Re-Hire Appointment Package Checklist

  • PeopleSoft Form (VP Coordinator)
  • State Employment Application (If separated over six (6) months)
  • Curriculum Vitae (CV)
  • Original copy of Acceptance Letter of Offer (with employee's signature)
  • Demographics Form
  • Federal and State/City Tax Withholding Forms
  • Oath of Office card
  • Form I-9: Immigration & Naturalization Service (original copy only) (If separated over one (1) year)
  • Approved Form SUSB 68: Summary of Affirmative Action Recruiting Activity (copy 1 & 4 only) OR Waiver of Recruitment form
  • Approved Form SUSB 37: Personnel Requisition or copy of PDAR

Other (if applicable):

  • Form UP-211: Approval of Employment of Retired Public Employee earning over salary limitation.
  • Extra Service/Dual Employment approval form.

All forms must include appropriate signatures.


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