"Employee Request for Reinstatement" - City and County of San Francisco, California

Employee Request for Reinstatement is a legal document that was released by the Department of Human Resources - City and County of San Francisco, California - a government authority operating within California. The form may be used strictly within City and County of San Francisco.

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  • Released on June 1, 1996;
  • The latest edition currently provided by the Department of Human Resources - City and County of San Francisco, California;
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CITY AND COUNTY OF SAN FRANCISCO
DEPARTMENT OF HUMAN RESOURCES
EMPLOYEE REQUEST FOR REINSTATEMENT
COMPLETE A SEPARATE REQUEST FORM FOR EACH DEPARTMENT/CLASS REQUESTED
(See reverse side for excerpts from Civil Service Commission Rules)
Type of
Reinstatement to Former Class
Reinstatement
Reinstatement from Promotive Probationary Appointment
Requested
Reinstatement Following Transfer
(check one)
Reinstatement from Disability Retirement
EMPLOYEE INFORMATION
Name ___________________________________________
Social Security #____________________
Address _________________________________________
Rank No._______ List No.___________
City, State, Zip ___________________________________
PIN ___________ Class No.__________
Work Phone ( )__________Home Phone ( )__________
Class Title__________________________________ Signature ___________________________________
_________ _________________________________________________
REQUESTED CLASS NO & TITLE:
REQUESTED DEPARTMENT: ____________________________________________________________________________
APPROVALS
CURRENT DEPARTMENT
Name (Appointing Officer/Designee)
Title
_______________________________________________________________________________________________________
Signature
Date
REQUESTED DEPARTMENT
Requisition Numbers Dept _________________ DHR ___________________
Name (Appointing Officer/Designee)
Title
_______________________________________________________________________________________________________
Signature
Date
HUMAN RESOURCES DIRECTOR
(FOR REINSTATEMENT FROM PROMOTIVE PROBATIONARY APPOINTMENT ONLY)
Signature
Date
DHR USE ONLY:
Authority verified
Req verified PIN No _______ List ID No _______ Initial/Date _________
Rev. 6/96
CITY AND COUNTY OF SAN FRANCISCO
DEPARTMENT OF HUMAN RESOURCES
EMPLOYEE REQUEST FOR REINSTATEMENT
COMPLETE A SEPARATE REQUEST FORM FOR EACH DEPARTMENT/CLASS REQUESTED
(See reverse side for excerpts from Civil Service Commission Rules)
Type of
Reinstatement to Former Class
Reinstatement
Reinstatement from Promotive Probationary Appointment
Requested
Reinstatement Following Transfer
(check one)
Reinstatement from Disability Retirement
EMPLOYEE INFORMATION
Name ___________________________________________
Social Security #____________________
Address _________________________________________
Rank No._______ List No.___________
City, State, Zip ___________________________________
PIN ___________ Class No.__________
Work Phone ( )__________Home Phone ( )__________
Class Title__________________________________ Signature ___________________________________
_________ _________________________________________________
REQUESTED CLASS NO & TITLE:
REQUESTED DEPARTMENT: ____________________________________________________________________________
APPROVALS
CURRENT DEPARTMENT
Name (Appointing Officer/Designee)
Title
_______________________________________________________________________________________________________
Signature
Date
REQUESTED DEPARTMENT
Requisition Numbers Dept _________________ DHR ___________________
Name (Appointing Officer/Designee)
Title
_______________________________________________________________________________________________________
Signature
Date
HUMAN RESOURCES DIRECTOR
(FOR REINSTATEMENT FROM PROMOTIVE PROBATIONARY APPOINTMENT ONLY)
Signature
Date
DHR USE ONLY:
Authority verified
Req verified PIN No _______ List ID No _______ Initial/Date _________
Rev. 6/96
EXCERPTS FROM CIVIL SERVICE COMMISSION RULE 14 – APPOINTMENTS
ARTICLE IV: APPOINTMENT BY REINSTATEMENT
Section 14.27 Reinstatement
14.27.1
A permanent employee who accepts permanent appointment to a position in another class shall be
permanently separated from any former position, with the following exception: the employee may be
reinstated to a vacant position in any former class in which the probationary period had been
completed upon the employee’s written request on the prescribed form and with the approval of the
appointing officers in both the present department and the former department or the department(s) to
which reinstatement is requested. A copy of the approved forms(s) must be filed with the Department
of Human Resources.
14.27.2
An employee serving a promotive probationary period shall be reinstated to a vacant position in any
former class in which the probationary period had been completed upon the employee’s written
request on the prescribed form and with the approval of the Human Resources Director.
1) A request for reinstatement under this section shall not extend the probationary period or infringe
upon an appointing officer’s authority to terminate an employee.
2) An approved request for reinstatement shall remain in effect until the employee is either
reinstated, separated, refuses an offer of reinstatement, or such a request is cancelled by the
Human Resources Director.
3) Separation of the employee shall nullify all requests for reinstatement approved under this section.
4) The employee shall receive one offer of reinstatement. Failure to accept a reinstatement offer
shall forfeit all rights to reinstatement under this section.
5) A reinstatement under this section shall be under the Rule of One.
6) If more than one request for reinstatement under this section is on file, the person with the greater
seniority in the class to which reinstatement is requested shall be reinstated first.
14.27.3
Reinstatement to a position in a former class and department shall be with former civil service
seniority standing in that department and no probationary period shall be required.
14.27.4
Reinstatement to a position in a former class in another department shall require a new civil service
seniority date in that department from the date of such reinstatement and shall require a new
probationary period.
Section 14.28 Reinstatement Following Transfer
An appointment by transfer shall cancel all rights to the position from which transferred except that,
prior to the completion of the probationary period, a transferee may request reinstatement to a vacancy
in a position in the same class and department from which transferred in accordance with the
procedures established in this Rule.
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