DEPARTMENT OF HUMAN RESOURCES MANAGEMENT
RECRUITMENT & CLASSIFICATION DIVISION
CLASSIFICATION/COMPENSATION
REQUEST FORM
REQUESTING AGENCY/DEPARTMENT:
DIVISION/UNIT:
REQUEST INITIATED BY: Department Employee Department of Human Resources Management
For all applicable action(s) requested, fill in corresponding section(s) below:
CLASSIFICATION STUDY: The scope of duties and responsibilities required by the position has changed. (e.g., previously non-
supervisory and now supervises staff, including performance appraisals.) Attach a Position Description Questionnaire (PDQ) form.
Incumbent name:
Phone:
Current Classification Title:
# of months in position:
Supervised by:
Phone:
CREATE NEW SPECIFICATION: General information about duties and responsibilities must be attached. A rough draft of the job
description is desirable.
Possible title(s) for new classification:
The duties are currently being performed: No Yes (fill out incumbent name below)
Incumbent name (if applicable):
Phone:
UPDATE CLASS SPECIFICATION: The complexity of duties has changed requiring higher levels of knowledge, skills and abilities
utilized on a regular and continuing basis AND/OR new requirements for education and training, experience or certification are necessary.
Attach a brief description of changes.
Exact Classification Title:
Job Class Code:
COMPENSATION REVIEW: A survey of other jurisdictions/agencies is needed to compare the classification’s pay rate and related
information.
Exact Classification Title:
Job Class Code:
MANAGER APPROVAL: ______________________________________________________ DATE: _______________
AGENCY/DEPARTMENT
DIRECTOR APPROVAL:
________________________________________________________ DATE: _______________
Note: Once approved, please retain a copy for departmental records and forward the original including PDQ Parts I & II (if applicable) along with any
supporting documentation to: Department of Human Resources Management, ATTN: Classification Supervisor, 150 Frank H. Ogawa Plaza, 2
nd
Floor. If
you have any questions, please contact your DHRM SPOC for assistance.
FOR INTERNAL USE ONLY:
Class Supervisor review
Complete Packet?
Yes = Assign to staff
No = Return to dept.
Date assigned: Analyst name:
Due date:
FORM #05211-0001
REV. 01.28.11
DHRM Use Only
Time/Date Stamp
