P
lease use your own official stationery.
I, the signed appointee, hereby certify, under the penalties of perjury, that I have not paid and have agreed not to pay,
and to the best of my knowledge, no other person has paid nor agreed to pay any money or other thing of value to any
person in anticipation or as a result of my appointment. I hereby accept the appointment with the understanding that,
under the Civil Service Law and Rules, appointments are governed as follows:
• Permanent appointments are subject to a probationary period of six months (twelve months for police and fir
e
forces).
• Temporary appointments are for the duration of the vacancy.
• Military substitute appointments are temporary subject to the provisions of Chapter 708, Acts of 1941, as
amended.
Name, Home Address, S. S. # of Appointee
S
igned ________________________________________________________
(Officer authorized by law to make appointments)
Na
me (please print or type) Title
DESCRIPTION OF POSITION TO BE FILLED
NOTIFICATION OF EMPLOYMENT
To the Personnel Administrator:
As the legal Appointing Authority I have selected the undersigned individuals for appointment in accordance
with the law and the Personnel Administration Rules as follows:
If appointee is in military service,
statement to that effect should be
made.
