The 5167 form, a pivotal document within the United States Department of the Army's nonappropriated funds framework, serves a significant role in the recognition and rewarding of exceptional performance among its personnel. It is intricately designed to facilitate the nomination and approval process for various incentive awards, including honorary and monetary recognitions. These awards span several categories such as Sustained Superior Performance, Certificates of Achievement, Special Acts or Service, Certificates of Appreciation, Performance-Based Pay Adjustments, and On-The-Spot Awards, ensuring a comprehensive approach to acknowledging exemplary contributions. Each category is carefully defined, with provisions for specifying the award amount, thereby underscoring the form's adaptability to different achievement contexts. Moreover, the form necessitates detailed justifications for the awards, thereby ensuring a transparent and merit-based selection process. Critical details such as nomination by an official, tangible or intangible savings for suggestion awards, and approval by the authorizing authority, are meticulously outlined, reflecting the form's role in maintaining a structured and equitable rewards system. The 5167 form, updated in December 2008, supersedes its February 2005 predecessor, embodying ongoing efforts to optimize the acknowledgment of outstanding service within the Army's nonappropriated fund activities.
| Question | Answer |
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| Form Name | Form 5167 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 12 form 5167 template, da 5167 template, 5167 dec approval template, title da 5167 template |
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INCENTIVE AWARDS |
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NOMINATION AND APPROVAL - NONAPPROPRIATED FUNDS |
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For use of this form, see AR |
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NAME (Last, first, MI) |
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WORK CENTER CODE |
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3. POSITION/GRADE |
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ORGANIZATION |
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Justification for all Incentive Awards based on performance will be completed as required on page 2 of this form.
5.TYPE OF AWARD RECOMMENDED
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a. HONORARY |
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b. MONETARY |
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SUSTAINED SUPERIOR PERFORMANCE |
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CERTIFICATE OF ACHIEVEMENT |
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AMOUNT $ |
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SPECIAL ACT OR SERVICE |
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CERTIFICATE OF APPRECIATION |
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AMOUNT $ |
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OTHER (Specify) |
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PERFORMANCE BASED PAY ADJUSTMENT TO |
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AMOUNT $ |
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AMOUNT $ |
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6. |
NOMINATING OFFICIAL |
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a. TYPED NAME AND TITLE
b. TELEPHONE NO.
c. SIGNATURE
d.DATE (YYYYMMDD)
e. FAX TELEPHONE NO.
f.
(*)For
7.COMPLETE ONLY FOR SUGGESTION AWARDS
TANGIBLE SAVINGS $
INTANGIBLE (ATTACH STATEMENT)
APPROVED
DISAPPROVED
8.TYPED NAME AND TITLE OF SUGGESTION AWARDS CHAIRMAN OR NAF COORDINATOR
9. SIGNATURE
10. DATE (YYYYMMDD)
11.TO BE COMPLETED BY APPROPRIATE APPROVING AUTHORITY
APPROVED
DISAPPROVED |
AMOUNT OF AWARD $ |
12. TYPED NAME AND TITLE
13. SIGNATURE
14. DATE (YYYYMMDD)
DA FORM 5167, DEC 2008
PREVIOUS EDITION OF FEB 2005 IS OBSOLETE. |
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15.IDENTIFY THE CRITICAL MAJOR DUTIES AND RESPONSIBILITIES OF THE POSITION
CRITICAL MAJOR DUTIES
PERFORMANCE REQUIREMENTS
PERFORMANCE
16.JUSTIFICATION
17. TYPED NAME OF SUPERVISOR
18. SIGNATURE
19.DATE (YYYYMMDD)
DA FORM 5167, DEC 2008 |
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