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RPA Requester’s Information(Selecting) Official’s Name:Phone Number:Email Address: FORMTEXT LAST, FIRST, Mr./Ms. FORMTEXT 6xx-xxxx FORMTEXT ?????Alternate Official’s Name:Phone Number:Email Address: FORMTEXT LAST, FIRST, Mr./Ms. FORMTEXT 6xx-xxxx FORMTEXT ?????Name of Administrative Spec (Point of Contact):Phone Number:Email Address: FORMTEXT LAST, FIRST, Mr./Ms. FORMTEXT 6xx-xxxx FORMTEXT ?????PAR/RPA InformationPAR/RPA No:Date of Position to be VacatedProjected EOD:Organization/Unit Name:Incumbent/Vice: FORMTEXT ????? FORMTEXT DD-MMM-YYYY FORMTEXT DD-MMM-YYYY FORMTEXT ????? FORMTEXT LAST, FIRST, Mr./Ms.Nature of Action: FORMCHECKBOX Recruit/Fill FORMCHECKBOX Recruit/Fill (LTE) NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Extension of LTE NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX PRE Appt NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Cancel/Establish/Fill - Remarks: FORMTEXT ????? FORMCHECKBOX Establish/Fill - Remarks: FORMTEXT ????? FORMCHECKBOX Position Review - Remarks: FORMTEXT ????? FORMCHECKBOX Promotion (Career) FORMCHECKBOX Realignment/Reorganization FORMCHECKBOX Reassignment FORMCHECKBOX Detail/Temporary Promotion (non-competitive, less than 4 months) NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Detail/Temporary Promotion (competitive, more than 4 months) NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Termination of Detail/Temp Promotion FORMCHECKBOX LWOP NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Extension of LWOP NTE: FORMTEXT DD-MMM-YYYY FORMCHECKBOX Return-to-Duty FORMCHECKBOX Resignation FORMCHECKBOX Resignation - (Specify: FORMTEXT ?????) FORMCHECKBOX Termination - Age 60 FORMCHECKBOX Termination - PRE FORMCHECKBOX Termination - (Specify: FORMTEXT ?????) FORMCHECKBOX Name Change (New Name: FORMTEXT ?????) FORMCHECKBOX Disciplinary Actions (Specify: FORMTEXT ?????) FORMCHECKBOX Cancellation (Specify: FORMTEXT ?????) FORMCHECKBOX Correction (Specify: FORMTEXT ?????) FORMCHECKBOX Other (Specify: FORMTEXT ?????) If overlap is requested & approved, FORMCHECKBOX Approval memo Attached FORMCHECKBOX Approval will be submitted on FORMTEXT DD-MMM-YYYYIf temporary/term fill, state the reason for temp/term fill: FORMTEXT ?????Remarks: FORMTEXT ?????Other InformationType of Contract:Position Title:JD No:BWT: FORMCHECKBOX 1 FORMCHECKBOX 2Grade:Language Proficiency Level (LPL): FORMCHECKBOX MLC FORMCHECKBOX IHA FORMCHECKBOX MC FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX 3 FORMCHECKBOX 5 FORMCHECKBOX 6 FORMTEXT ????? FORMTEXT ?????Type of Employment:Work Schedule: FORMCHECKBOX Permanent FORMCHECKBOX Limited Term NTE FORMTEXT DD-MMM-YYYY FORMCHECKBOX Post Retirement Employee (PRE) NTE FORMTEXT DD-MMM-YYYY FORMCHECKBOX Hourly Paid Employee (HPT), FORMTEXT ??? hrs pw, NTE FORMTEXT DD-MMM-YYYY FORMCHECKBOX Full-Time (40 HPW) FORMCHECKBOX Part-Time, FORMTEXT ??? hrs pwInstallation:Building NumberUU:CE:PS:Intermittent:Overtime: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX NoWork Days:Rest Day:Work Hours & Shift Hours: FORMCHECKBOX Mon-Fri FORMCHECKBOX Irregular FORMCHECKBOX Others FORMTEXT Specify the days FORMCHECKBOX Sat/Sun FORMCHECKBOX Irregular FORMCHECKBOX Others FORMTEXT Specify the days FORMTEXT Specify the work hours to include recess hours or shift hoursRecurring Background CheckImmunization/Vaccination Requirement FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Tetanus FORMCHECKBOX Hepatitis B virus FORMCHECKBOX Rabies FORMCHECKBOX Others FORMTEXT ????? FORMCHECKBOX Measles, Mumps, Rubella, Chicken Pox, and Influenza (CDC/School/Medical Facility/Firefighters)Mission Essential: FORMCHECKBOX Yes FORMCHECKBOX No (example of ME: e.g., Assuming designated duty in natural disasters, adverse weather, terrorist activity, radioactive/poisonous gas release, outbreak of pandemic disease, or other events that may present a danger to any USFJ facility, personnel, and LN employees or requires extraordinary USFJ assistance for relief measures.)IAT Level:IA Certification Required:CE Certification (if required):Corresponding Background Check Req: FORMCHECKBOX Level I FORMCHECKBOX Level II FORMCHECKBOX A+, Network+, SSCP FORMCHECKBOX GSEC, Security+, SCNP, SSCP FORMTEXT ????? FORMTEXT ?????Other Special Requirements/Factors: FORMCHECKBOX Business Travel, FORMTEXT State frequency FORMCHECKBOX Other, FORMTEXT Brief DescriptionFor AF, MPCN: FORMTEXT ????? FORMCHECKBOX N/AFor Army, PARA: FORMTEXT ?????LINE: FORMTEXT ????? FORMCHECKBOX N/ACPS Use OnlyMPCN/PARA LINE Verified: FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AManpower: FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/APosition Verified: FORMCHECKBOX Yes FORMCHECKBOX NoDate Position Vacated: FORMTEXT ?????Verified by: FORMTEXT ?????Position Control #: FORMTEXT ?????SQ: FORMTEXT ????? ................
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