Employee Appointee. Last Name First Name MI Suffix Employee ID Address of New Residence City State Zip Address of Old Residence City State Zip Previous Agency Address of Previous Work Location City State Zip New Agency Address of New Work Location City State Zip Title Negotiating Unit Date of Appointment Date probation ended (if applicable) Grade Distances in miles (shortest measurement along public highways):
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Samples: www2.cortland.edu, www.osc.state.ny.us, uuphost.org