SmartSheet PD 118

The purpose of this form is to establish new classification(s) or re-reclassify existing positions.

SECTION 1 AGENCY INFORMATION

Agency Representative*

Unit/Section*

Location (City)*

Agency*

Select or enter value

Agency Representative Email*

Phone Number*

SECTION 2 BASIC POSITION INFORMATION

Position Action*

Establish New Position

Reallocate an Existing Position

Vacant

(Select only if the position is vacant)

Name of Incumbent*

Position Type*

Permanent

Temporary

Part-Time

Time Limited

PT Hours/Week

(For Part-Time Positions Only)

Current Classification*

Select

Number of identical positions

Enter the number of identical positions requested if more than 1

Supervisor Name

Supervisor Class Title

SECTION 3 POSITION ACTION

Requested Effective Date*

Requested Classification*

Select

Salary Grade

Salary Range

Position Number*

If applicable, local number assigned by county. If not applicable, Enter N/A or TBD.

SECTION 4 EXPLANATION

Explanation*

State the reason for the requested action and any significant changes.

SECTION 5 AUTHORIZATION BY LOCAL DEPARTMENT

This request has been officially authorized and sufficient funds are budgeted and approved for use.

Agency Director approving request*

Agency Approval Date*

Funding Certification*

Checking this box certifies that the appropriate county official has verified that funding is available and approved.

County Official Approval

(If required) please provide the name of the County Official who authorized this request.

County Approval Date

Attachments

Please check and attach the appropriate documents.

Attach a copy of the organizational chart as it will look if the classification request is approved. Indicate on the chart the position to be reviewed.

Organizational Chart*

Attach a copy of the position description (MUST USE CURRENT PD-102) for all requests (except abolishment of a position). Electronic signatures are acceptable.

Current PD102 - Position Description*

File Attachments*

Drag and drop files here or

Send me a copy of my responses

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