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M.O.M's Annual Brunch Group

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Jackson Stewart
Jackson Stewart

SALN Form and Request Form - CSC Requirements for Asset Disclosure



For the information and guidance of all concerned, enclosed is a copy of the Civil Service Commission (CSC) Memorandum Circular No. 11, s. 2017 dated April 6, 2017 mandating the use of the 2017 Revised Personal Data Sheet (PDS) CSC Form No. 212, together with the Work Experience Sheet.




csc form download 2017



In this connection, all Department of Education (DepEd) officials and employees are required to update their records using the revised form and submit two copies of the accomplished PDS to their respective Human Resource Management Officers (HRMOs).


WHEREAS, the Civil Service Commission (CSC), as the central human resource institution in the bureaucracy, is mandated to prescribe all forms for Civil Service examinations, appointments, reports and such other human resource matters as may be required by law, rules and regulations;


WHEREAS, the CSC has prescribed the Personal Data Sheet (PDS) or Civil Service Form No. 212 as the official information sheet for all government officials and employees and as a main supporting document for all appointments in the government service;


WHEREAS, after more than ten (10) years of using the PDS 2005 revised form, the Commission recognizes the need to further revise the PDS to conform with the requirements on appointments and other issuances;


WHEREAS, the Commission has deemed the revision of the PDS necessary to capture relevant information regarding citizenship, for monitoring and reportorial purposes in line with the implementation of Items 3 and 5, Section 5, Republic Act No. 92251, including dual citizenship by birth;


The Commission RESOLVES FURTHER that the Personal Data Sheet (CS Form No. 212, Revised 2017) shall be supported by the Guide to Filling Out the PDS to guide employees and applicants in the accomplishment of the fields introduced in the PDS, Revised 2017.


Any misrepresentation made in the Personal Data Sheet (CS Form No. 212, Revised 2017) and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person concerned.


Use this form to certify correction of an OATH/ECB Violation issued by the Department of Buildings. To submit a Certificate of Correction request, use an eFiling account to log into DOB NOW at www.nyc.gov/dobnow and select the BIS Options portal. See the April 2020 Service Notice or Certificate of Correction Request User Guide.


The AEU3321 form must be used to certify the correction of summonses issued for failing to comply with training requirements pursuant to BC Section 3321.1 and/or Section 3321.2.1. The form combines the AEU2 (Certificate of Correction) and the AEU20 (Statement in Support). The AEU2 and AEU20 forms will not be accepted for summonses related to the site safety training requirements.


csc form 212 revised 2017 personal data sheet


csc form no. 100 revised september 2016 civil service examination


csc form no. 211 medical certificate revised 2018


csc form no. 7 clearance form series of 2017


csc spel form 1 certificate of consent april 2012


csc form 212 work experience sheet download


csc form no. 6 leave application revised 1984


csc form no. 9 report of rating revised 2018


csc form no. 4 request for eligibility records


csc form no. 5 request for certified true copy of documents


csc form no. 3 request for personnel records


csc form no. 2 request for issuances resolutions


csc form no. 8 statement of assets liabilities and net worth saln


csc form no. 10 saln request form revised january 2015


csc form no. 13 omnibus sworn certification of no pending case


csc form no. 14 application for eligibility under special laws and issuances


csc form no. 15 application for accreditation of service record


csc form no. 16 application for accreditation of volunteer service


csc form no. 17 application for accreditation of training programs


csc form no. 18 application for accreditation of learning and development institutions


csc form no. 19 application for accreditation of human resource management practitioner


csc form no. 20 application for accreditation of human resource management office


csc form no. 21 application for accreditation of performance management system


csc form no. 22 application for accreditation of strategic performance management system


csc form no. 23 application for accreditation of competency-based recruitment and qualification standards system


csc form no. 24 application for accreditation of rewards and recognition system


csc form no. 25 application for accreditation of learning and development system


csc form no. 26 application for accreditation of employee welfare and benefits system


csc form no. 27 application for accreditation of organization development interventions system


csc form no. 28 application for accreditation of grievance machinery system


csc form no. 29 application for accreditation of discipline administration system


csc form no. 30 application for accreditation of human resource information system


csc form no. 31 application for accreditation of human resource planning and audit system


csc form no. 32 application for accreditation of human resource research and innovation system


csc form no. 33 application for accreditation of prime-hrm maturity level indicators


csc cesb joint circular on the revised guidelines on the appointment to ces positions in the second level


csc mc on the revised qualification standards for division chief positions in the second level


csc mc on the guidelines on the grant of step increment due to merit promotion and length of service


csc mc on the guidelines on the grant of performance-based bonus for government employees


csc mc on the guidelines on the grant of loyalty award to government officials and employees


csc mc on the guidelines on the grant of honoraria to lecturers, resource persons, coordinators and facilitators


csc mc on the guidelines on the grant of hazard pay to government personnel assigned in hardship posts


csc mc on the guidelines on the grant of overtime pay to government employees


csc mc on the guidelines on the grant of compensatory time-off to government employees


csc mc on the guidelines on the grant of five-day special emergency leave to government employees


csc mc on the guidelines on the grant of maternity leave benefits to women in the government service


csc mc on the guidelines on the grant of paternity leave benefits to male employees in the government service


csc mc on the guidelines on the grant of solo parent leave benefits to solo parents in the government service


csc mc on the guidelines on the grant of special leave benefits to women who are victims of violence


