Please Fill Out All Applicable Information Complainant InformationName* First Last Non-work Email* Enter Email Confirm Email AgencyJob TitleField RepComplaintName(s) of individual(s) involvedAgencyBureauJob TitleJob Vacancy/Posting #Eligible List #Date of Appointment Date Format: MM slash DD slash YYYY Exam #Jurisdictional Classification of Job Title Competitive Non-Competitive Exempt Topic Rule of Three Transfer Long-Term Provisional Exam Probation Selective Cert Negative Interview Have you already contacted the Department of Civil Service about this issue? Yes No If yes, please provide the name(s) of the individual you contactedStatement of FactsFile Upload Drop files here or Accepted file types: jpg, pdf. jpg or pdf only
