24. Then, in or around December 2012, the
3
appellant transferred to Creston Valley, a mini-circuit assignment 2 in which she
oversaw a group of smaller slaughter and processing plants that were less noisy
than the larger processing plants. IAF, Tab 12 at 97 -98, Tab 16 at 21,
HR (testimony of the appellant). However, even though the appellant sought out
the mini-circuit assignment specifically to minimize her time in large processing
plants, the appellant’s supervisor continued to assign her to large processing
plants on “relief” assignments. IAF, Tab 12 at 100-01, Tab 49-1, HR (testimony
of the appellant), Tab 49-4, HR (testimony of the appellant’s supervisor).
On July 21, 2014, while working on a relief assignment at a large
processing plant, the appellant began experiencing severe ringing in her ears.
IAF, Tab 21 at 62-63; HR (testimony of the appellant). She emailed her
supervisor, explaining that the ringing in her ears had become so severe that she
could not be on the kill floor while the splitting saw was running and requested
that her supervisor arrange for another individual to cover the line inspectors’
breaks that day. 3 IAF, Tab 21 at 56-57. The appellant’s supervisor called the
appellant asking her to explain what made an environment “noisy,” to which the
appellant responded that the “split[tting] saw, or any other high pitched ‘ee-ee-ee’
type of noise [] made [her] tinnitus worse.” Id. at 62. She also explained to her
supervisor that she could perform her duties at her mini-circuit assignment,
explaining that, at Creston Valley, she was able to step out of the area when the
splitting saw was in use, and that the other two slaughter plants she oversaw
allowed her to either not be present in the trailer while the splitting saw was
running or watch through glass. Id. However, the appellant’s supervisor told her
2
The mini-circuit assignment is also referred to as a patrol assignment throughout the
record. See, e.g., IAF, Tab 33 at 47.
3
Approximately 15-minute breaks were given to each inspector on the line, during
which the Supervisory PHV assigned to the plant would provide coverage in the kill
room, which contained the splitting saw. HR (testimony of the appellant and her
supervisor). According to the appellant, she had to spend about 3 hours giving the line
inspectors breaks during relief assignments. HR (testimony of the appellant).
4
that it was part of her duties to give breaks to the line inspectors and stated that
she could not be on duty if she could not perform her job. Id. The appellant took
leave for the rest of the day. Id. at 55-56.
That same day, the appellant went to an occupational health clinic and was
released with medical restrictions to limit noise exposure to under 100 decibels.
Id. at 64. The decibel level at the appellant’s office in Creston Valley was
approximately 65 decibels, and the noisiest areas of the facility read at
87 decibels, all within the acceptable range. IAF, Tab 24 at 71, HR (testimony of
the appellant). However, on August 12, 2014, the appellant’s supervisor assigned
her to a large processing plant with a noise level of approximately 95 decibels,
close to the maximum decibel level. IAF, Tab 21 at 66-67, HR (testimony of the
appellant and her supervisor).
The appellant returned to the occupational health clinic and received
updated medical restrictions, which stated that she “needs office/desk work only,
no noise exposure.” IAF, Tab 12 at 102. Immediately thereafter, the appellant
took scheduled annual leave for 3 weeks. Id. at 104; HR (testimony of the
appellant). When she returned to work on September 8, 2014, the appellant’s
supervisor claimed that there was no position that would allow her to work in an
office with no noise exposure, and that the appellant would need to take leave.
IAF, Tab 12 at 104-06; HR (testimony of the appellant’s supervisor). Therefore,
as of September 8, 2014, the agency placed the appellant on leave without pay
(LWOP) despite her objections that she could perform the essential functions of
her position at Creston Valley and in her mini-circuit assignment. IAF, Tab 21
at 58-63, 72-73, Tab 33 at 47, HR (testimony of the appellant). The appellant’s
supervisor did not request clarification of the appellant’s medical restrictions
before placing her on LWOP. HR (testimony of the appellant’s supervisor).
On September 11, 2014, the appellant went back to the occupational health
clinic and received updated medical documentation, which stated that she should
“limit noise exposure environment to 40-60 decibels,” such as “normal office
5
noise level,” but, if she “need[ed] to be in higher noise, she [should] continue to
use double ear protection.” IAF, Tab 12 at 109, 111. The agency nevertheless
continued to prohibit the appellant from returning to work, claiming that there
was no environment of less than 60 decibels, given that even noises like the air
conditioner running, the ringing of phones, or a file cabinet slamming shut could
raise the level above 60 decibels. HR (testimony of the appellant’s supervisor).
