DOF Position Reestablishment Form
DOF Position Reestablishment Form
Request Date: Department Org Code: Agency Org Code (if applicable): Does this request include attachments? Yes No
Request Number: Department Name: Agency Name (if applicable): Please indicate the total number of pages: (including this form)
A. Type of reestablishment (Mark all that apply): (b)(1) Hiring Freeze (b)(2) Diligently Attempted to Fill (b)(3) Designated Management Position B. Reason for reestablishment(s):
(b)(4) Classification Designated as Hard-to-Fill (b)(5) Late Budget Enactment Delayed Filling
D. Position Data: Position Number(s): Classification Title: Salary Range: Contact Person:
(type or print)
E. Signature: As department director, or his or her designee, I certify that the above requested action and supporting information is true and accurate.
Department
Approved Denied
Agency
Approved Denied
Department of Finance
Approved Denied
__________________________ Director/Date
DF 155 (07/10)