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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Affirmation Statement. Ensure that your name, address, and contact information are accurately entered.
Proceed to the Prior State Employment section if applicable. If you have been dismissed from California State Civil Service employment, indicate whether you have written permission from CalHR.
In the Conditions of Employment section, mark your preferred type of appointment and locations where you are willing to work. You can select multiple options.
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