On or around October 9, 2014, the appellant submitted a reasonable
accommodation request asking for, among other things, placement in her
mini-circuit assignment. 4 HR (testimony of the appellant); IAF, Tab 33 at 47.
The agency denied the appellant’s request for reasonable accommodation on
November 7, 2014, claiming that her impairment did not meet the definition of a
disability. IAF, Tab 12 at 117. Shortly thereafter, the appellant again requested
reasonable accommodation, and in February 2015, the agency yet again denied
the appellant’s request, claiming that the appellant did not meet the definition of a
disabled person. IAF, Tab 21 at 117-18. On March 26, 2015, after the
appellant’s Office of Workers’ Compensation Programs (OWCP) claim was
denied and the agency concluded there was no position within the appellant’s
medical restrictions, the agency ordered the appellant to return to duty, or, if she
was unable to return, to resign or submit medical documentation certifying that
she was incapacitated for duty. 5 Id. at 144-45. The appellant returned to work on
March 30, 2015. 6 Id.; HR (testimony of the appellant).
4
On the reasonable accommodation form, the appellant listed her mini-circuit
assignment with “no noise exposure” as the reasonable accommodation request. IAF,
Tab 33 at 47. The appellant clarified in her testimony that she wanted to be placed back
in her mini-circuit assignment and not be given relief assignments to large processing
plants. HR (testimony of the appellant). As the agency found that the appellant was not
entitled to reasonable accommodation because she was not disabled, the agency never
clarified the appellant’s requested accommodations. IAF, Tab 12 at 117.
5
In June 2014, the appellant filed an OWCP claim because she was under the mistaken
belief that such a claim would result in reasonable accommodation. IAF, Tab 21
at 49-51, HR (testimony of the appellant).
6
The appellant filed an EEO complaint, and after receiving a final agency
decision, she filed a Board appeal challenging her forced absence from
September 8, 2014 to March 30, 2015. IAF, Tab 1. Initially characterizing this
appeal as a constructive suspension appeal, the administrative judge held a
jurisdictional hearing and issued an initial decision on July 12, 2016, finding that
the appellant did not establish by preponderant evidence that the agency
constructively suspended her and that the Board lacked jurisdiction over the
appellant’s affirmative defenses of discrimination and retaliation. IAF, Tab 53.
The appellant filed a petition for review of the initial decision, and on
June 9, 2022, the Board issued a Remand Order finding that the agency forced the
appellant to take leave for more than 14 days, which constituted an appealable
suspension, and, because the agency did not provide her with due process rights,
the Board reversed the agency’s enforced leave action. Hallett v. Department of
Agriculture, MSPB Docket No. SF-0752-16-0233-I-1, Remand Order at 4-5
(Jun. 9, 2022). Because the Board had jurisdiction over the agency’s enforced
leave action, the Board remanded the appeal for the administrative judge to issue
a decision on the merits of the appellant’s affirmative defenses of race, sex, color,
6
The appellant returned to work on March 30, 2015, but the next day, she took leave
until April 27, 2015, when the agency then placed her on administrative leave while it
searched for a vacant position within her restrictions. IAF, Tab 12 at 128. After
receiving another return-to-duty order on May 7, 2015, she returned to work. Id.
at 128-30; HR (testimony of the appellant).
7
national origin, and disability discrimination, as well as EEO retaliation. 7
Id. at 5-6.
After deciding that a supplemental hearing was not required, 8 the
administrative judge issued a remand initial decision reversing the agency’s
enforced leave action in accordance with the Board’s Remand Order but finding
that the appellant did not prove her affirmative defenses. Hallett v. Department
of Agriculture, MSPB Docket No. SF-0752-16-0233-B-1, Remand File (RF),
Tab 13, Remand Initial Decision (RID). First, the administrative judge found that
the appellant did not prove her claim of disability discrimination based on either
failure to accommodate or disparate treatment because she was not a qualified
individual with a disability. RID at 10-17. Then, the administrative judge found
that the appellant made only generic claims that the agency would have treated
her more favorably if she had been a non-white, non-American male, which were
insufficient to prove her claims of race, national origin, and sex discrimination. 9
RID at 17-21. Regarding the appellant’s EEO retaliation claim, the
administrative judge found that the 6-week timeframe between the appellant’s
EEO activity and her placement on enforced leave was not suspicious because the
7
The Board also ordered the administrative judge to determine whether the appellant
raised an age discrimination claim, allow the appellant to proceed with a whistleblower
reprisal claim, and provide her with the applicable burdens of proof for a whistleblower
reprisal claim. Remand Order at 6-7. On remand, the administrative judge issued an
order requesting that the appellant clarify whether she was raising an age discrimination
claim and providing her notice of the applicable burdens of proof for a whistleblower
reprisal claim. RF, Tab 3. The appellant responded that she was not raising an age
discrimination claim, RF, Tab 5 at 9, and that she was “withdrawing [her] claim of
reprisal for whistleblowing at this time,” RF, Tab 6 at 10. The administrative judge
later issued an order confirming that the appellant had withdrawn her whistleblower
reprisal claim and listing the appellant’s affirmative defenses as discrimination based
on sex, race, color, physical disability, national origin, and EEO retaliation. RF, Tab 8
at 3-4. The appellant did not object to the administrative judge’s characterization of her
claims despite being afforded the opportunity to do so, id. at 5, and she does not
challenge the characterization on review.
