Form ADM-4267 "Certification Eligible List" - Ohio

What Is Form ADM-4267?

This is a legal form that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2000;
  • The latest edition provided by the Ohio Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ADM-4267 by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.

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Download Form ADM-4267 "Certification Eligible List" - Ohio

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DEPARTMENT OF ADMINISTRATIVE SERVICES
ADM-4267
(7-00)
CERTIFICATION ELIGIBLE LIST
PHONE (614) 466-4194
FAX (614) 728-7096
AGENCY
DATE OF REQUEST
CERTIFICATION NO
AGENCY NUMBER
DATE REQUEST FILLED
INTERVIEWER
APPOINTING AUTHORITY
COUNTY
NO OF POSITIONS
CLASS NO AND TITLE
PARENTHETICAL TITLE
HR CERTIFICATION ANALYST
TYPE
FULL-TIME
PERMANENT
PART-TIME
SEASONAL
COMMENTS
Signature, Director of Administrative Services
NOTE: If action cannot be reported by the date below, a request for follow-up must be submitted in writing on or
before the date shown.
REPORT ON ACTION DUE BY:
Check appropriate box
EXAM
DATE
NAME, ADDRESS, PHONE
REMARKS
SCORE
NOTIFIED
NOTE
FOLLOW-UP REQUESTED
Copy of signed waivers must be kept on file by the agency.
DISTRIBUTION
COPY A - Return to Administrative Services / COPY B - Retain by Agency / COPY C - Retain by Administrative Services
C O P Y A
1
DEPARTMENT OF ADMINISTRATIVE SERVICES
ADM-4267
(7-00)
CERTIFICATION ELIGIBLE LIST
PHONE (614) 466-4194
FAX (614) 728-7096
AGENCY
DATE OF REQUEST
CERTIFICATION NO
AGENCY NUMBER
DATE REQUEST FILLED
INTERVIEWER
APPOINTING AUTHORITY
COUNTY
NO OF POSITIONS
CLASS NO AND TITLE
PARENTHETICAL TITLE
HR CERTIFICATION ANALYST
TYPE
FULL-TIME
PERMANENT
PART-TIME
SEASONAL
COMMENTS
Signature, Director of Administrative Services
NOTE: If action cannot be reported by the date below, a request for follow-up must be submitted in writing on or
before the date shown.
REPORT ON ACTION DUE BY:
Check appropriate box
EXAM
DATE
NAME, ADDRESS, PHONE
REMARKS
SCORE
NOTIFIED
NOTE
FOLLOW-UP REQUESTED
Copy of signed waivers must be kept on file by the agency.
DISTRIBUTION
COPY A - Return to Administrative Services / COPY B - Retain by Agency / COPY C - Retain by Administrative Services
C O P Y A
1