Form DOC03-417IT "Position Review Request - Information Technology" - Washington

What Is Form DOC03-417IT?

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

Form Details:

  • Released on August 12, 2019;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 DOC03-417IT by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

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Download Form DOC03-417IT "Position Review Request - Information Technology" - Washington

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POSITION REVIEW REQUEST -
INFORMATION TECHNOLOGY
Employee: Complete this form to request a review of your position to determine whether it
Date received
should be allocated to a different job family and/or level within the Information Technology
Supervisor/department
Professional Structure (ITPS) or if your current classification should be allocated to a job
family and level within ITPS. Be sure to read the
ITPS Position Review Request
Guide.
Keep a copy of the form for your records and give the completed form to your supervisor.
Your supervisor may assist you in completing all or part of this form. You must then review
and sign the form, noting any clarifications.
Human Resources
You may attach extra pages to provide any other information you believe will be helpful in
understanding the job duties assigned to your position.
Supervisor: Review the employee's statements and complete the Supervisor Review
section. Send the completed form to your local Human Resources Office within 15 days of
receipt. Discuss the request with the employee if you disagree with any of their
statements.
Name
Phone
Email
(Last, First)
Current classification or job family/level
Proposed classification or job family/level
Position #
Working title
Date position description approved
(if different from current classification title)
Department
Job location
Work days/hours
Supervisor name
Title
Phone
Email
Supervisor position:
Washington General Service (WGS)
Washington Management Service (WMS)
Exempt
Unsure
Department head/Appointing Authority
Phone
Email
For Human Resources Classification Unit office use only:
Allocation decision made by/title:
/
Class title:
Effective date:
Overtime eligibility:
Date position was last reviewed:
Identify the duties that have changed since your position was last reviewed.
Specify the job family and/or level you think best describes your competencies and explain why.
Do not know or unsure about the proper classification.
Position purpose: Describe in 3 or 4 sentences the main reason(s) your position exists.
Assigned Work Activities - Duties and Tasks
Describe in order of importance your duties and how long you have been performing those duties.
How long performing
Major Duty
this duty?
Duty
DOC 03-417IT (08/12/19)
Page 1 of 8
DOC 820.200
Data classification category 1
POSITION REVIEW REQUEST -
INFORMATION TECHNOLOGY
Employee: Complete this form to request a review of your position to determine whether it
Date received
should be allocated to a different job family and/or level within the Information Technology
Supervisor/department
Professional Structure (ITPS) or if your current classification should be allocated to a job
family and level within ITPS. Be sure to read the
ITPS Position Review Request
Guide.
Keep a copy of the form for your records and give the completed form to your supervisor.
Your supervisor may assist you in completing all or part of this form. You must then review
and sign the form, noting any clarifications.
Human Resources
You may attach extra pages to provide any other information you believe will be helpful in
understanding the job duties assigned to your position.
Supervisor: Review the employee's statements and complete the Supervisor Review
section. Send the completed form to your local Human Resources Office within 15 days of
receipt. Discuss the request with the employee if you disagree with any of their
statements.
Name
Phone
Email
(Last, First)
Current classification or job family/level
Proposed classification or job family/level
Position #
Working title
Date position description approved
(if different from current classification title)
Department
Job location
Work days/hours
Supervisor name
Title
Phone
Email
Supervisor position:
Washington General Service (WGS)
Washington Management Service (WMS)
Exempt
Unsure
Department head/Appointing Authority
Phone
Email
For Human Resources Classification Unit office use only:
Allocation decision made by/title:
/
Class title:
Effective date:
Overtime eligibility:
Date position was last reviewed:
Identify the duties that have changed since your position was last reviewed.
Specify the job family and/or level you think best describes your competencies and explain why.
Do not know or unsure about the proper classification.
Position purpose: Describe in 3 or 4 sentences the main reason(s) your position exists.
Assigned Work Activities - Duties and Tasks
Describe in order of importance your duties and how long you have been performing those duties.
How long performing
Major Duty
this duty?
Duty
DOC 03-417IT (08/12/19)
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DOC 820.200
Data classification category 1
Tasks
Outcome
Duty
Tasks
Outcome
Duty
Tasks
