RECOMMENDATION FOR AWARD FOR EXCELLENCE/CERTIFICATE …
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NAME OF NOMINEE DUTY STATION POSITION (TITLE & GRADE) MERRITORIOUS PERIOD NAME, GRADE, TITLE OF ORIGINATOR DATE PROPOSED CITATION (Justification on Reverse) RECOMMENDATION OF PANEL APPROVED DISAPPROVED APPROVED DISAPPROVED SIGNATURE DATE SIGNATURE DATE ACTION BY SELECTING OFFICIAL DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD RECOMMENDATION FOR AWARD FOR EXCELLENCE/CERTIFICATE OF RECOGNITION CG-5374 (03/20) Page 1 of 2
Transcript of RECOMMENDATION FOR AWARD FOR EXCELLENCE/CERTIFICATE …
NAME OF NOMINEE DUTY STATION
POSITION (TITLE & GRADE) MERRITORIOUS PERIOD
NAME, GRADE, TITLE OF ORIGINATOR DATE
PROPOSED CITATION (Justification on Reverse)
RECOMMENDATION OF PANEL
APPROVED
DISAPPROVEDAPPROVED
DISAPPROVED
SIGNATURE
DATESIGNATURE
DATE
ACTION BY SELECTING OFFICIAL
DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD
RECOMMENDATION FOR AWARD FOR EXCELLENCE/CERTIFICATE OF RECOGNITION
CG-5374 (03/20) Page 1 of 2
JUSTIFICATION (Include Specific Data; List Community Act, Etc.)
Page 2 of 2CG-5374 (03/20)
