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STANDARD FORM 50—Rev. December 1061
} NOTIFICATION OF PERSONNEL ACTION
U.S. Civil Service Commission : 6 PART
FPM Chap. 295 (EMPLOYEE — See General Information on Reverse) 50-126
(FOR AGENCY USE)
Schedule #2 5 A-8
1, NAME (CAPS) LAST—FIRST—MIDDLE MR.—MISS—MRS. 2. (FOR AGENCY USE) | 3. BIRTH BES 4. SOCIAL SECURITY NO.
One » Pear,
03-15-11 252-10-5552
ALLEN, IVAN JR., MR.
5. VETERAN PREFERENCE
6. roe GROUP
7, SERVICE COMP. DATE
8. PEG HANDICAP CODE
I—NO 3—10 PT. DISAB. 5—10 PT. OTHER
2—5'PT. 4—10 PT. COMP.
9. FEGLI 10. RETIREMENT 11. (FOR CSC USE)
I—COVERED 2—iNELIGIBLE 3—WAIVED 2 1—cs 3-FS 5— OTHER
2 2—FICA 4—NONE
12. CODE NATURE OF ACTION
171 | Excepted Appt - Intermittent
NIE 06-30-67
13. EFFECTIVE DATE
(Mo., Day, Year)
10-27-66
14. CIVIL SERVICE OR
Public Law
THER LEGAL AUTHORITY.
» Section 15 and
CSC Letter dated 09-09-54
15, FROM: POSITION TITLE AND NUMBER 16. PAY PLAN AND 17. (a) GRADE (b) STEP | 18. SALARY
OCCUPATION CODE OR OR
LEVEL RATE
19. NAME AND LOCATION OF EMPLOYING OFFICE
20. TO: POSITION TITLE AND NUMBER 21. PAY PLAN AND 22, (a) Pe (b) iy 23. SALARY
OCCUPATION CODE LEVEL RATE
Consultant pa $100.00
24. NAME AND LOCATION OF EMPLOYING OFFICE
Immediate Office of the Secretary, Washington, De Ce
Residence;
Atlanta, Georgia
25. DUTY STATION (City—county—State)
Washington, De Ce
26. LOCATION CODE
08-0010-001
27. APPROPRIATION
28. POSITION OCCUPIED
29. APPORTIONED POSITION
1—COMPETITIVE SERVICE FROM; TO: STATE
2 2—EXCEPTED 1—PROVED-1
SERVICE 2—WAIVED-2
30. REMARKS: A. SUBJECT TO COMPLETION OF 1
SEPARATIONS: SHOW REASONS BELOW, AS REQUIRED. CHECK IF APPLICABLE:
B. SERVICE COUNTING TOWARD CAREER (OR PERMANENT) TENURE FROM:
YEAR PROBATIONARY (OR TRIAL) PERIOD COMMENCING
Cc. DURING
PROBATION
Ll
ee D. FROM APPOINTMENT OF 6 MONTHS OR LESS
Ineligible for health benefits. No regular tour of duty. No overtime or
premium holiday pay.
Speeial Government Employee
No annual or sick leave benefits.
It is estimated that services will be required for approximately 20 days.
This action was approved by the Secretary
34. SIGNATURE (Or other authentication) AND
31. DATE OF APPOINTMENT AFFIDAVIT (Accessions only)
11-10-66
32. OFFICE MAINTAINING PERSONNEL FOLDER (If different from employing office)
Division of Personnel, Washington, D. C
» Offiee of the Secretary
Hu'Oy EMPLOYING DEPARTMENT OR AGENCY
35. DATE
10-25-66
Di
TITLE.
a
rector o rsonnel
11h
1. EMPLOYEE COPY
cBIBI TH, =
sREAEDTORERD” CAFS. Ct fA6 pecucpoxa 3? DLE To-S2- “ee TI
(\ DYZecrox of\Ecxeonuey
re _ DITTO OL peravansey OORT ICE ¥ To EM
KEEP Fits 5 OeGion F FOR youR RECORDS. IT 1S YOUR COPY OF THE GFFICIAL REG OW,
3) DVLE GF yebotm ioe) PROMPILY (CALLANY ERROR TO THE ATTENTION OF YOUR SUPERVISOR “GR: YOUR: PERSONA
apTe gcejou age ‘g@bbroasa pA eps “Gecrapeea
I. Conditions Pertinent To All Types of Personnel Action for such positions. Such oppointments de not confer a competitive
civil service status or eligibility for movement to jobs in the competi-
tive service; they may be made without restrictions on tenure, with @
conditional 6r indefinite limitation, or with a definite time limitation.
