xxxx Renewal of Incentive Part 3

Part 3: Renewal Request - Component Review

(Part 3 must be completed and validated by a component / office (or equivalent) HR
representative.)

A. Attorney Information
1

Attorney's Name

2

Component / Office
(for AUSAs, include district)

3
4

Attorney's grade (including step) (if

GS
applicable)
Attorney's annual gross salary as of May
1, 2007 (include any promotions
$
effective by that date) (use 2007 base

Step

or N/A

pay - do not include locality pay)

5 Has the attorney been the subject of any

performance or disciplinary actions in the past
12 months? (If yes, then specify. Attach
information as needed).

6. Has the attorney engaged in

substantiated misconduct in the past 12
months? (if yes, then specify. Attach
information as needed).

B. Attorney's Position Information
1
2

3

What is the attorney's current position?
Was the attorney in a leave without pay
status or in any other non-pay status in
2006?
If the answer in B 2 is "yes," was the
absence due to uniformed service or
compensable injury?

YES
NO
YES

(Ensure

copy

of

orders

or

other

documentation is attached. No extension of

service obligation completion date is
required.)

NO
List dates of absences below, then correct

component records to extend the existing
service obligation completion date by the
total amount of time spent in non-pay
status.

4
5

Is the Renewal Request Complete?
For a checklist, visit the ASLRP link at
http://www.usdoj.gov/oarm/aslrp/checklist.pdf

Name of Component HR Representative

YES
NO

Return to requester for corrective action.

6
7

Signature of Component HR
Representative
Work Phone

E-Mail

If complete, please forward to the component Executive Officer (or equivalent) (or
delegate) for further processing.