8
The administrative judge provided the parties with notice that a supplemental hearing
may not be needed and afforded them an opportunity to explain their positions with
regards to a supplemental hearing. RF, Tab 3 at 2-3.
8
enforced leave was explained by the changes in her medical restrictions.
RID at 21-23. The administrative judge ordered the agency to provide interim
relief if either party filed a petition for review. RID at 25.
The appellant has filed a petition for review, arguing, among other things,
that she could perform the essential functions of her position and that the agency
refused to reasonably accommodate her and forced her to take leave. Petition for
Review (PFR) File, Tab 1 at 4-24. She also asserts that the agency retaliated
against her for filing an EEO complaint. 10 Id. at 24-28. The agency responded in
opposition to the appellant’s petition for review, and the appellant replied to the
agency’s response. 11 PFR File, Tabs 3-4.
9
To the extent that the administrative judge conflated the claims of race discrimination
and color discrimination, the appellant does not assert a color discrimination claim on
review, and there is no evidence establishing that the appellant was discriminated
against on the basis of color. Panter v. Department of the Air Force, 22 M.S.P.R. 281,
282 (1984) (explaining that an adjudicatory error that is not prejudicial to a party’s
substantive rights provides no basis for reversal of an initial decision) .
10
To the extent that the appellant attempts to raise a claim of whistleblower reprisal on
review, PFR File, Tab 1 at 24-25, the appellant withdrew this claim in front of the
administrative judge, RF, Tab 6 at 10, Tab 8 at 3-4, and did not object to the
administrative judge’s finding that the defense was withdrawn, despite being afforded
an opportunity to do so, RF, Tab 8 at 5. Therefore, because the appellant affirmatively
waived the defense below, we will not address it here for the first time. See
Thurman v. U.S. Postal Service, 2022 MSPB 21, ¶ 18 (summarizing factors to be
considered when determining whether an appellant waived or abandoned an affirmative
defense, to include the degree to which the appellant pursued the defense after raising
it, and whether the appellant objected to the defenses exclusion from the summary of
issues to be decided).
11
After the close of the record on review, the appellant filed a submission asserting that
she has not received interim relief. PFR File, Tab 6. The agency filed a response to the
appellant’s submission, and the appellant filed a reply. PFR File, Tabs 7-8. The
appellant did not challenge the agency’s compliance with the interim relief order in her
petition for review or otherwise allege that her submission was filed within 25 days of
the date on which she became aware that the agency did not provide interim relief. See
5 C.F.R. § 1201.116(b)-(c). In any event, any noncompliance by the agency on interim
relief would now be moot by virtue of our final decision ordering relief. See
Smith v. Department of the Army, 2022 MSPB 4, ¶ 12.
9
DISCUSSION OF ARGUMENTS ON REVIEW
The appellant is a qualified individual with a disability.
The administrative judge found that the appellant was not a qualified
individual with a disability because her medical restrictions rendered her
incapable of performing the essential functions of her position while she was on
enforced leave. RID at 11-16. On review, the appellant argues that she could
have performed the essential functions of her job at her mini-circuit assignment
while she was on enforced leave. PFR File, Tab 1 at 4-24. For the reasons set
forth below, we agree with the appellant and find that she is a qualified individual
with a disability.
The American with Disabilities Act (ADA) 12 provides that it is illegal for
an employer to “discriminate against a qualified individual with a disability.”
42 U.S.C. § 12112(a); Haas v. Department of Homeland Security, 2022 MSPB 36,
¶ 28. Both a claim of disability discrimination based on an individual’s status as
disabled and a claim based on the agency’s failure to reasonably accommodate
that disability require that the individual be “qualified.” Haas, 2022 MSPB 36,
¶ 28. To prove that an appellant is an individual with a disability, she must show
that she: (1) has a physical or mental impairment that substantially limits one or
more major life activities; (2) has a record of such impairment; or (3) is regarded
as having such an impairment. 42 U.S.C. § 12102(1); 29 C.F.R. § 1630.2(g)(1).
