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DCF/1199 Lateral Transfer Request Form This form should be used only by P-1 and NP-6 DCF employees seeking a lateral transfer within DCF. DCF employees seeking consideration for a promotional opportunity must complete a State Application for Examination or Employment CT-HR-12 and submit along with your last two 2 Performance Evaluations. Individuals not employed by DCF who are seeking consideration for an employment opportunity must also complete the State Application for Examination or Employment Application CT-HR-12. This form must be received by the closing date on the posting. Position Applying For Posting s Closing Date Location Shift Circle One F/T P/T W/E Only Within the last twelve 12 months have you accepted a lateral transfer that changed your shift or location Yes No If yes describe the transfer Name Employee Home Address Contact s include area code Work Present Location Home Present Unit/Cottage/Other Present of Hours worked per week Cell Present Shift Present Status Circle One F/T P/T W/E Only I certify that the statements made by me on this form are true and complete to the best of my knowledge and are made in good faith. Employee Signature Date Employment Services Division USE ONLY Seniority As of Y - M - D / HR Initials Please fax/send completed form to the Human Resources contact listed on the posting. Revised 4/11 DCF Postings Employment Application and this form can be found on the DCF Human Resources Intranet site. Individuals not employed by DCF who are seeking consideration for an employment opportunity must also complete the State Application for Examination or Employment Application CT-HR-12. This form must be received by the closing date on the posting. Position Applying For Posting s Closing Date Location Shift Circle One F/T P/T W/E Only Within the last twelve 12 months have you accepted a lateral transfer that changed your shift or location Yes No If yes describe the transfer Name Employee Home Address Contact s include area code Work Present Location Home Present Unit/Cottage/Other Present of Hours worked per week Cell Present Shift Present Status Circle One F/T P/T W/E Only I certify that the statements made by me on this form are true and complete to the best of my knowledge and are made in good faith. This form must be received by the closing date on the posting. Position Applying For Posting s Closing Date Location Shift Circle One F/T P/T W/E Only Within the last twelve 12 months have you accepted a lateral transfer that changed your shift or location Yes No If yes describe the transfer Name Employee Home Address Contact s include area code Work Present Location Home Present Unit/Cottage/Other Present of Hours worked per week Cell Present Shift Present Status Circle One F/T P/T W/E Only I certify that the statements made by me on this form are true and complete to the best of my knowledge and are made in good faith. Employee Signature Date Employment Services Division USE ONLY Seniority As of Y - M - D / HR Initials Please fax/send completed form to the Human Resources contact listed on the posting.

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Keywords relevant to Lateral Transfer Form

  • certify
  • hr
  • evaluations
  • promotional
  • posting
  • SENIORITY
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  • Lateral
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