Enclosure (2) to COMDTINST 12500.2
REQUEST FOR A CIVILIAN RECRUITMENT, RELOCATION,
OR RETENTION INCENTIVE
General Instructions: Parts 1 and 3 should be completed by the original requestor with the assistance and
coordination of the Command Staff Advisor. Be sure to attach the candidate's job application or resume to
this form. Candidates for a recruitment or relocation bonus must sign the service agreement in Part 4 before
submitting the form for approval.
Part 1: Basic Information about the Request
This request is for (check the option that applies; as applicable you may check both the superior qualifications
appointment and the recruitment bonus if the request is to provide both of these to the candidate):
___
A superior qualifications appointment at grade ____ and salary _____.
___
A recruitment bonus of ____ (percent of base pay) ____ (indicate the lump sum dollar amount).
___
A relocation bonus of ____ (percent of base pay) ____ (indicate the lump sum dollar amount)
___
A retention allowance of ____ (percent of base pay) ____ (indicate biweekly dollar amount) for ____ (number of
weeks, not to exceed 52 without reapproval).
Complete the following information about the candidate and the candidate's proposed position and salary:
Name of Candidate ________________________________________________________
(If for a group retention allowance, specify in Part 3 the criteria for group identification and name all individual
members; additional members may be added by memorandum signed by the responsible program director)
Pay Plan, Series, Grade, Step, and Base Salary____________________________
Organization and Location ________________________________________________
Current Actual Annual Pay (Superior qualifications appointments only) _________________________
Prospective Pay of Job Offer (Superior qualifications appointments only)_________________________
Base Salary if Employed without an Incentive (Exclude locality-based pay) _________________________
Part 2: Request and Approval Signatures:
Organization
Approve
Disapprove
Date
Requestor
CO of Command
Chief, CGPC-cpm
(approves non-CGPC
sup. quals; reviews
bonuses & allowances)
G-WR (funding only)
G-WPC (approves
CGPC sup. quals,
bonuses & allowances
not above or within
G-W direction)
G-CCS (for G-W
bonuses & allowances)
Other Approval
DEPT. OF TRANSP., USCG, CG-5659 (5-99)