To be a qualified individual with a disability, the appellant must show that she
can “perform the essential functions of the . . . position that [she] holds or
desires” with or without reasonable accommodation. 42 U.S.C. § 12111(8).
12
The Board adjudicates claims of disability discrimination raised in connection with
an otherwise appealable action under the substantive standards of section 501 of the
Rehabilitation Act. Haas, 2022 MSPB 36, ¶ 28. The standards under the ADA, as
amended by the Americans with Disabilities Act Amendments Act of 2008, have been
incorporated into the Rehabilitation Act, and the Board applies them to determine
whether there has been a Rehabilitation Act violation. Id.
10
The record is replete with medical documentation establishing that the
appellant suffered from hearing loss, as well as tinnitus, which substantially
impacted her daily life. IAF, Tab 12 at 33, 40-41, 102, 107-115. Furthermore,
the governing regulations define “hearing” as a major life activity. 29 C.F.R.
§ 1630.2(i). Therefore, contrary to the agency’s position, IAF, Tab 12 at 42,
117, Tab 21 at 117-18, the administrative judge correctly found that the appellant
is a disabled individual. RID at 11. However, contrary to the administrative
judge’s findings, we find that the appellant is a qualified individual with a
disability. RID at 16.
The administrative judge found that the appellant was not qualified because
her medical restrictions required her to be in an environment of 40-60 decibels,
and there was no environment within the agency that was under 60 decibels.
RID at 12-16. We believe this is a mischaracterization of the appellant’s medical
restrictions. As of September 11, 2014, the appellant’s medical restrictions stated
that the “recommendation” was for the appellant to “work in an environment of
no greater than 40-60 decibels of noise which would be a normal office noise
level,” but that if she “need[ed] to be in higher noise, she [should] continue to use
double ear protection.” IAF, Tab 12 at 111. Per the agency’s measurements, the
appellant’s official duty station, Creston Valley, ranged from areas of 65 decibels
in the office with the air conditioner on to 87 decibels in the cut room with the
band saw or vacuum sealer running. IAF, Tab 24 at 71; PFR File, Tab 3
at 6, 9 n.9. The appellant’s medical restrictions expressly contemplated a
“normal office noise level,” which would reasonably include an environment with
a running air conditioner. IAF, Tab 12 at 111. The medical restrictions also
contemplated that the appellant may need to be in environments of higher noise
levels, as it stated that she should continue to wear double ear protection if in
those environments. Id.
Therefore, we find that the appellant could have performed the essential
functions of her position, even with her stated medical restrictions. This is
11
consistent with the appellant’s own statements, as she has continuously asserted
that she could perform the essential duties of her position in her mini-circuit
assignment. IAF, Tab 21 at 58-63, 72-73; Tab 33 at 47, HR (testimony of the
appellant). This finding is also consistent with the fact that, when the appellant
returned from enforced leave in the spring of 2015, she continued to work in her
position without reasonable accommodation, under the same medical restrictions
that she had during her enforced leave period. 13 HR (testimony of the appellant
and her supervisor); PFR File, Tab 1 at 4, 7. Stated another way, the fact that the
appellant was able to successfully perform her position under the same medical
restrictions after the period of enforced leave suggests that the appellant could
have performed the essential functions of her position, without reasonable
accommodation, during the entirety of the enforced leave period. Accordingly,
we find that the appellant could have performed the essential functions of her
position with or without reasonable accommodation, and therefore, she is a
qualified individual with a disability.
The agency failed to engage in the interactive process of reasonable
accommodation. 14
Because the administrative judge found that the appellant was not a
qualified individual with a disability, she found that the appellant did not prove
that the agency failed to reasonably accommodate her. 15 RID at 16. To establish
disability discrimination based on a failure to accommodate, an employee must
show that: (1) she is an individual with a disability, as defined by 29 C.F.R.
13
The agency does not dispute that the appellant performed the essential functions of
her duties after she returned to work. The agency only claims that she could not
perform her duties during the approximately 7 months of enforced leave. PFR File,
Tab 3 at 8-10.
14
On review, the appellant does not dispute the administrative judge’s findings that she
failed to prove her affirmative defenses of race, sex, color, or national origin
discrimination. RID at 17-21. We agree with the administrative judge’s findings that
the appellant failed to present any evidence in support of these defenses, absent
conclusory statements, and, thus, we discern no basis to disturb these findings. Id.
