Form G-1239 (Rev. 09/15/11) Page 1 of 1
USCIS
Form G-1239
Form G-1239, Supervisory/Managerial
Probationary Period Agreement
Department of Homeland Security
U.S. Citizenship and Immigration Services (USCIS)
I, , having been selected for
(First Name, Middle Name, Last Name)
, , at
(Title) (Location)(Grade)
understand the following:
1. In accordance with the Civil Service Reform Act of 1978, satisfactory completion of a one year /
probationary period is required before appointment to the position is made final. (Check one)
supervisory managerial
2. My probationary period commences on and ends on .
Date (mm/dd/yyyy) Date (mm/dd/yyyy)
3. Failure to satisfactorily complete the required probationary period will result in my removal from the position and return to a
position of no lower grade and pay than that of the one I left to accept the above position.
4. In the event that I fail to satisfactorily complete the probationary period, the position to which I am returned will, if possible, be
within local commuting distance of the above / position. (Check one)
supervisory managerial
Date (mm/dd/yyyy)Employee's Signature
Date (mm/dd/yyyy)Representative's Signature Title
Office of Human Capital and Training (HCT)