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CS Form No. 1 Appointment Transmittal and Action Form

This document is a transmittal and action form used by agencies to submit appointment documents to the Civil Service Commission (CSC) for approval. It contains fields to provide information on the appointee such as name, position title, period of employment, and pay grade. There is a checklist for common requirements like appointment forms, plantilla, personal data sheet, and certificate of eligibility. The form must be certified by the highest ranking HRMO and submitted to the CSC field office, along with the original appointment documents. The CSC will then take action to approve or disapprove the appointment.

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Lorna Manalo Siman
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3K views5 pages

CS Form No. 1 Appointment Transmittal and Action Form

This document is a transmittal and action form used by agencies to submit appointment documents to the Civil Service Commission (CSC) for approval. It contains fields to provide information on the appointee such as name, position title, period of employment, and pay grade. There is a checklist for common requirements like appointment forms, plantilla, personal data sheet, and certificate of eligibility. The form must be certified by the highest ranking HRMO and submitted to the CSC field office, along with the original appointment documents. The CSC will then take action to approve or disapprove the appointment.

Uploaded by

Lorna Manalo Siman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

CS Form No.

1
Revised 2017
For Use of Reg
APPOINTMENT TRANSMITTAL AND ACTION FORM

AGENCY:
AGENCY : CSCFO In-Charge:

INSTRUCTIONS: For CSCRO/FO's Use:


(1) Fill-out the data needed in the form completely and accurately. Date Received:
SALARY/
(2) Do not abbreviate entries in the form. JOB/
(3) Accomplish the Checklist of Common Requirements and sign the certification.
(4) Submit the duly accomplished form in electronic and printed copy (2 copies) to the CSC Field Office-In-Charge
together with the original copies of appointments and supporting documents.
POSITION TITLE

NAME OF THE APPOINTEE/S PUBLICATION

PERIOD OF EMPLOYMENT
DATE OF DATE
Name EMPLOYMENT NATURE OF indicate period MODE
(for Temporary, Casual/ ISSUANCE
Last Name First Name Extension Middle Name STATUS APPOINTMENT of publication (CSC Bulletin of
Contractual Appointments) (mm/dd/yyyy)
(Jr. / III) (mm/dd/yyyy to mm/dd/yyyy) (mm/dd/yyyy to Vacant Positions)
mm/dd/yyyy)
No. (indicate
parenthetical title, if
1 applicable)
2
3
4
PAY
4 GRADE
5
6
7
8
9
10
11
12
13
14
15

CERTIFICATION

This is to certify that the information contained in this form are true, correct and complete.

Highest Ranking HRMO

Date: _________________________________

REMARKS/COMMENTS/RECOMMENDATIONS: (e.g. Reasons for Disapproval of Appointment)


For Use of Regulated Agencies Only

A = Approved

CSC ACTION

or
Agency
Date of Receiving
Date of Action
Release Officer
(mm/dd/yyyy)
(mm/dd/yyyy)

D=
Disapproved

Page 1 of 2
CHECKLIST OF COMMON REQUIREMENTS HRMO
Instructions: Put a check if the requirements are complete. If incomplete, use the space provided to indicate the name of appointee and the lacking requirem

APPOINTMENT FORMS (CS Form No. 33-A, Revised 2017) - Three (3) original
1 copies of appointment form (employee copy, CSC copy and agency copy)

PLANTILLA OF CASUAL APPOINTMENT (CSC Form No. 34-A or C) - Three (3)


2 original copies (employee copy, CSC copy and agency copy)

3 PERSONAL DATA SHEET (CS Form No. 212, Revised 2017)

ORIGINAL COPY OF AUTHENTICATED CERTIFICATE OF ELIGIBILITY/ RATING/


4 LICENSE - Except if the eligibility has been previously authenticated in 2004 or
onward and recorded by the CSC

5 POSITION DESCRIPTION FORM (DBM-CSC Form No. 1, Revised 2017)

6 OATH OF OFFICE (CS Form No. 32, Revised 2017)

7 CERTIFICATE OF ASSUMPTION TO DUTY (CS Form No. 4)

This is to certify that I have checked the veracity,


authenticity and completeness of all the requirements in
support of the appointments attached herein.

____________________________________
Highest Ranking HRMO
CSC FO
me of appointee and the lacking requirement/s.

This is to certify that I have checked all the


requirements in support of the appointments attached
herein and found these to be [ ] complete / [ ] lacking.

____________________________________
CSC FO Receiving Officer
Page 2 of 2

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