Please Fill Out All Applicable Information Complainant InformationName* First Last Non-work Email* Enter Email Confirm Email Agency Job Title Field Rep ComplaintName(s) of individual(s) involved Agency Bureau Job Title Job Vacancy/Posting # Eligible List # Date of Appointment 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 contacted Statement of FactsFile Upload Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 5 MB, Max. files: 5. jpg or pdf only
