Fillable For each classification for which a shift differential (Arizona)

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For each classification for which a shift differential (Arizona)

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Signature of Agency
Head or Designee
Date
ADOA CHRO
Signature
Date
For each classification for which a shift differential is requested, list the job code(s), job title(s), start and end times and shift
designation(s). In accordance with Personnel Rule R2-5A-403.B, employees in the same class in the same agency who work on
the same shift shall receive the same shift differential pay. Submission of this request certifies that funds are available to
implement this request.
09/18
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Completed 20 July 2020

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