Outcome
Duty
Tasks
Outcome
Duty
Tasks
Outcome
Qualifications
List the knowledge, skills, and abilities and describe how they are necessary to perform the work of this position.
Qualifications
Required education, experience, or certifications
Application (why each qualification exists)
Desirable/preferred education, experience, or certifications
Application
List the knowledge, skills and abilities and describe how they are necessary to perform the work of this position.
DOC 03-417IT (08/12/19)
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DOC 820.200
Data classification category 1
Lead/Supervisory Responsibility
Lead – An employee who performs the same or similar duties as other employees in the work group and has the
designated responsibility to regularly assign, instruct, and check the work of those employees on an ongoing basis.
Supervisor – An employee who is assigned responsibility by management to participate in all of the following functions
with respect to their subordinate employees: selecting staff, training and development, planning and assignment of
work, evaluating performance, resolving grievances, taking corrective action. Participation in these functions is not
routine and requires the exercise of individual judgment. A supervisor must supervise a minimum of one full-time
employee or equivalent (total of part-time FTEs)
Does your position have designated lead or supervisory responsibility?
Lead
Supervise
None
People You Lead or Supervise
Name
Title
Position #
Work schedule
Appointment type
Hours/week
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Problem Solving
What are the most complex and/or challenging issues addressed by this position? Give 3 to 4 examples and how each
is resolved.
Complex/Challenging Issue
How Resolved
Frequency
Decision Making Authority
List examples of decisions you are authorized to make without consulting your supervisor. Indicate which of these
decisions are the most difficult or complex.
List examples of decisions that require supervisor approval.
Potential Impact of Results
List examples of how your position impacts others and/or resources. How would the impact affect them?
Who would be impacted and what degree would the impact be?
What resources are impacted and at what degree of impact?
Financial Responsibilities
Do you have responsibility for
maintaining fiscal records and/or
controlling or authorizing the expenditure of
funds.
If yes, explain how your position controls or authorize funds and complete the information below.
Total annual state funds ....................................................................... $
Total annual grant and contract funds ................................................. $
Total number of grants and/or contracts .............................................. $
Total annual self-sustaining funds ....................................................... $
DOC 03-417IT (08/12/19)
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DOC 820.200
Data classification category 1
Total annual budget or funds for which you have responsibility .......... $
EMPLOYEE COMPLETES
This form was completed by the:
Employee
Employee in consultation with supervisor
The information I have provided is accurate and complete.
Employee
Signature
Date
If completed by the supervisor:
This form has been prepared by my supervisor and I
agree
disagree that this is an accurate and complete
description of my duties.
If you do not agree with any of the information on this Position Review Request, explain below or attach a page
clarifying the issue(s) of concern.
Employee
Signature
Date
SUPERVISOR REVIEW
Is the information on the request accurate and complete?
I agree completely with the employee’s description of the functional competencies. If yes, complete the
Yes
working relationships section, sign form, and submit to Department head/Appointing Authority.
I disagree with some portion of the employee’s description of the functional competencies or I want to clarify
No
some of the employee’s statements. If no, complete the entire form, sign, and submit to Department head/Appointing
Authority.
Do you agree with the employee’s description of the Position Purpose?
Yes
No
If no, list the specific duties and explain in detail with what you disagree.
Do you agree with the employee’s description of duties listed in the Assigned Work Activities and Qualifications?
Yes
No
If no, list the specific duties and explain in detail with what you disagree.
DOC 03-417IT (08/12/19)
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DOC 820.200
Data classification category 1
Do you agree the employee’s position has been designated lead or supervisory responsibility as listed in
Lead/Supervisory Responsibility? If applicable,
Yes
No
If no, explain:
Do you agree with the employee’s description of Problem Solving?
Yes
No
If no, explain:
Do you agree with the employee’s description of Decision Making Authority?
Yes
No
If no, explain:
List examples of decisions the employee’s position is authorized to make without your prior review.
List examples of decisions that require your approval.
DOC 03-417IT (08/12/19)
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DOC 820.200
Data classification category 1