12
§ 1630.2(g); (2) she is a qualified individual with a disability, as defined by
29 C.F.R. § 1630.2(m); and (3) the agency failed to provide a reasonable
accommodation. Miller v. Department of the Army, 121 M.S.P.R. 189, ¶ 13
(2015). As explained above, we find that the appellant proved that she is a
qualified individual with a disability. Therefore, the relevant question here is
whether the agency failed to provide the appellant with reasonable
accommodation.
An agency is required to make reasonable accommodation to the known
physical and mental limitations of an otherwise qualified individual with a
disability unless the agency can show that accommodation would cause an undue
hardship on its business operations. 29 C.F.R. § 1630.9(a); Miller, 121 M.S.P.R.
189, ¶ 13. Reasonable accommodation includes modifications to the manner in
which a position is customarily performed to enable a qualified individual with a
disability to perform the essential job functions. Miller, 121 M.S.P.R. 189, ¶ 13;
Equal Employment Opportunity Commission (EEOC), Enforcement Guidance on
Reasonable Accommodation and Undue Hardship under the Americans with
Disabilities Act, Notice No. 915.002, 2002 WL 31994335 at *2 (Oct. 17, 2002).
Once an appellant has requested an accommodation, the employer must
engage in an interactive process to determine an appropriate accommodation.
Sanchez v. Department of Energy, 117 M.S.P.R. 155, ¶ 17 (2011). Here, the
agency did not engage in the interactive process of reasonable accommodation.
First, the agency erroneously determined that the appellant did not meet the
definition of disabled and was therefore not entitled to reasonable
accommodation. IAF, Tab 12 at 42, 117, Tab 21 at 9-10, 117-18. On that basis,
the agency did not believe it was required to engage in the interactive process
15
The administrative judge also found that the appellant failed to establish a claim of
disability discrimination based on disparate treatment. RID at 16-17. While we find
that the appellant is a qualified individual with a disability, we decline to revisit the
remainder of the claim as the appellant does not contest the outcome of this claim on
review.
13
and, therefore, effectively concedes that it did not engage in the formal
reasonable accommodation process. IAF, Tab 12 at 42, 117, Tab 21 at 9-10,
117-18. Outside of that formal reasonable accommodation process, the
appellant’s supervisor sent an email to the appellant on November 19, 2014,
asking for clarification on the 40-60 decibel range, and the agency conducted a
vacant, funded position search resulting in an offer of a GS-5, GS-7, or GS -9
level position. IAF, Tab 12 at 128, Tab 50-1, HR (testimony of the Deputy
District Manager). Even though the agency did not engage in the formal
reasonable accommodation process, we nevertheless have considered whether
these actions constitute an attempt to accommodate the appellant outside of the
formalized process. For the reasons stated below, we do not find that these
actions prove that the agency engaged in the interactive process necessary to
determine a reasonable accommodation.
Regarding the November 19, 2014 email, the appellant’s supervisor asked
whether the “ambient noise level needs to be 40-60 [decibels] or that it must be
reduced to 40-60 [decibels].” IAF, Tab 21 at 107. Even though the appellant’s
response was not helpful, as she merely repeated her written medical restriction,
the appellant’s supervisor responded simply “[o]k. Thank you.” Id. The
appellant’s supervisor did not ask any other questions or make any other attempt
to clarify or seek additional information at that time. Nor does it appear from the
record that the appellant’s supervisor sought clarification at any other point
regarding the appellant’s medical restrictions while she was on enforced leave.
That lack of engagement is particularly concerning given that, as recently as July
and August 2014, the appellant told her supervisor that it was the large processing
plants and high-frequency noises, such as the splitting saw, that exacerbated her
condition, but she could still perform the essential functions at her mini-circuit
assignment. IAF, Tab 12 at 97-98, Tab 21 at 58-63, 72-73, HR (testimony of the
appellant).
14
Next, regarding the vacant, funded position search, the agency admits that
this search was undertaken pursuant to the Federal Employees Compensation Act
(FECA), which requires agencies to consider temporary assignments that allow
employees receiving OWCP benefits to work while recovering from a
work-related injury or illness. IAF, Tab 51 at 5-6, 8. The appellant never
received OWCP benefits and, therefore, FECA is not applicable. Nevertheless,
the standards under FECA are substantively different than the standards under the
ADA, and the completion of the vacant, funded search does not establish that the
agency met its obligations with respect to the reasonable accommodation process
required by the ADA. Furthermore, “[r]eassignment is the reasonable
accommodation of last resort,” and absent evidence that there was no effective
reasonable accommodation that would allow the appellant to perform the essential
duties of her current position, the agency’s offer of a lower-graded position is not
evidence, in and of itself, that it engaged in the interactive process of reasonable
accommodation. EEOC Notice 915.002, 2002 WL 31994335 at *20; see Angel v.