The Borough Intake Form is used to submit manual applications to the Borough Office. The form improves tracking of submitted requests and allows the Department to send denial notifications electronically. The form must be submitted with the following applications: PW1 PAA, PW1 Withdrawal, PW2, PW6, and PW7.Borough Intake Form - Rev. 8/22


Use this form to give authorization to the Department of Transportation to issue a Construction Permit for the Builders Pavement Plan Work. Submit this form as part of the Builders Pavement Plan application.BPP5 Form - Rev. 12/14


Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form for justification as part of the BPP application.BPP15 Form - Rev. 8/04


Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form for justification as part of the BPP application.BPP16 Form - Rev. 8/04


Use this form to request a concrete safety inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to CEU@buildings.nyc.gov and include the borough and address of the job in the subject line.CEU Safety Inspection Request Form - Rev. 5/20


Use this form to request a concrete structural inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to CEU@buildings.nyc.gov and include the borough and address of the job in the subject line.CEU Structural Inspection Request Form - Rev. 5/20


All demolition applications must be pre-filed prior to requesting a pre-demolition inspection from the Construction Safety Compliance Unit (CSC). CSC will only accept applications for Inspection Prior to Demolition (CSC2A) with the nine-digit BIS job number on the upper right-hand corner of the form.CSC2A Form - Rev. 1/19


Use the Construction Safety Enforcement Appointment Request form to request an appointment for Stop Work Order Re-inspections, Partial Stop Work Order Re-inspections and DOB Violation Removals. Once completed send the form to cseappointments@buildings.nyc.gov.CSE Appointment Request Form - Rev. 8/22


Replaces CD10 form for CN applications only. However, CD10 form still applies for amending CD2 and CD3 forms. To be used to submit any change made after the original application has been approved.CD4-A Form


To be used to notify the Department's Cranes & Derricks Unit before raising or lowering a climber, tower crane, or derrick Changes include: Derricks have been added as an additional equipment type requiring the submission of a CD7 form when applicable.


File this form after any Crane Notice (CN) inspection is completed. It is filed for every new phase or assembly, including tower crane jumps or climbs (up/down). It is also filed when one year has passed since the last CN inspection. Only the updated CD8 with the specified revision date of March 2019 in the bottom right corner will be accepted. View the form instructions.


This form is filed in addition to a CD8 form when special inspections are required to be performed on structural elements that support the crane or derrick. It replaces the use of a TR1 form, which will no longer be accepted by Cranes and Derricks for new applications filed after March 1, 2019. The crane design applicant who filed the crane or derrick notice application for the job determines when and which special inspections are required in accordance with 1 RCNY 3319-01, NYC BC Chapter 17 and 1 RCNY 101-06. Special inspections shall only be performed by registered special inspection agencies, approved for the project by the crane design applicant. The crane design applicant may perform these special inspections only if the crane design applicant is a registered special inspection agency. CD8-TR FormCD8-TR instructions


File this form for any assembly, phase or jump in which a crane or derrick requires an assembly/disassembly director. It documents unassembled and assembled inspection components such as serial numbers, material testing reports, tower crane mast section plumbness and bolt torque. The pre-operational load test is reported on the CD8-AD form, as well as specific inspections to be performed by the assembly/disassembly director. CD8-AD forms are not required for the setup or breakdown of a self-erecting tower crane, provided the setup does not require a boom, mast or other attachment to be installed at the site. CD8-AD FormCD8-AD instructions


This form was formerly used to add additional Crane Safety Coordinator to job. Now it will be used to designate the primary lift director. If filed without a CD4, this is considered an amendment and amendment fees apply.CD12 Form


To be used to credit experience obtained by operating crane(s) that fall into one of the listed Class B HMO ratings, on or before November 9, 2017. Complete and submit the scanned form to the Department's Licensing & Exams Unit at HMORatings@buildings.nyc.gov.Crane HMO B Rating Registration


Mast climber owners must only submit the MC2 form in conjunction with also submitting the MC-3 form for an approved CN application, or it will not be accepted. All other past uses of this form which were specific only to the device must now be done in DOB NOW: Build. The MC2 should be submitted with supporting documentation, which must include a list of the mast's critical components, the owner's certification and a disclosure of the mast climber's history. MC2 Form - NEW Application


The POC3 form is to be used when an easement or restrictive declaration is filed in connection with a professionally certified application. The professional must sign the POC3 form, which will contain either the professional's certification: 1) that the easement or declaration materially conforms to the Department's approved form, or 2) that the easement or declaration has been reviewed and accepted by the General Counsel's Office.POC3 Form - Rev. 12/08


Use this form self-certify an 'A' violation. 'A' violations are issued on jobs that are completed and have been inspected and violations have been issued to the contractor.BEC43 Form - Rev. 9/10


Submit this form to the Electrical Code Revision and Interpretation Committee (ECRIC) to request an interpretation and/or clarification of Electrical Code Technical Standards. The form should be submitted two weeks before the ECRIC meeting order to be considered.ED76 Form - Rev. 2/09


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