This form should be filed with Human Resources. This is to certify that has requested to return from military service to his or her position of in the department, at a salary rate of $ . Date of entry into service : Date of discharge : Please attach a copy of discharge : This position has been filled on a substitute basis byThis position has been vacant pending return of incumbent.Employee had permanent status in the following job class: Competitive,Noncompetitive,LaborEmployee was temporarily or provisionally employed I have received a copy of the Employee Handbook Signature : Date : Δ