Office of Personnel Management, 122 M.S.P.R. 424, ¶ 9 (2015) (describing
reassignment as the reasonable accommodation of last resort, which is required
only after it has been determined that there are no effective accommodations that
would enable the employee to perform the essential duties of her current position
or that all other reasonable accommodations would impose an undue hardship).
In summary, the record is clear that the agency did not engage in the formal
reasonable accommodation process because it erroneously found that the
appellant was not disabled. IAF, Tab 12 at 42, 117, Tab 21 at 9-10, 117-18.
Furthermore, we do not find that a single email exchange with the appellant’s
supervisor 2 months after the appellant was placed on enforced leave, or a vacant,
funded position search under an inapplicable statute resulting in offers of
lower-graded positions, sufficiently establishes that the agency acted outside that
formal avenue to engage in the reasonable accommodation process. Stated
another way, we find that the record establishes that the agency failed to engage
15
in the interactive process to determine an effective accommodation for
the appellant.
The agency’s failure to engage in the interactive process resulted in a failure to
provide reasonable accommodation.
An agency’s failure to engage in the interactive process alone does not
violate the Rehabilitation Act; instead, the appellant must show that the failure
resulted in no reasonable accommodation being provided. Sanchez, 117 M.S.P.R.
155, ¶ 18. In other words, the appellant must establish that an accommodation
existed and was reasonable. See Clemens v. Department of the Army,
120 M.S.P.R. 616, ¶ 17 (2014) (finding that an appellant’s mere assertion that the
agency could have allowed him to use specific software was insufficient to
establish his burden that an accommodation existed and was reasonable); see also
Humphrey v. Memorial Hospitals Association, 239 F.3d 1128, 1137-39
(9th Cir. 2001) (finding an employer liable for denial of reasonable
accommodation when it failed to engage in the interactive process which caused
the denial of an effective accommodation).
Here, the appellant consistently identified an effective accommodation, i.e.,
to be assigned to her mini-circuit assignment. IAF, Tab 21 at 58-63, 72-73;
Tab 33 at 47, HR (testimony of the appellant). The agency, however, forced the
appellant to remain on leave, claiming that there was no environment that met the
appellant’s restrictions, given that even normal office noises, such as phones
ringing, file cabinets closing, or air conditioners running could raise the noise
level above 60 decibels. HR (testimony of the appellant’s supervisor); PFR File,
Tab 3 at 6, 9 n.9. As explained in detail above, we disagree with the agency’s
assertion and find that the appellant could have complied with her medical
restrictions and still have worked in her mini-circuit assignment. Furthermore,
the appellant has consistently claimed that the mini-circuit assignment
accommodated her disability, and she provided detailed testimony as to how it did
so. For instance, according to the appellant, the smaller plants in the mini -circuit
16
assignment did not require as much physical supervision as the large processing
plants and allowed the line inspectors to cover their own breaks, which limited
the amount of time she had to spend near the saws when they were running. HR
(testimony of the appellant). She also explained that some of the smaller
facilities used a band saw and not a splitting saw normally used at larger
processing plants, which emitted the high-pitched noise that exacerbated her
tinnitus. Id. Additionally, per the appellant, the mini-circuit assignment had a
significant amount of office work and required travel between the plants;
therefore, she was less exposed to the noisier environments. Id.
Accordingly, we find that the appellant identified an accommodation that
was both effective and reasonable, namely, to allow her to continue working in
her mini-circuit assignment without returning to large plants for “relief
assignments.” IAF, Tab 21 at 58-63, 72-73; Tab 33 at 47, HR (testimony of the
appellant). Because the agency failed to engage in the interactive process of
reasonable accommodation, and the appellant has identified an effective and
reasonable accommodation, we find that the appellant proved her claim of
disability discrimination based on a failure to reasonably accommodate.
The appellant established her claim of EEO retaliation.
In the remand initial decision, the administrative judge found that the
appellant did not establish her claim of retaliation because her placement on
enforced leave was the result of a change in her medical restrictions, and, thus,
the 6-week timeframe between the appellant’s EEO activity and the enforced
leave action was not suspicious. RID at 22-23. We disagree. Instead, when
viewing the record as a whole, we find that the evidence contradicts the agency’s
explanation for its enforced leave action, rendering it unworthy of credence.
