FORM 15
FORMAT OF NOTIFICATION OF PROVISIONAL APPOINTMENT
HUMAN RESOURCES DIVISION
ONE ASHBURTON PLACE
BOSTON, MA 02108
This is to notify you that I have made a provisional appointment(s) of the person(s) named below. I have
forwarded a copy of this letter to the (insert title of Auditor or Accountant, etc.) and to the Treasurer.
Title of position: _________________________________
Department: _________________________________
Date of requisition: _______________________________
Requisition Number: ______________________________
In case of the appointment of a non-veteran, I hereby certify that I have complied with all the provisions of
G.L. Chapter 31, Section 26.
• In the event of two or more appointments, the information may be given in the same letter. Please list in
columnar form.
• If the person is a replacement of a person previously employed on the same requisition, please indicate
this.
Date of Birth
Name, Social Security,
Number & Address of Appointee
Vet
Employment Begins
Very Truly Yours*,
Name:
Title: __________ _________________
*Signature of officer authorized by law to make appointments.
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