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This document is a form for Pennsylvania state agency employees to disclose their previous periods of service, current assignments, and retirement plan participation.
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How to fill out PREVIOUS PERIODS OF SERVICE WITH OTHER PENNSYLVANIA STATE AGENCIES

01
Obtain Form for Previous Periods of Service from the Pennsylvania State Agency's website or human resources department.
02
Gather all relevant employment records from previous state agencies, including start and end dates of employment.
03
Fill out the form with your personal information, including name, social security number, and contact details.
04
List each previous period of service with other Pennsylvania state agencies in chronological order.
05
Include the exact names of the agencies, your job titles, and the duration of your employment.
06
Attach any required documentation, such as pay stubs or letters of employment verification.
07
Review the completed form for accuracy and completeness before submission.
08
Submit the form to the appropriate department or human resources office as instructed.

Who needs PREVIOUS PERIODS OF SERVICE WITH OTHER PENNSYLVANIA STATE AGENCIES?

01
Individuals applying for employment with Pennsylvania state agencies who have previously worked for other state agencies.
02
Employees seeking to verify their past service records for benefits or retirement purposes.
03
Job applicants looking to consolidate their state employment history as part of their application process.
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Resignation — The voluntary termination of employment by an employee, which is evidenced by the employee's written or verbal notice. Rule of three — The requirement that the appointing authority choose from among the three-highest-ranking available eligibles in filling a particular vacancy.
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Civil service positions require a competitive exam. You must live in Philadelphia for one year before your appointment date. Non-civil service positions do not require an exam. You must move to Philadelphia within six months after your appointment date.
There are two types of City jobs: civil service and non-civil service. Civil service positions require a competitive exam. Non-civil service positions do not.
The State Civil Service Commission (Commission) is a nonpartisan three-member independent administrative state agency. Members of the Commission are nominated by the Governor of the Commonwealth of Pennsylvania and confirmed with the advice and consent of the Pennsylvania State Senate to six-year terms.

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PREVIOUS PERIODS OF SERVICE WITH OTHER PENNSYLVANIA STATE AGENCIES refers to the record of employment an individual has had with various state agencies in Pennsylvania prior to their current role. This information is used to assess eligibility for certain benefits and calculate service credit within the state system.
Employees of Pennsylvania state agencies who have had previous employment with other state agencies are required to file this information to ensure that their prior service is recognized and credited appropriately.
To fill out the form for PREVIOUS PERIODS OF SERVICE, individuals must provide details such as the names of the prior agencies, positions held, dates of employment, and any relevant reasons for leaving those positions.
The purpose is to compile a comprehensive record of an employee's prior service to facilitate the calculation of benefits, retirement eligibility, and overall service time within the state employment system.
The information that must be reported includes the names of the previous state agencies, the specific roles or jobs held, the duration of employment, and any pertinent notes regarding the employment history at those agencies.
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