SmartSheet PD 118 - Smartsheet.com

SmartSheet PD 118

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

Date Submitted

SECTION 1 AGENCY INFORMATION

Agency Representative*

Unit/Section*

Location (City)*

Agency*

Email address of Agency Representative*

Phone Number*

SECTION 2 BASIC POSITION INFORMATION

Position Action

Establish New Position Reallocate an Existing Position

Position Type

Permanent Temporary Part-Time

PT Hours/Week
(For Part-Time Positions Only)

Current Classification

Supervisor Name

Supervisor Class Title

Check box only if the position is vacant.

Vacant

Name of Incumbent

SECTION 3 POSITION ACTION

Requested Effective Date*

Classification (Requested/Proposed/Existing)*

Salary Grade

Salary Range

Position Number
(If applicable, local number assigned by county)

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 certified 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 (PD-102) for all requests (except abolishment of a position) to OSHR through this form (DO NOT FAX). Electronic signatures are acceptable.

Position Description (PD102)*

File Attachments*

Send me a copy of my responses

Email address

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