Coupled with the suspicious timing of the enforced leave action, we find that
EEO retaliation was a but-for cause of the agency’s action.
Claims of retaliation for opposing discrimination in violation of Title VII
are analyzed under the same framework used for Title VII discrimination claims.
17
Pridgen v. Office of Management and Budget, 2022 MSPB 31, ¶ 30. To obtain
full relief under 42 U.S.C. § 2000e-16, including status quo ante, compensatory
damages, or other forms of relief related to an employment decision, the appellant
must show that such discrimination or retaliation was a “but-for” cause of the
employment outcome. Pridgen, 2022 MSPB 31, ¶ 22; Wilson v. Small Business
Administration, 2024 MSPB 3, ¶ 18. The “but-for” standard generally requires a
showing that the harm would not have occurred in the absence of—that is, but for
—the discriminatory conduct. Wilson, 2024 MSPB 3, ¶ 15. The methods by
which an appellant may prove a claim of discrimination or retaliation are:
(1) direct evidence; (2) circumstantial evidence, which may include (a) evidence
of “suspicious timing, ambiguous statements oral or written, behavior toward or
comments directed at other employees in the protected group, and other bits and
pieces from which an inference of discriminatory intent might be drawn,” also
known as “convincing mosaic”; (b) comparator evidence, consisting of “evidence,
whether or not rigorously statistical, that employees similarly situated to the
plaintiff other than in the characteristic . . . on which an employer is forbidden to
base a difference in treatment received systematically better treatment”;
(c) evidence that the agency’s stated reason for its action is “unworthy of belief, a
mere pretext for discrimination” (i.e., the burden-shifting standard under
McDonnell Douglas Corporation v. Green, 411 U.S. 792, 802-04 (1973)); and
(3) some combination of direct and indirect evidence. Pridgen, 2022 MSPB 31,
¶ 24.
In cases such as this, which involve at least some circumstantial evidence,
the Board has set forth two methods by which an appellant may establish but-for
causation, i.e., the pretext framework or the mixed-motive framework. Wilson,
2024 MSPB 3, ¶¶ 15-19. Under the pretext framework, an appellant may use the
McDonnell Douglas evidentiary framework to establish that Title VII
discrimination or retaliation was a but-for cause of the challenged personnel
action by showing that the employer’s reason is pretextual, or by showing that it
18
is more likely than not that the agency was motivated by discrimination or
retaliation. Id., ¶¶ 16-17. Alternatively, under the mixed-motive framework, if
an appellant proves motivating factor and the agency does not prove by
preponderant evidence that it would have taken the same action in the absence of
discrimination, the appellant has established but-for causation. Id., ¶ 18. An
appellant may choose to show but-for causation under the pretext framework or
under the mixed-motive framework, or by proceeding under both theories
simultaneously. Id., ¶ 19.
Based on our review of the record, we find that EEO retaliation was a
but-for cause of the enforced leave action, because the agency’s stated reason for
placing the appellant on enforced leave was unworthy of belief. Namely, we find
the agency’s interpretation of the appellant’s medical restrictions to be
disingenuous in light of the information known by the appellant’s supervisor at
the time of the enforced leave. As early as December 2012, the appellant’s
supervisor was aware of the appellant’s hearing issues, and she knew that the
appellant transferred to the mini-circuit assignment to reduce her noise exposure.
IAF, Tab 22 at 124, HR (testimony of the appellant’s supervisor). Furthermore,
in July and August 2014, just before her placement on enforced leave, the
appellant reminded her supervisor that her tinnitus was exacerbated by the
high-frequency noises present at the facility she was temporarily assigned to as
relief for other inspectors, and she requested to perform her duties at her
mini-circuit assignment, which had “minimal noise exposure.” IAF, Tab 21
at 58-63, 72-73, HR (testimony of the appellant). Nevertheless, when the
appellant’s medical restrictions stated “needs office/desk duties, no noise
exposure,” her supervisor claimed she believed that the appellant must have
“zero” noise exposure, despite that being plainly unreasonable. IAF, Tab 12
at 102, HR (testimony of the appellant’s supervisor). Then, when the appellant’s
medical restrictions were revised, the appellant’s supervisor continued to claim
that the agency could not offer an environment that would comply, explaining
19
that, for instance, the appellant may have to walk through an area exceeding
60 decibels to reach an office, or that even noises like the slamming of a file
cabinet or the ringing of a phone could raise noise levels above 60 decibels,
HR (testimony of the appellant’s supervisor).
