Form Hud-25024 - Recertification Determination Form - U.s. Department Of Housing And Urban Development Page 4

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Performance Review Board (PRB) Recommendation:
Recertify____
Conditionally Recertify____
Not Recertify____
Recommend pay rate adjustment to ES-____
No pay rate adjustment recommended _____
Appearance Before the PRB if recommendation to Conditionally or Not Recertify
Yes____ Date____
Declined appearance (documentation attached)____
PRB Chairperson’s Signature
Date
Deciding Official’s Decision:
Recertify____
Conditionally Recertify____
Not Recertify____
Remand to PRB____
Pay rate adjustment to ES-____
No pay rate adjustment _____
Deciding Official’s Signature and Title
Date
Reconsideration by PRB (when case remanded by the Deciding Official):
Recertify____
Conditionally Recertify____
Not Recertify____
Recommend pay rate adjustment to ES-____
No pay rate adjustment recommended _____
Appearance Before the PRB
Yes____ Date____
Declined appearance (documentation attached)____
PRB Chairperson’s Signature
Date
Deciding Official’s Decision (following reconsideration by the PRB):
Recertify____
Conditionally Recertify____
Not Recertify____
Pay rate adjustment to ES-____
No pay rate adjustment _____
Deciding Official’s Signature and Title
Date
Page 4 of 4
form HUD-25024 (8/2000)

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