Jf 66 Form PDF Details

In the landscape of employee recognition within the United States Agency for International Development (USAID) and the Department of State, the JF 66 form serves as a cornerstone document for nominating personnel for various awards. This intricate form provides a structured process to acknowledge and reward the exemplary efforts of individuals in diverse capacities. By capturing essential information such as the nominee's name, social security number, organizational symbol or post, present position title and grade, it sets the stage for a comprehensive evaluation of the nominee's contributions. The reasons for the award span a wide range, including remarkable performance, outstanding customer service, effective teamwork, special acts, innovation, and crisis management. The form delineates several types of awards, from the prestigious Secretary’s Award and Superior Honor Award to the Time Off from Duty Award and the Award for Heroism, among others, reflecting the various levels of recognition possible. Furthermore, it details the recommended and approved amounts for cash awards or time off, thereby quantifying the appreciation for the nominee’s dedication. Additionally, the JF 66 form delineates a multi-tiered approval process, involving approval from direct supervisors to the action taken by various awards committees, and underscores the importance of diversity awareness among committee members, ensuring a fair and inclusive evaluation of each nomination. Its comprehensive structure not only facilitates the recognition of outstanding service but also underscores the organizations' commitment to valuing and motivating their workforce.

QuestionAnswer
Form NameJf 66 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessheets nominated 66, mm jf 66, dd jf 66 form, jfs form central 03002

Form Preview Example

FOR OFFICE USE

 

 

 

 

 

DATE REC’D BY AWARDS OFFICE:

 

DATE RELEASED TO PERSONNEL RECORDS:

 

 

STATE

USAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE – USAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOMINATION FOR AWARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART I - NOMINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF NOMINEE (Last, First, Middle)

 

SOCIAL SECURITY NO.

 

ORG. SYMBOL OR POST

 

 

 

 

 

 

 

 

 

 

 

 

PRESENT POSITION TITLE AND GRADE

 

Position held during period covered by nomination, if different than present

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REASON FOR AWARD

 

 

 

 

 

 

 

PERFORMANCE

CUSTOMER SERVICE

TEAMWORK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER:

 

 

SPECIAL ACT

INNOVATION

CRISIS MANAGEMENT

 

 

 

 

 

 

 

 

 

 

 

TYPE AWARD RECOMMENDED

 

 

 

 

 

 

 

THE SECRETARY’S AWARD

SUPERIOR HONOR AWARD

 

 

TIME OFF FROM DUTY AWARD

 

 

 

AWARD FOR HEROISM

MERITORIOUS HONOR AWARD

 

 

CASH

 

 

 

SECRETARY’S CAREER ACHEIVEMENT AWARD

FRANKLIN AWARD

 

 

OTHER

 

 

 

DISTINGUISHED HONOR AWARD

FOREIGN SERVICE AWARD FOR PUBLIC

 

 

 

 

 

 

 

 

 

 

 

SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECOMMENDED AMOUNT: (Cash/Time Off Hours):

 

 

APPROVED AMOUNT:

 

APPROVED AWARD:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JUSTIFICATION FOR AWARD (Include a concise citation to be used on the award certificate. Additional sheets may be used)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOMINATED BY: (Name, Title , Signature)

 

 

 

 

 

DATE (mm-dd-yyyy)

 

 

 

 

 

 

 

APPROVED BY: (Supervisor’s Name, Title , Signature)

Applicable only if nominated by other than supervisor

DATE (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JF-66

 

 

 

 

 

 

 

 

 

 

 

 

06-2000

 

 

 

 

 

 

 

 

 

 

 

 

PART II - ACTION TAKEN/TIME OFF FROM DUTY AWARD - Optional - For period not to exceed one work day.

BUREAU/POST APPROVAL (Name, Title, Signature)

Date (MM-DD-YYYY)

PART III - ACTION TAKEN BY JOINT COUNTRY AWARDS COMMITTEE

Approve

DATE (mm-dd-yyyy)

Disapprove

 

 

 

CASH AWARDS ONLY - APPROVED AMOUNT

TYPED NAME OF COMMITTEE CHAIRPERSON

SIGNATURE OF COMMITTEE CHAIRPERSON

REMARKS:

PART IV – ACTION TAKEN BY CHEIF OF MISSION

Approve

DATE (mm-dd-yyyy)

REMARKS:

Disapprove

 

 

 

 

 

CASH AWARDS ONLY - APPROVED AMOUNT

TYPED NAME OF CHIEF OF MISSION

SIGNATURE OF CHIEF OF MISSION

PART V - ACTION TAKEN BY AREA AWARDS COMMITTEE

Approve

DATE (mm-dd-yyyy)

Disapprove

 

 

 

CASH AWARDS ONLY - APPROVED AMOUNT

TYPED NAME OF COMMITTEE CHAIRPERSON

SIGNATURE OF COMMITTEE CHAIRPERSON

REMARKS:

CERTIFICATION: All Committee members reviewing this nomination

have attended Diversity Awareness Training for awards committee members.

PART VI - ACTION TAKEN BY DEPARTMENT AWARDS COMMITTEE

Approve

DATE (mm-dd-yyyy)

Disapprove

 

 

 

CASH AWARDS ONLY - APPROVED AMOUNT

TYPED NAME AND TITLE

SIGNATURE

REMARKS:

PART VII - FISCAL DATA

BUREAU/POST AWARDS OFFICER (Name, Signature)

 

 

 

DATE (mm-dd-yyyy)

 

 

 

 

 

 

 

ACCOUNTING CLASSIFICATION (Completed by Bureau/Post Budget Officer)

 

 

FOR GIFT CHEQUE USE ONLY

Agency Appropriation Allotment Obligation No. Org. Code

Function

Object

Award Amount

Obligation

 

Net

 

 

 

 

 

 

 

 

PART VIII - PAYROLL OFFICE INFORMATION - For Gift Cheque Use Only

 

 

 

BUREAU/POST AWARDS OFFICER (Name, Signature)

 

 

 

DATE (mm-dd-yyyy)

 

 

 

 

 

 

 

 

PAYROLL INFORMATION (Completed by FMP)

 

 

 

 

 

 

 

Gross Amount

Federal Tax Withheld

State Tax Withheld

OASDI Tax Withheld

FHI Tax Withheld

Net Amount

 

 

 

 

 

 

 

 

 

JF-66

 

 

 

 

 

 

 

 

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