Contrary to the testimony of the appellant’s supervisor, and as detailed
above, the appellant’s medical restrictions did not include a complete ban on
exposure to any environment that may rise above 60 decibels. IAF, Tab 12
at 111, HR (testimony of the appellant’s supervisor). This is, in fact, a
mischaracterization of the appellant’s restrictions. Further, we find this
mischaracterization to be suspicious, given that the appellant told her supervisor
in the weeks immediately preceding her placement on enforced leave that she
could perform her duties at her mini-circuit assignment, and that it was the
“constant high-pitched frequency noises” at the large processing plants that
exacerbated her condition. IAF, Tab 21 at 58-63, 72-73, HR (testimony of the
appellant). We also find it suspicious that the appellant’s supervisor asked almost
no questions regarding the appellant’s medical restrictions. Indeed, absent a
single email exchange sent 2 months after the appellant’s placement on enforced
leave, there is no evidence that the appellant’s supervisor asked any questions
about the appellant’s medical restrictions or inquired as to ways to accommodate
her condition. IAF, Tab 21 at 107. In fact, even when the appellant’s September
8, 2014 restriction called for “no noise exposure,” which is a patently
unreasonable restriction, the appellant’s supervisor admitted that she asked no
questions before placing the appellant on enforced leave. HR (testimony of the
supervisor). Such an extreme restriction surely should have generated some
questions if the interactive process had been respected.
Finally, the agency’s claim that it placed the appellant on leave because it
had no environment under 60 decibels is further undermined by the fact that the
agency did not measure the decibel levels during the enforced leave period, i.e.,
September 8, 2014, to March 30, 2015. Although the record does contain
20
evidence that the agency measured the Creston Valley noise levels in July 2015,
IAF, Tab 24 at 71, this does not negate the fact that for 7 months, the agency
forced the appellant to remain on LWOP based on what was, in essence, the
agency’s hunch that it had no environment that measured at less than 60 decibels.
In conclusion, we find that the agency interpreted the appellant’s medical
restrictions in an unreasonable manner and engaged in little dialogue regarding
how to return her to work, despite evidence that the appellant was capable of
performing the essential functions of her mini-circuit assignment within her
medical restrictions. Therefore, we find the agency’s explanation for why it
placed the appellant on enforced leave to be unworthy of credence. Coupled with
the fact that the appellant’s supervisor placed her on enforced leave
approximately 6 weeks after the appellant told her that she was working on her
EEO complaint, IAF, Tab 21 at 55-56, we find that the appellant has proved that
her EEO activity was a but-for cause of the enforced leave action.
Thus, we find that the appellant proved her affirmative defenses of
disability discrimination and EEO retaliation. Additionally, in accordance with
the Board’s June 9, 2022 Remand Order, the agency’s enforced leave action is
still not sustained.
ORDER
We ORDER the agency to cancel the suspension and retroactively restore
the appellant to her position for the period from September 8, 2014, through
March 30, 2015. 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.
We also ORDER the agency to pay the appellant the correct amount of
back pay, interest on back pay, and other benefits under the Back Pay Act and/or
Postal Service regulations, as appropriate, no later than 60 calendar days after the
date of this decision. We ORDER the appellant to cooperate in good faith in the
21
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, interest
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.
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).
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 appellant
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).
For agencies whose payroll is administered by either the National Finance
Center of the Department of Agriculture (NFC) or the Defense Finance and
Accounting Service (DFAS), two lists of the information and documentation
necessary to process payments and adjustments resulting from a Board decision
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
22
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
COMPENSATORY DAMAGES
You may be entitled to be paid by the agency for your compensatory
damages, including pecuniary losses, future pecuniary losses, and nonpecuniary
losses, such as emotional pain, suffering, inconvenience, mental anguish, and loss
of enjoyment of life. To be paid, you must meet the requirements set out at
42 U.S.C. § 1981a. The regulations may be found at 5 C.F.R. §§ 1201.201,
1201.202, and 1201.204. If you believe you meet these requirements, you must
file a motion for compensatory damages WITHIN 60 CALENDAR DAYS OF
THE DATE OF THIS DECISION. You must file your motion with the office that
issued the initial decision on your appeal.
NOTICE OF APPEAL RIGHTS 16
The initial decision, as supplemented by this Final Order, constitutes the
Boards 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 Board does not
provide legal advice on which option is most appropriate for your situation and
16
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.
23
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
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
24
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.
(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. 420 (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
25
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:
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 Board’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. 17 The court of appeals must receive your
17
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.
26
petition for review within 60 days of the date of issuance of this decision.
5 U.S.C. § 7703(b)(1)(B).
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 warrants 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: ______________________________
Gina K. Grippando
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.