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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.
  • Civil Service Requisition - Certification Delegation rtf format of 			Civil Service Requisition - Certification...

    Certification Delegation Form 13 - Request re-employment or open competitive public safety (fire or police) certification.

  • Civil Service Requisition - Examination Request

    Form 13 - Request an examination.

  • Certification & Report Supplement - PAR .09 Open Competitive List - Certification Delegation rtf format of 			Certification & Report Supplement - PAR .09...
	file size 1MB

    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.

  • Certification & Report Supplement - PAR .09 Departmental Promotional List - Certification Delegation rtf format of 			Certification & Report Supplement - PAR .09...

    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.

  • Notification of Employment Form - Certification Delegation rtf format of 			Notification of Employment Form -...

    Notify HRD of individual(s) selected for an entry level public safety appointment from a civil service certification.

  • Promotional Certification Template rtf format of 			Promotional Certification Template


  • Roster Certification Template rtf format of 			Roster Certification Template


  • Non-Selection Reason Template rtf format of 			Non-Selection Reason Template


  • Selection Reason Template rtf format of 			Selection Reason Template


  • Absence & Termination Notice rtf format of 			Absence & Termination Notice

    Form 56 - For reporting employees that have illnesses, taken a leave of absence, suffered injuries or have been terminated.

  • Annual Section 67 Report Guidelines rtf format of 			Annual Section 67 Report Guidelines


  • Annual Section 67 Report xls format of 			Annual Section 67 Report

    Form 67- For municipal appointing authorities to list civil service employees with their job series titles.

  • Authorization of Employment rtf format of 			Authorization of Employment

    Form 14 - Notify HRD of individual(s) selected for appointment from a civil service certification.

  • Certification & Report Supplement - PAR .09 Open Competitive List rtf format of 			Certification & Report Supplement - PAR .09...
	file size 1MB

    Form 16-II (PAR 09) Open - Rank candidates eligible for employment who indicated a willingness to accept an original appointment to a position.

  • Certification & Report Supplement - PAR .09 Departmental Promotional List rtf format of 			Certification & Report Supplement - PAR .09...

    Form 16-II (PAR 09) Prom - Rank candidates eligible for employment who indicated a willingness to accept a promotional appointment to a position.

  • Certification & Report Supplement - PAR .10 Open Competitive List rtf format of 			Certification & Report Supplement - PAR .10...

    Form 16-II (PAR 10) Open - Rank candidates eligible for employment who indicated a willingness to accept an original appointment to a position.

  • Certification & Report Supplement - PAR .10 Departmental Promotional List rtf format of 			Certification & Report Supplement - PAR .10...

    Form 16-II (PAR 10) Prom - Rank candidates eligible for employment who indicated a willingness to accept a promotional appointment to a position.

  • Civil Service Requisition rtf format of 			Civil Service Requisition

    Form 13 - Request an examination; fill job/position vacancies.

  • Demotion Request rtf format of 			Demotion Request

    Form 11-10M - Request the demotion or change of status of an employee.

  • Emergency Employment Notification rtf format of 			Emergency Employment Notification

    Notify HRD of a 30-day emergency appointment.

  • Emergency Medical Technician Certification Verification rtf format of 			Emergency Medical Technician Certification...

    Report the Emergency Medical Technician Certification of an employee to HRD.

  • Entrance Requirement Verification Guidelines rtf format of 			Entrance Requirement Verification Guidelines

    Form 527 Guidelines - Notify HRD if an applicant meets the minimum entrance requirements for a vacancy.

  • Entrance Requirement Verification rtf format of 			Entrance Requirement Verification

    Form 527

  • Examination Announcement Posting Certificate rtf format of 			Examination Announcement Posting Certificate

    Form to report to HRD the posting of examination announcements for upcoming civil service examinations.

  • Notification of an Individual to be Added to a Re-Employment or Reinstatement List rtf format of 			Notification of an Individual to be Added to a...

    Form 39 - Notify HRD of terminated employees to be placed on a re-employment or reinstatement list.

  • Position Description rtf format of 			Position Description

    Form 30 - Indicate the duties and responsibilities associated with a specific position.

  • Provisional Appointment Request rtf format of 			Provisional Appointment Request

    Form 15 - Request provisional appointments.

  • Provisional Promotion Request rtf format of 			Provisional Promotion Request

    Form 15A - Request provisional promotions.

  • Public Safety Eligibility Form rtf format of 			Public Safety Eligibility Form
	file size 2MB

    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

  • Reinstatement or Re-Employment Request rtf format of 			Reinstatement or Re-Employment Request

    Form 10-20M - Request that individuals be re-employed or reinstated to a position.

  • Residency Verification rtf format of 			Residency Verification

    Appointing authority verification of candidate's claim for residency preference.

  • Transfer Request rtf format of 			Transfer Request



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