Get Ad 343

The Ad 343 form is an important document used for payroll action requests within the U.S. Department of Agriculture. This guide will provide you with a step-by-step approach to filling out the form accurately online, ensuring all necessary components are addressed.

Follow the steps to complete the Ad 343 form effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. In block 1, enter the personnel office sequential request number assigned to this particular adjustment request.
3. In block 2, input the inclusive dates and pay periods relevant to the adjustment being requested.
4. For block 4, fill in the agency code, personnel office identifier, accounting station code, and the official agency name along with the mailing address.
5. Block 5 requires you to enter the employee’s time and attendance contact point for coordination.
6. Indicate whether the employee is exempt or non-exempt under the Fair Labor Standards Act by checking the appropriate box in block 6.
7. Provide the employee’s current retirement coverage code in block 7.
8. In block 8, select the type of employment by checking the corresponding box for full-time, part-time, intermittent, or reemployed annuitant.
9. Enter the employee's social security number in block 9.
10. In block 10, input the employee's name using the format: last name, first name, and middle initial.
11. Block 11 needs a brief description of the action you wish to take regarding the employee's status.
12. For block 12, determine if the employee has terminated their position with USDA. Check 'YES' or 'NO' accordingly and provide the termination date if applicable.
13. Provide a detailed explanation of the circumstances that necessitate this action in block 13, ensuring to include any relevant dates.
14. In block 14, enter the gross amount of adjustment, if known.
15. For block 15, fill in the accounting data that will be charged or credited with this adjustment, providing accurate codes.
16. List all attachments that support or authorize this action in block 16.
17. Block 17 should include the name and telephone number of the contact person who can provide additional information.
18. If required, have the employee sign and date the form in block 18 to indicate consent.
19. Finally, in block 19, include the authorized official's signature, title, and the date the form is approved.
20. Once completed, you can save your changes, download the form, print it, or share it as needed.

Complete your Ad 343 form online today for a seamless process.