(a) Identity of Employee |
Give the name and position of the employee. |
(b) Description of Item |
Give a full description of the gift or decoration, including the title of the decoration. |
(c) Identity of Foreign Government |
Give the identity of the foreign government (if known) and the name and position of the individual who presented the gift or decoration. |
(d) Date of Acceptance |
Give the date the gift or decoration was accepted by the employee. |
(e) Appraised Value |
Give the appraised value in United States dollars of the gift or decoration, including the cost of the appraisal. (The employing agency must obtain a commercial appraisal before the gift is offered for sale to the employee.) |
(f) Current Location of Item |
Give the current location of the gift or decoration. |
(g) Employing Agency Contact Person |
Give the name, address, and telephone number of the accountable official in the employing agency. |
(h) Purchase Interest or Donation Recommendation |
Indicate whether the employee wants to buy the gift, or whether the employee wants the gift or decoration donated to an eligible donee through GSA's surplus donation program. Document this interest in a letter outlining any special significance of the gift or decoration to the proposed donee. Also provide the mailing address and telephone number of both the employee and the proposed donee. |
(i) Administration |
Give the Administration in which the gift or decoration was received (for example, Clinton Administration). |
(j) Multiple Items |
Identify each gift or decoration as a separate line item. Report multiple gift items that make up a set (for example, a tea set, a necklace and matching earrings) as a single line item. |