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Appointing Authority Forms
Forms for civil service personnel transactions. Forms for use by Appointing Authorities are listed in alphabetical order with form number information, if applicable, and a form description. Forms for the Public Safety Certification Delegation effective 9/1/2009 are available Public Safety Certification Delegation Forms area below. The majority of files are in rich-text format (RTF) which should open in your standard text editor. To download a form, find the link, right click on it and choose Save Target As or Save Page As to save it to your computer. If you need one of these files in a different format e-mail us at civilservice@massmail.state.ma.us with your alternate format request.
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Certification Delegation Form 13 - Request re-employment or open competitive public safety (fire or police) certification.
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Form 13 - Request an examination.
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Certification Delegation - Form 16-II (PAR 09) Open - Rank candidates eligible for employment who indicated a willingness to accept an original appointment to a position.
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Certification Delegation Form 16-II (PAR 09) Prom - Rank candidates eligible for employment who indicated a willingness to accept a promotional appointment to a position.
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Notify HRD of individual(s) selected for an entry level public safety appointment from a civil service certification.
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Form 56 - For reporting employees that have illnesses, taken a leave of absence, suffered injuries or have been terminated.
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Form 67- For municipal appointing authorities to list civil service employees with their job series titles.
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Form 14 - Notify HRD of individual(s) selected for appointment from a civil service certification.
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Form 16-II (PAR 09) Open - Rank candidates eligible for employment who indicated a willingness to accept an original appointment to a position.
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Form 16-II (PAR 09) Prom - Rank candidates eligible for employment who indicated a willingness to accept a promotional appointment to a position.
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Form 16-II (PAR 10) Open - Rank candidates eligible for employment who indicated a willingness to accept an original appointment to a position.
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Form 16-II (PAR 10) Prom - Rank candidates eligible for employment who indicated a willingness to accept a promotional appointment to a position.
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Form 13 - Request an examination; fill job/position vacancies.
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Form 11-10M - Request the demotion or change of status of an employee.
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Notify HRD of a 30-day emergency appointment.
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Report the Emergency Medical Technician Certification of an employee to HRD.
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Form 527 Guidelines - Notify HRD if an applicant meets the minimum entrance requirements for a vacancy.
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Form 527
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Form to report to HRD the posting of examination announcements for upcoming civil service examinations.
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Form 39 - Notify HRD of terminated employees to be placed on a re-employment or reinstatement list.
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Form 30 - Indicate the duties and responsibilities associated with a specific position.
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Form 15 - Request provisional appointments.
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Form 15A - Request provisional promotions.
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To report the names and status of employees who meet eligibility requirements for upcoming departmental promotional examinations to the Human Resources Division (HRD). Updated 01/26/2011
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Form 10-20M - Request that individuals be re-employed or reinstated to a position.
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Appointing authority verification of candidate's claim for residency preference.
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