YOUR ee
The personnel action identified on the face of this form is subject to
all applicable Jows, rules, and regulations governing Federal employ-
ment and may be subject to investigation and approvel by the Civil
Servicg Roneitisn- Tineeaiog mepbersouerien peeecdentrebis zednrZsq 562 BERR PSR PA iy Gisaiire of the employing office.
accordance wi al requirements, or if bosed upon your mis- Ill. Information About T G
fopresentation er fraud,
abecirsyy nenamere Irnroiee : Employees are ranked in tenure groups according to the nature of
In addition, the grade of the to which you cre officially their appointment; those with unrestricted tenure are placed in Group I,
axigned may name eos and Sraieh Boke mio anaes O —_ S t GK yevas Bepeesies ing, under conditional appointments which automatically lead
or by yore and without further qualificotion
in i aL ATR WePRATER LONG, GE Then Meader es woes temporary or indefte
factory" unless or unl you ore. notified olherwike. _ sr tk 1 GRpointments not-limited to pa onast, time, or.date are placed ii in Group
tem 9 ond 19 SHOW ite lyges of " fed ae “FEGU" I .Within each tenure group, ranking i is $ determined by veteran pref-
‘i Federal Employeet coup life Ie nce, oc for Civil Set NESE) AEWNBE LEON erence, performance rating, and total Federal service... If it should
=Amirc RE RY ANADW LIDEY *» tulyr become necessary te reduce force, employees are selected for separa-
~~ tion-or-change to lower grade according to.this, general ranking. —Em-
© ployees serving under competilive appointments and those serving under
excepted, arr unwee are ranked sea ERey for reduction.in force
vifou Per poses.
H. ‘Interrtion dibeat Appointments Rees te eae infarnailon Alcul You Sacl MaORNED ICES
| Aprciniments t fe positions in the competitive service: The Civil |
Servite. Act please mest positions in. the.’ ‘campatitive service," The— ——__ —__--_- If you are separated or placed in o nonpay stotus for on extended
period, your employing agency will furnish you with Standard Form 8
Civil Service Commission sets qualification requirements and controls = PTE YOUN OP oie eee Oe Oe wn srangare ro
recfuilment for such positions. As @ general rule, persons selected Heeygence’? eres Sclsoxtmyeployment: insurance benefits. If yo
tral <i sey ist ° ving j i | til , were covered by the civil service retirement system or Federal employ
a re aa sy'e" Sates Bp Ae Des Fix Meprutcos edd” gu ip life insurance, you have previously been furnished certifi
ere) secured through direct competition with ofher members of the cates describing these programs; you con refer to such certificates for
Additional deductions may be made under the Federal Employses
Health Benefits program, and fer inceme taxes, bonds, and other pur-
poses evthorized by law,
general PUB a ese Kirig' Sinilariwerk! fa Golérnivent agencies, ond per- information regarding your rights. and possible benefits after separation,
mit must lified employeas to be assigned without further competitive ex- If you are s#parcled fon a career or coreer-conditional appointment,
eminatiog een ytaiyp' the competitive service. Career-conditional yéu umay have fainstatarnant eligibility obybe diggctly to ony
ood come Coreer oppointments upen completion of 3 years Federol activily and may, be employed eT ED oO wel
of spbstontially continueus creditable servies, | “Ngimindtion?! fe you ere _dunonveterdh and you ore separated from @
tien Keates year toltowing a nantampooery ‘competitive appoinimentgen-—— | SY Sareer-conditional_cppointment. your eligibility for reinstatement-is-gens
erally is a probstionary period, during vehich period on appointee must erally limited to 3 years from the date of separation, If you are sepa:
demonstrate his full competence and fitness for Federal employment. rated from a temporary or excepted appointment, you have no rein=
Reinstatements are also subject te @ probationary period unless one ‘statemant privileges based upon such service. |
was previously completed. Transfers, promotions, changes to lower
oe and reassignments during a poweionary period are subject to
co iploridn ‘ot Proposes oe Coe Ne CSR
You will be given any lump sum payment that moy be due you for an
nual leave at the time of separation, Refund of on appropriate portion
of this payment will be required if you are reemployed in a Federal
Temporary oppointments do not cenfer a civil service status and do agency in a position under the same leave system during the period
not lead to a career or career-conditional appointment without some covered by such payment,
further examination or qualification. Limited temporary Gprelatnents :
ore) made. when there is no continuing need for a person's service, re- ; - ; wee ‘Availability of Further Infotination '
gardiess of a Dale ch tn whieh h oe. for Gppointment; accepts ————— ec rsult your supervisor If you Tove uestions about the above state:
once gs a ment wil! not Témove a person's name from a civil Te" rang Bi. Phe ur seer TeoeRh a S: ff, Ons “sit, inbars
servi Tajster BRGRNMG G VRRP be- PR PASAE SLSR Itioncl concerning your RMaUNE: ak anak cpaeean crn coe
appointment. | tions involving granting of ltave, assignment of duties, and hours of
Appointments ta oopitnan in. the. sineatc ass: service: Excepled 5 work which are generally under his, control. IF your questions are tech-
oppointments ore made to positions which ore excepted from the com- mMoalyyour supervisor may refer you to your (persannelyoffice, which will
petitive service by Jaw or other special authority. Generally the em- have copies of controlling civil service regulations, os well as your in-
Ploginy, agency set qualification requirements and conducts’ recruitment Odividual records, and so can best explain how 1§#¥ apply in your case.
ITEM” TAVM ‘IN*? HE* 03-12-IT PI-TO“2VIS
ee ees 2b U.Se/ GOVERNMENT PRINTING OFFICE: 1986-0-224-095,
gopeqnye ‘45* v-9
wHEreO Lown Get oo re MOLILICFLION bEw2Z0K iO